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An Exploration of Assessments, Predictors, and Models of Uncontrolled Eating in Youth
An Exploration of Assessments, Predictors, and Models of Uncontrolled Eating in Youth
An Exploration of Assessments, Predictors, and Models of Uncontrolled Eating in Youth

Detailed Information

자료유형  
 학위논문 서양
최종처리일시  
20250211151515
ISBN  
9798384100546
DDC  
157
저자명  
Manzano, Michael Anthony.
서명/저자  
An Exploration of Assessments, Predictors, and Models of Uncontrolled Eating in Youth
발행사항  
[Sl] : University of California, San Diego, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
169 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-03, Section: B.
주기사항  
Advisor: Boutelle, Kerri.
학위논문주기  
Thesis (Ph.D.)--University of California, San Diego, 2024.
초록/해제  
요약Rationale: Overeating is a significant driver of current pediatric obesity rates; however, overeating encompasses a range of behaviors. Moreover, many overeating assessments are conceptualized as assessing distinct constructs simply because they use differing terminology. The uncontrolled eating model proposes a framework by which a variety of related overeating behaviors can be subsumed under the spectrum of "uncontrolled eating," which ranges from normative overeating to loss of control (LOC) eating but has not been validated in youth.Methods: This 3-paper dissertation evaluated the concordance of several measures of the least severe form of uncontrolled eating (i.e., cue responsive eating) in school-age youth, explored the frequency and predictors of a range of uncontrolled eating behaviors in adolescents utilizing ecological momentary assessment, and evaluated a model of uncontrolled eating in pediatric samples. Results: Study 1 (published; N=111; mean age=10.6, 70% female) evaluated the psychometric properties of and concordance among five measures of cue responsive eating in school age youth with overweight/obesity (OW/OB) and found little concordance. Study 2 (N=157; mean age=14.9, 57.2% female) demonstrated cue responsive eating and LOC, particularly the former, are common in adolescents with OW/OB, and found that neither negative affect nor stress consistently predicted uncontrolled eating behaviors. Study 3 (N=458) provided preliminary validation of a model of uncontrolled eating in youth with OW/OB, with models in school age youth (N=310; mean age=10.0, 53.2% female; χ2 = 6476.2, df = 2481, p  .001, RMSEA = .072) and adolescents (N=148; mean age=14.9, 56.8% female; χ2 = 4827.7, df = 2770, p  .001, RMSEA = .068) demonstrating good model fit. Discussion: This research contributes to the literature by questioning the construct validity of several well-established measures said to capture aspects of cue responsive eating, in addition to questioning the extent to which negative affectivity precedes the range of uncontrolled eating behaviors, including LOC, in adolescents. This also contributes to the literature by providing the first preliminary validated model of uncontrolled eating in youth with OW/OB and underscores the interconnected nature of "distinct" overeating behaviors. This work highlights that adult models of eating behavior may not fit for youth and may inform clinical practice by providing a greater understanding of the range of uncontrolled eating behaviors in youth.
일반주제명  
Clinical psychology
일반주제명  
Psychology
일반주제명  
Medicine
일반주제명  
Pediatrics
일반주제명  
Nutrition
키워드  
Pediatric obesity
키워드  
Loss of control
키워드  
Eating behaviors
키워드  
Clinical practice
기타저자  
University of California, San Diego Clinical Psychology (Joint Doctoral with SDSU)
기본자료저록  
Dissertations Abstracts International. 86-03B.
전자적 위치 및 접속  
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MARC

