María Belén Banasco Falivelli María Luz Scappatura Julieta Sanday Germán Bidacovich Guillermina Rutsztein

Resumen

Tradicionalmente, el estudio sobre los factores de riesgo de los trastornos de la conducta alimentaria y de la ingesta (TCAI) estuvo dirigido a las mujeres. Sin embargo, en las últimas décadas se observa un creciente interés en el estudio de estos factores en población de varones. En el presente estudio tuvimos como objetivo identificar los principales predictores de riesgo de TCAI en varones adolescentes de Argentina. La muestra incluyó a 212 varones (M=15.36; DE=1.22) de Argentina. Los participantes completaron cuestionarios autoadministrables: Cuestionario Sociodemográfico, “Eating Disorder Examination-Questionnaire”, Subescalas de riesgo del “Eating Disorder Inventory-3”, “Sociocultural Attitudes Toward Appearance Questionnaire–4”, “Male Body Attitudes Scale” y “Positive and Negative Affect Scale”. Realizamos un análisis de regresión lineal múltiple para identificar los principales predictores de riesgo de TCAI. El modelo final explica el 66% de la varianza de riesgo de TCAI. Las variables actitud hacia la grasa del propio cuerpo y actitud hacia la muscularidad, presión de los pares y presión de los medios, predijeron el riesgo de TCAI. A raíz de estos resultados, es relevante la inclusión de los predictores hallados como componentes centrales en las intervenciones orientadas a la reducción de factores de riesgo de TCAI en varones.

