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Vojnosanitetski pregled
2016, vol. 73, br. 1, str. 34-41
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.2298/VSP130709121L

Creative Commons License 4.0
Faktori rizika i prevalencija anoreksije nervoze među studentkinjama u Srbiji
Lazarević Jovanaa, Batinić Borjankab, Vukosavljević-Gvozden Tatjanaa
aUniverzitet u Beogradu, Filozofski fakultet, Odeljenje za psihologiju
bDepartment of Psychology, Faculty of Philosophy, University of Belgrade + Clinic of Psychiatry, Clinical Center of Serbia, Belgrade

e-adresa: jocal88@yahoo.com

Projekat

Identifikacija, merenje i razvoj kognitivnih i emocionalnih kompetencija važnih društvu orijentisanom na evropske integracije (MPNTR - 179018)

Sažetak

Uvod/Cilj. Rasprostranjenost simptoma anoreksije nervoze (AN) među mladim ženama zahteva skretanje pažnje stručnjaka na ovaj problem u Srbiji. U prethodnim istraživanjima anoreksije nervoze, nesigurni stilovi afektivnog vezivanja, perfekcionizam i zabrinutost povodom oblika tela, identifikovaní su kao značajni faktori rizika. Cilj ovog istraživanja bio je da se identifikuje prevalencija AN među studentkinjama i ispita značaj navedenih faktora za razvoj AN. Metode. Upitnik stavova o ishrani (Eating Attitudes Test - EAT-40), Skala iskustava u bliskim emocionalnim odnosima (Experiences in Close Rebtionships Scale -ECR), Multidimenzionalna skala perfekcionizma (Frost Multidimensional Perfectionism Scale - FMPS) i Upitnik doživljaja oblika tela (Body Shape Questionnaire - BSQ), primenjeni su na grupi od 500 studentkinja Univerziteta u Beogradu, izabranih metodom slučajnog izbora, prosečnoguzrasta 22,44 godine (min 18, max 35). Takođe, računat je i indeks telesne mase (Body mass index - BMI). Rezultati. Premda je 38 (7,6%) studentkinja ispoljavalo simptome anoreksije nervoze (EAT > 30), a 13 (2,6%) imalo indeks telesne mase koji upozorava na sindrom poremećaja (BMI ≤ 17,50 kg/m2), samo je jedna (0,2%) studentkinja ispunjavala oba kriterijuma (EAT > 30, BMI = 15,64 kg/m2). Većina studentkinja (60,4%) imala je neki od nesigurnih stilova afektivnog vezivanja. Postoji značajan efekat stilova afektivnog vezivanja na izraženost simptoma anoreksije nervoze: studentkinje koje imaju neki od nesigurnih stilova afektivnog vezivanja imaju značajno veći prosečni skor na upitniku EAT u poređenju sa onima sa sigurnim stilom (F = 7,873; p < 0,01). Postoji pozitivna korelacija između skorova na upitnicima EAT i FMPS (r = 0,217; p < 0,01), i EAT i BSQ (r = 0,388; p < 0,01). Zaključak. Prevalencija AN među studentkinjama iznosi 0,2%. Rezultati ukazuju na značaj nesigurnih stilova afektivnog vezivanj a, perfekcionizma i zabrinutosti povodom oblika tela kao faktora rizika. Prevencija AN u ovoj subpopulaciji treba da se usmeri na izradu internet terapije i specijalizovanih savetovališta sa specifičnim programima usmerenim na veštine regulacije emocija tehnikama pune svesnosti, prihvatanja i posvećenosti, kao i specifičnih kognitivno-bihejvioralnih tehnika.

Ključne reči

anoreksija nervoza; faktori rizika; prevalenca; studenti; žene; Srbija

Reference

[ CR ] [ EČ ][ GS ]

Akdemir, A., Inandi, T., Akbas, D., Kahilogullari, A.K., Eren, M., Canpolat, B.I. (2011) Validity and Reliability of a Turkish Version of the Body Shape Questionnaire Among Female High School Students: Preliminary Examination. European Eating Disorders Review, 20(1): e114-e115

[ 3 ][ GS ]

Allen, J.G. (2001) Traumatic relationships and serious mental disorders. Chichester: John Wiley & Sons

[ 56 ][ GS ]

American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders. Washington, DC

[ CR ] [ EČ ][ GS ]

