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Child Health Nurs Res > Volume 19(3):2013 > Article
Child Health Nursing Research 2013;19(3):228-237.
DOI: https://doi.org/10.4094/chnr.2013.19.3.228
Testing the Biobehavioral Family Model in Understanding the Eating Problems of Adolescent Girls.
Ji Young Park, Su Yon Baek, Hee Soon Kim, Jung Ha Lim, Tae Hyung Kim
1College of Nursing, Yonsei University, Seoul, Korea. whitesy99@naver.com
2Nursing Policy Research Institute, Yonsei University, Seoul, Korea.
3Department of Home Economics Education, College of Education, Korea University, Seoul, Korea.
4ANOVA INC., Daejeon, Korea.
PURPOSE: This study was done to test a hypothesized model, the Biobehavioral Family Model (BBFM), on the relationship of family emotional climate, security of parent-child relationship, depression symptoms and eating problems in adolescent girls, to further understanding of eating problems in this population. METHODS: With a convenience sample of 647 girls, aged 15 to 18, a self-report survey was conducted which included the Korean form of the Eating Attitude Test (EAT-26) to assess eating problems. RESULTS: The estimated results of the structural equation modeling indicated a good fit of data to the hypothesized model proposing that family emotional climate and security of parent-child relationship were associated with the risk of eating problems by way of depression symptoms. That is, negative family emotional climate and insecure parent-child relationship increased the risk of eating problems indirectly by way of depression symptoms. CONCLUSION: The findings are consistent with the BBFM, which suggests a psychobiologic influence of specific family processes on children's stress-sensitive physical disease activity by way of depression symptoms. Therefore, the applicability of the BBFM for understanding adolescent girls' eating problems is supported. The psychobiologic pathways from depression to eating pathology should be addressed in future studies.
Key words: Adolescent; Depression; Eating disorders; Parent-child relations
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