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Davis HA, Rush M, Smith GT. Reciprocal relations between body dissatisfaction and excessive exercise in college women. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1473-1479. [PMID: 35728008 DOI: 10.1080/07448481.2022.2080508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 05/10/2022] [Accepted: 05/16/2022] [Indexed: 06/15/2023]
Abstract
Objective: Body dissatisfaction elevates the risk for disordered eating behaviors. Excessive exercise is prevalent among college women and associated with harm. Risk theory posits a bidirectional relationship between risk factors for disordered eating behaviors and the behaviors themselves. This study investigated the longitudinal, reciprocal relationship between body dissatisfaction and excessive exercise. Participants and methods: College women (n = 302) assessed in August (baseline) and November (follow-up). Results: Baseline body dissatisfaction significantly predicted increases in excessive exercise endorsement at follow-up, controlling for baseline excessive exercise endorsement and body mass index (BMI). Baseline excessive exercise endorsement predicted increases in body dissatisfaction at follow-up, controlling for baseline body dissatisfaction and BMI. Conclusions: Findings support the presence of a positive feedback loop between body dissatisfaction and excessive exercise; both predict increases in risk for the other, regardless of weight status. Future research should test whether this process is ongoing and predicts further distress.
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Affiliation(s)
- Heather A Davis
- Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA
| | - Molly Rush
- Barnes-Jewish Hospital System in St. Louis, St. Louis, Missouri, USA
| | - Gregory T Smith
- Department of Psychology, University of Kentucky, Lexington, Kentucky, USA
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2
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Li S, Cui G, Yin Y, Tang K, Chen L, Liu X. Prospective Association Between Problematic Mobile Phone Use and Eating Disorder Symptoms and the Mediating Effect of Resilience in Chinese College Students: A 1-Year Longitudinal Study. Front Public Health 2022; 10:857246. [PMID: 35570941 PMCID: PMC9092370 DOI: 10.3389/fpubh.2022.857246] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 03/24/2022] [Indexed: 12/19/2022] Open
Abstract
A previous cross-sectional study found that problematic mobile phone use (PMPU) was associated with students' eating disorder symptoms. However, since the cross-sectional study cannot infer the causality and the direction of effect, the longitudinal relationship between the two and the mechanism behind this relationship are unclear. Therefore, the present study explores the prospective association between PMPU and eating disorder symptoms and related mediation mechanisms using a 1-year longitudinal study of 1,181 college students (from December 2019 [T1] to December 2020 [T2]). Survey tools used include the Mobile Phone Addiction Tendency Scale, the 10-item Connor-Davidson resilience scale, and the 12 item Short Form of the Eating Disorder Examination Questionnaire. The longitudinal relationship between PMPU and eating disorder symptoms and the mediating effect of resilience was analyzed using a cross-lagged model. The results showed that PMPU (β = 0.086, P < 0.01) and resilience (β = -0.145, P < 0.01) at T1 predicted eating disorder symptoms at T2, but not vice versa. PMPU was bidirectionally associated with resilience, and the prediction effect of PMPU at T1 to resilience at T2 (β = -0.151, P < 0.001) was higher than the prediction effect of resilience at T1 to PMPU at T2 (β = -0.134, P < 0.001). The standardized indirect effect of PMPU at T1 on eating disorder symptoms at T2 via resilience was significant (β = 0.022, 95% CI = 0.010~0.040, P < 0.001). Therefore, PMPU and resilience were predictive for eating disorder symptoms in college students, and resilience may play a mediating role in the prospective association between PMPU and eating disorder symptoms. This study provides new ideas and higher-level evidence for the development of prevention and intervention measures for college students' eating disorder symptoms.
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Affiliation(s)
- Shaojie Li
- Shandong University of Traditional Chinese Medicine, Jinan, China
- Xiangya School of Public Health, Central South University, Changsha, China
| | - Guanghui Cui
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Yongtian Yin
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Kaixuan Tang
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Lei Chen
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Xinyao Liu
- Shandong University of Traditional Chinese Medicine, Jinan, China
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Lurati A. Depression and Obesity. J Nurse Pract 2022. [DOI: 10.1016/j.nurpra.2022.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Huang ZP, Huang F, Wang MJ, Tang CZ, Huang JP, Ling J, Li SE, Wei SQ, Lei HH, Li JJ, Lan X. Lifestyle and Social Factors Exacerbated on the Prevalence of Mood Disorders and Functional Dyspepsia Among Neonatal Nurses in China. Front Psychiatry 2022; 13:905401. [PMID: 35651823 PMCID: PMC9148953 DOI: 10.3389/fpsyt.2022.905401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Accepted: 04/25/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Nursing is a high-stress occupation that can have an impact on mental health, particularly for neonatal nurses. Job-related stress factors and work-related behaviors have played a critical role in nurses' mental health. This study aimed to explore the prevalence of mood disorders and the impact of social factors, lifestyle on mood disorders among neonatal nurses. METHODS A total of 260 participants comprising neonatal nurses and nurses who work in neonatal intensive care units (NICU) were recruited. Data were collected using a validated generalized anxiety disorder questionnaire, patient health questionnaire-9, Pittsburgh sleep quality index, and social factors and lifestyle assessments. RESULTS In total, 49.23% of neonatal nurses exhibited mood disorders, particularly a combination of depression and anxiety. Female, poor interpersonal relationships and unhappy marital status, preference for smoking, alcohol, irregular diet, and poor sleep were common in neonatology nurses who exhibited mood disorders; preference for coffee and tea were lower in neonatology nurses without mood disorders (all P < 0.05). Interpersonal relationships, marital status, irregular diet, and poor sleep were independent factors associated with mood disorders among neonatal nurses (all P < 0.05). Mood disorders presented as functional dyspepsia (FD) among 50.78% of the participants (P < 0.05). Poor sleep and preference for smoking were common among neonatal nurses who had FD with mood disorders (all P < 0.05). Furthermore, the preference for sugary beverages was lower in participants with FD and mood disorders (P < 0.05). Poor sleep was independently associated with FD with mood disorders in neonatology nurses (P < 0.05). CONCLUSION Prevalence of anxiety and depression was higher among neonatal nurses. Furthermore, most cases of mood disorders presented as FD. Thus, social factors and lifestyle have an impact on mood disorders which can manifest through somatic symptoms.