Arriaza, C.A., Mann, T. (2001) Ethnic Differences in Eating Disorder Symptoms Among College Students: The Confounding Role of Body Mass Index. Journal of American College Health, 49(6): 309-315

[ CR ] [ EČ ][ GS ]

Batinic, B., Lazarevic, J., Vukosavljevic-Gvozden, T. (2013) 1038 - Perfectionism and body shape concerns in female students with dysfunctional eating attitudes and behaviour. European Psychiatry, 28: 1

[ 10 ][ GS ]

Brennan, K.A., Clark, C.L., Shaver, P.R. (1998) Self-report measurement of adult attachment: An integrative overview. u: Simpson J.A., W.S. Rholes [ur.] Attachment theory and close relationships, New York, itd: Guilford Press, str. 46-76

[ CR ] [ EČ ][ GS ]

Canetti, L., Kanyas, K., Lerer, B., Latzer, Y., Bachar, E. (2008) Anorexia nervosa and parental bonding: the contribution of parent-grandparent relationships to eating disorder psychopathology. Journal of Clinical Psychology, 64(6): 703-716

[ CR ] [ EČ ][ 2 ][ GS ]

Caradas, A.A., Lambert, E.V., Charlton, K.E. (2001) An ethnic comparison of eating attitudes and associated body image concerns in adolescent South African schoolgirls. Journal of Human Nutrition and Dietetics, 14(2): 111-120

[ CR ] [ EČ ][ GS ]

Castro, J., Gila, A., Gual, P., Lahortiga, F., Saura, B., Toro, J. (2004) Perfectionism dimensions in children and adolescents with anorexia nervosa. Journal of Adolescent Health, 35(5): 392-398

[ CR ] [ EČ ][ 1 ][ GS ]

Cooper, P.J., Taylor, M.J., Cooper, Z., Fairbum, C.G. (1987) The development and validation of the body shape questionnaire. International Journal of Eating Disorders, 6(4): 485-494

[ 1 ][ GS ]

Cunha, A.I., Relvas, A.P., Soares, I. (2009) Anorexia nervosa and family relationships: Perceived family functioning, coping strategies, beliefs, and attachment to parents and peers. Int J Clin Health Psychol, 9: 229-40

[ CR ][ GS ]

de Vasconcelos, F.D.A.G., Costa, L.D.C.F., Peres, K.G. (2010) Influence of Biological, Social and Psychological Factors on Abnormal Eating Attitudes among Female University Students in Brazil. Journal of Health, Population and Nutrition, 28(2)

[ CR ] [ EČ ][ GS ]

Eisenberg, D., Nicklett, E.J., Roeder, K., Kirz, N.E. (2011) Eating Disorder Symptoms Among College Students: Prevalence, Persistence, Correlates, and Treatment-Seeking. Journal of American College Health, 59(8): 700-707

[ CR ] [ EČ ][ 3 ][ GS ]

Frost, R.O., Marten, P., Lahart, C., Rosenblate, R. (1990) The dimensions of perfectionism. Cognitive Therapy and Research, 14(5): 449

[ EČ ][ GS ]

Garner, D., Garfmkel, P. (1979) The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273-279

[ GS ]

Ha, T., Marsh, H., Halse, C. (2003) Taking a closer look at adolescent girls with anorexia nervosa: How different are they to non-clinical adolescent girls in terms of self-concept and body image?. u: Jeffery P.L. [ur.] NZARE AARE: 2003: Educational research, risks and dilemmas: Joint conference of the 2003 New Zealand Association for Research in Education, Brisbane: Australian Association for Research in Education C, pp. 1-12

[ GS ]

Harper, L. (2009) The impact of macronutrient intake on body image among female college undergraduate students. Menomonie, WI: University of Wisconsin-Stout-The Graduate School, dissertation

[ CR ] [ EČ ][ GS ]

Holland, L.A., Bodell, L.P., Keel, P.K. (2013) Psychological Factors Predict Eating Disorder Onset and Maintenance at 10-year Follow-up. European Eating Disorders Review, 21(5): 405-410

[ CR ] [ EČ ][ GS ]

Jacobs, M.J., Roesch, S., Wonderlich, S.A., Crosby, R., Thornton, L., Wilfley, D.E., Berrettini, W.H., Brandt, H., Crawford, S., Fichter, M.M. (2008) Anorexia nervosa trios: behavioral profiles of individuals with anorexia nervosa and their parents. Psychological Medicine, 39(03): 451