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■035    ▼a(MiAaPQ)AAI31300487
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a157
■1001  ▼aManzano,  Michael  Anthony.
■24513▼aAn  Exploration  of  Assessments,  Predictors,  and  Models  of  Uncontrolled  Eating  in  Youth
■260    ▼a[Sl]▼bUniversity  of  California,  San  Diego▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a169  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-03,  Section:  B.
■500    ▼aAdvisor:  Boutelle,  Kerri.
■5021  ▼aThesis  (Ph.D.)--University  of  California,  San  Diego,  2024.
■520    ▼aRationale:  Overeating  is  a  significant  driver  of  current  pediatric  obesity  rates;  however,  overeating  encompasses  a  range  of  behaviors.  Moreover,  many  overeating  assessments  are  conceptualized  as  assessing  distinct  constructs  simply  because  they  use  differing  terminology.  The  uncontrolled  eating  model  proposes  a  framework  by which  a  variety  of  related  overeating  behaviors  can  be  subsumed  under  the  spectrum  of  "uncontrolled  eating,"  which  ranges  from  normative  overeating  to  loss  of  control  (LOC)  eating  but  has  not  been  validated  in  youth.Methods:  This  3-paper  dissertation  evaluated  the  concordance  of  several  measures  of  the  least  severe  form  of  uncontrolled  eating  (i.e.,  cue  responsive  eating)  in  school-age  youth,  explored  the  frequency  and  predictors  of  a  range  of  uncontrolled  eating  behaviors  in  adolescents  utilizing  ecological  momentary  assessment,  and  evaluated  a  model  of  uncontrolled  eating  in  pediatric  samples. Results:  Study  1  (published;  N=111;  mean  age=10.6,  70%  female)  evaluated  the  psychometric  properties  of  and  concordance  among  five  measures  of  cue  responsive  eating  in  school  age  youth  with  overweight/obesity  (OW/OB)  and  found  little  concordance.  Study  2  (N=157;  mean  age=14.9,  57.2%  female)  demonstrated  cue  responsive  eating  and  LOC,  particularly  the  former,  are  common  in  adolescents  with  OW/OB,  and  found  that  neither  negative  affect  nor  stress  consistently  predicted  uncontrolled  eating  behaviors.  Study  3  (N=458)  provided  preliminary  validation  of  a  model  of  uncontrolled  eating  in  youth  with  OW/OB,  with  models  in  school  age  youth  (N=310;  mean  age=10.0,  53.2%  female;  χ2  =  6476.2,  df = 2481,  p   .001,  RMSEA = .072)  and  adolescents  (N=148;  mean  age=14.9,  56.8%  female;  χ2  =  4827.7,  df = 2770,  p   .001,  RMSEA = .068)  demonstrating  good  model  fit. Discussion:  This  research  contributes  to  the  literature  by  questioning  the  construct  validity  of  several  well-established  measures  said  to  capture  aspects  of  cue  responsive  eating,  in  addition  to  questioning  the  extent  to  which  negative  affectivity  precedes  the  range  of  uncontrolled  eating  behaviors,  including  LOC,  in  adolescents. This  also  contributes  to  the  literature  by  providing  the  first  preliminary  validated  model  of  uncontrolled  eating  in  youth  with  OW/OB  and  underscores  the  interconnected  nature  of  "distinct"  overeating  behaviors.  This  work  highlights  that  adult  models  of  eating  behavior  may  not  fit  for  youth  and  may  inform  clinical  practice  by  providing  a  greater  understanding  of  the  range  of  uncontrolled  eating  behaviors  in  youth. 
■590    ▼aSchool  code:  0033.
■650  4▼aClinical  psychology
■650  4▼aPsychology
■650  4▼aMedicine
■650  4▼aPediatrics
■650  4▼aNutrition
■653    ▼aPediatric  obesity
■653    ▼aLoss  of  control
■653    ▼aEating  behaviors  
■653    ▼aClinical  practice
■690    ▼a0622
■690    ▼a0621
■690    ▼a0564
■690    ▼a0767
■690    ▼a0570
■71020▼aUniversity  of  California,  San  Diego▼bClinical  Psychology  (Joint  Doctoral  with  SDSU).
■7730  ▼tDissertations  Abstracts  International▼g86-03B.
■790    ▼a0033
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17162023▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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