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Affiliation(s)
- Zhen-Peng Huang
- Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, China
| | - Fang Huang
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China.,Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, China
| | - Mei-Jun Wang
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Chuan-Zhuang Tang
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Jiang-Ping Huang
- Department of Community, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Juan Ling
- Department of Neonatology, Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital, Nanning, China
| | - Shan-E Li
- Department of Neonatology, The Second Nanning People's Hospital, Nanning, China
| | - Su-Qiao Wei
- Department of Neonatology, The Second Nanning People's Hospital, Nanning, China
| | - Hai-Hua Lei
- Department of Neonatology, Guangxi International Zhuang Medicine Hospital, Nanning, China
| | - Jing-Jing Li
- Department of Neonatology, The First People's Hospital of Nanning, Nanning, China
| | - Xiu Lan
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
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5
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De Pasquale C, Sciacca F, Conti D, Pistorio ML, Hichy Z, Cardullo RL, Di Nuovo S. Relations Between Mood States and Eating Behavior During COVID-19 Pandemic in a Sample of Italian College Students. Front Psychol 2021; 12:684195. [PMID: 34367004 PMCID: PMC8333995 DOI: 10.3389/fpsyg.2021.684195] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 06/25/2021] [Indexed: 01/07/2023] Open
Abstract
The fear of contagion during the COVID-19 pandemic has been indicated as a relevant cause of psychological pathologies occurring in this period. Food represents a compensating experience, distracting from the experiences of uncertainty, fear and despair, causing alterations in eating habits and behaviors. The study aims at evaluating the relations between fear of a pandemic, mood states and eating disorders in Italian college students, taking into account gender differences. During the lockdown for the pandemic, a sample of 469 college students equally distributed by gender, was recruited online using a questionnaire including the FCV-19S for the assessment of fear of COVID-19, the profile of mood states (POMS) for the evaluation of different emotional states, the eating disorder inventory-2 (EDI-2) and the binge eating scale (BES) to evaluate the presence of the levels of eating disorders. As expected, all emotive states measured by POMS (tension, depression, anger, tiredness, confusion) resulted significantly correlated with the fear of COVID-19. Women were more exposed to fear of COVID-19 showing greater tension, fatigue, depression and confusion, and a significantly higher total mood disturbance score than males. Regarding the EDI-2 and BES variables, tension and anxiety resulted significantly correlated also with bulimic behavior, while depression with interoceptive awareness, impulsivity, and binge eating behaviors, without gender differences. In conclusion, the negative impact of the fear of COVID-19 on the emotional profile and eating behavior suggests the need to implement strategies against psychological distress during the pandemic emergency, and to design psycho-educational interventions aimed at modifying the lifestyle for preventing risks of mental disorders fostering health-oriented behaviors.
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Affiliation(s)
- Concetta De Pasquale
- Vascular Surgery and Organ Transplant Unit, Department of Educational Sciences, University of Catania, Catania, Italy
| | - Federica Sciacca
- Vascular Surgery and Medical-Surgical Specialties, Department of Educational Sciences, University Hospital of Catania, Catania, Italy
| | - Daniela Conti
- College of Business, Technology and Engineering, Sheffield Hallam University, Sheffield, United Kingdom
| | - Maria Luisa Pistorio
- Department of General Surgery and Medical-Specialties, University Hospital of Catania, Catania, Italy
| | - Zira Hichy
- Vascular Surgery and Medical-Surgical Specialties, Department of Educational Sciences, University Hospital of Catania, Catania, Italy
| | - Rosa Loredana Cardullo
- Vascular Surgery and Medical-Surgical Specialties, Department of Educational Sciences, University Hospital of Catania, Catania, Italy
| | - Santo Di Nuovo
- Vascular Surgery and Medical-Surgical Specialties, Department of Educational Sciences, University Hospital of Catania, Catania, Italy
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McAulay C, Hay P, Mond J, Touyz S. Eating disorders, bipolar disorders and other mood disorders: complex and under-researched relationships. J Eat Disord 2019; 7:32. [PMID: 31528342 PMCID: PMC6740009 DOI: 10.1186/s40337-019-0262-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 08/22/2019] [Indexed: 02/07/2023] Open
Affiliation(s)
- Claire McAulay
- 1Clinical Psychology Unit, Brain & Mind Centre, University of Sydney, Sydney, Australia
| | - Phillipa Hay
- 2Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, Australia
| | - Jonathan Mond
- 3Centre for Rural Health, College of Health and Medicine, University of Tasmania, Sydney, Australia
| | - Stephen Touyz
- 1Clinical Psychology Unit, Brain & Mind Centre, University of Sydney, Sydney, Australia.,4Inside Out Institute, Charles Perkins Centre, Sydney Medical School, University of Sydney, Sydney, Australia
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