[ CR ] [ EČ ][ 1 ][ GS ]

Karwautz, A., Rabe-Hesketh, S., Hu, X., Zhao, J., Sham, P., Collier, D.A., Treasure, J.L. (2001) Individual-specific risk factors for anorexia nervosa: a pilot study using a discordant sister-pair design. Psychological Medicine, 31(2): 317-329

[ CR ] [ EČ ][ GS ]

Keel, P.K., Baxter, M.G., Heatherton, T.F., Joiner, T.E. (2007) A 20-year longitudinal study of body weight, dieting, and eating disorder symptoms. Journal of Abnormal Psychology, 116(2): 422-432

[ CR ] [ EČ ][ GS ]

Koskina, N., Giovazolias, T. (2010) The Effect of Attachment Insecurity in the Development of Eating Disturbances across Gender: The Role of Body Dissatisfaction. Journal of Psychology, 144(5): 449-471

[ GS ]

Kovács-Kriybai, T., Syabó, P. (2009) Prevalence of eating disorders in Romanian, Hungarian and Saxon secondary school students in Transylvania. Psychiatr Hung, 24(2); 124-32

[ GS ]

Latyer, Y., Hochdorf, Z., Bachar, E., Canetti, L. (2002) Attachment style and family functioning as discriminating factors in eating disorders. Contemp Fam Ther, 24(4); 581-99

[ CR ][ GS ]

Lowery, S.E., Kurpius, S.E. R., Befort, C., Blanks, E.H., Sollenberger, S., Nicpon, M.F., Huser, L. (2005) Body Image, Self-Esteem, and Health-Related Behaviors Among Male and Female First Year College Students. Journal of College Student Development, 46(6): 612-623

[ CR ] [ EČ ][ GS ]

McLaren, L., Gauvin, L., White, D. (2001) The role of perfectionism and excessive commitment to exercise in explaining dietary restraint: Replication and extension. International Journal of Eating Disorders, 29(3): 307-313

[ GS ]

Mintg, L.B., Betg, N.E. (1988) Prevalence and correlates of eating disordered behaviors among undergraduate women. J Couns Psychol, 35(4); 463-71

[ PM ] [ EČ ][ GS ]

Prouty, A.M., Protinsky, H.O., Canady, D. (2002) College women: eating behaviors and help-seeking preferences. Adolescence, 37(146): 353-63

[ CR ] [ EČ ][ GS ]

Steele, A.L., o'Shea Anne,, Murdock, A., Wade, T.D. (2010) Perfectionism and its relation to overevaluation of weight and shape and depression in an eating disorder sample. International Journal of Eating Disorders, 44(5): 459-464

[ CR ][ 1 ][ GS ]

Suldo, S.M., Sandberg, D.A. (2000) Relationship Between Attachment Styles and Eating Disorder Symptomatology Among College Women. Journal of College Student Psychotherapy, 15(1): 59-73

[ CR ] [ EČ ][ GS ]

Tereno, S., Soares, I., Martins, C., Celani, M., Sampaio, D. (2007) Attachment styles, memories of parental rearing and therapeutic bond: a study with eating disordered patients, their parents and therapists. European Eating Disorders Review, 16(1): 49-58

[ CR ] [ EČ ][ 1 ][ GS ]

Troisi, A., Massaroni, P., Cuzzolaro, M. (2005) Early separation anxiety and adult attachment style in women with eating disorders. British Journal of Clinical Psychology, 44(1): 89-97

[ GS ]

van der Eycken, W. (2006) Dealing with Denial in Anorexia Nervosa. Eat Disord Rev, 17(6); 1-4

[ EČ ][ 1 ][ GS ]

Ward, A., Ramsay, R., Turnbull, S., Benedettini, M., Treasure, J. (2000) Attachment patterns in eating disorders: Past in the present. International Journal of Eating Disorder, vol. 29, 370-376

[ PM ] [ EČ ][ GS ]

Watson, H.J., Raykos, B.C., Street, H., Fursland, A., Nathan, P.R. (2011) Mediators between perfectionism and eating disorder psychopathology: shape and weight overvaluation and conditional goal-setting. International journal of eating disorders, 44(2): 142-9

[ CR ] [ EČ ][ 1 ][ GS ]

Zachrisson, H.D., Skårderud, F. (2010) Feelings of insecurity: Review of attachment and eating disorders. European Eating Disorders Review, 18(2): 97-106