##plugins.generic.articleMetricsGraph.articlePageHeading##

##plugins.themes.bootstrap3.article.details##

Keywords

Trastornos de la conducta alimentaria, Predictores de riesgo, Varones

References
Asociación Médica Mundial (AMM). (2013). Declaración de Helsinki de la AMM-Principios éticos para las investiga-ciones con seres humanos. 64ª Asamblea General, Fortaleza, Brasil, octubre de 2013.
https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed. Text Revision). American Psychiatric Association Publishing.
Banasco Falivelli, M. B., & Rutsztein, G. (2019). Programa de Prevención en Imagen Corporal y Ali mentación Mixto (PIA2-M) [Manuscrito no publicado]. Instituto de Investigaciones, Facultad de Psicología, Universidad de Buenos Aires.
Bay, L. B., Rausch Herscovici, C., Kovalskys, I., Berner, E., Orellana, L., & Bergesio, A. (2005). Alteraciones alimentarias en niños y adolescentes argentinos que concurren al consultorio del pediatra. Archivos Argentinos de Pediatría, 103(4), 305-316.
Bidacovich, G., & Rutsztein, G. (2019). Programa de Prevención en Imagen Corporal para Varones (PIA-V) [Manus-crito no publicado]. Instituto de Investi-gaciones, Facultad de Psicología, Universidad de Buenos Aires.
Calzo, J. P., Horton, N. J., Sonneville, K. R., Swanson, S. A., Crosby, R. D., Micali, N., Eddy, K. T., & Field, A. E. (2016). Male eating disorder symptom patterns and health correlates from 13 to 26 years of age. Journal of the American Academy of Child & Adolescent Psychiatry, 55(8), 693-700. https://doi.org/10.1016/j.jaac.2016.05.011
Compte, E. J., Nagata, J. M., Sepúlveda, A. R., Schweiger, S., Sbdar, L. S., Silva, B. C., Bressan, M., Rivas, A., Menga, S., Cortes, C., Bidacovich, G., López, P. L., Muiños, R., Rutsztein, G., Torrente, F., & Murray, S. B. (2019). Confirmatory factor analysis and measurement invariance of the eating disorders examination-questionnaire across four male samples in Argentina. International Journal of Eating Disorders, 52, 740-745. https://doi.org/10.1002/eat.23075
Compte, E. J., & Sepulveda, A. R. (2014). Dismorfia muscular: Perspectiva histórica y actualización en su diagnóstico, evaluación y tratamiento. Behavioral Psychology, 22(2), 307–326.
Compte, E. J., Sepúlveda, A. R., de Pellegrin, Y., & Blanco, M. (2015a). Confirmatory factor analysis of the Drive for Muscularity Scale-S (DMS-S) and Male Body Attitudes Scale-S (MBAS-S) among male university students in Buenos Aires. Body Image, 14, 13-19.
https://doi.org/10.1016/j.bodyim.2015.02.005
Compte, E. J., Sepulveda, A. R., & Torrente, F. (2015b). A two-stage epidemiological study of eating disorders and muscle dysmorphia in male university students in Buenos Aires. International Journal of Eating Disorders, 48(8), 1092-1101.
https://doi.org/10.1002/eat.22448
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. https://doi.org/10.1002/1098-108X
Dakanalis, A., Pla-Sanjuanelo, J., Caslini, M., Volpato, C., Riva, G., Clerici, M., & Carrà, G. (2016). Predicting onset and maintenance of men 's eating disorders. International Journal of Clinical and Health Psychology, 16(3), 247-255. https://doi.org/10.1016/j.ijchp.2016.05.002
Daníelsdóttir, S., Burgard, D., & Oliver-Pyatt, W. (s. f.). Position Statements. Guidelines for childhood obesity preven-tion programs. Academy for Eating Disorders.
https://www.aedweb.org/get-involved/advocacy/position-statements/guidelines-for-childhood-obesity-prevention-programs
Dryer, R., Farr, M., Hiramatsu, I., & Quinton, S. (2016). The role of sociocultural influences on symptoms of muscle dysmorphia and eating disorders in men, and the mediating effects of perfectionism. Behavioral Medicine, 42(3), 174-182.
https://doi.org/10.1080/08964289.2015.1122570
Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self‐report questionnaire? International Journal of Eating Disorders, 16(4), 363-370.
Galmiche, M., Godefroy, C., Achamrah, N., Grigioni, S., Colange, G., Folope, V., Petit, A., Rapp, C., Coeffier, M., Dechelotte, P., & Tavolacci, M. P. (2022). Mental health and health behaviours among patients with eating disorders: A case– control study in France. Journal of Eating Disorders, 10(1), 1-10.
https://doi.org/10.1186/s40337-022-00691-x
Ganson, K. T., Murray, S. B., & Nagata, J. M. (2019). Last word: A call to develop specific medical treatment guidelines for adolescent males with eating disorders. Eating Disorders, 29(4), 344- 350. https://doi.org/10.1080/10640266.2019.1652474
Garner, D. M. (2004). Eating Disorder Inventory-3 (EDI-3). Professional Manual. Psychological Assessment Resources.
Góngora, V., Grinhauz, A. S., & Suárez Hernández, N. V. (2010). Evaluación de trastornos de la conducta alimentaria en estudiantes de nivel medio en base a inventarios y entrevistas. II Congreso Internacional de Investigación y Práctica Profesional en Psicología XVII Jornadas de Investigación Sexto Encuentro de Investigadores en Psicología del MERCOSUR, Facultad de Psicología, Universidad de Buenos Aires, Argentina.
González Alvarado, Y., & Saucedo Molina, T. J. (2022, 14-16 de septiembre). Riesgo de trastornos de la conducta alimentaria y de factores asociados en universitarios mexicanos [presentación oral]. Memorias del Congreso Argentino de Salud Mental, Buenos Aires, Argentina.
Gorrell, S., & Murray, S. B. (2019). Eating disorders in males. Child and Adolescent Psychiatric Clinics of North America, 28(4), 641-651.
https://doi.org/10.1016/j.chc.2019.05.012
Griffiths, S., Rossell, S. L., Mitchison, D., Murray, S. B., & Mond, J. M. (2018). Pathways into treatment for eating disorders: a quantitative examination of treatment barriers and treatment attitudes. Eating Disorders, 26(6), 556-574. https://doi.org/10.1080/10640266.2018.1518086
Hernández Sampieri, R., Fernández Collado, C., & Baptista Lucio, P. (2014). Definiciones de los enfoques cuantitativo y cualitativo, sus similitudes y diferen-cias. Metodología de la investigación, sexta edición, 2–20. McGraw Hill Education.
Hoffmann, S., & Warschburger, P. (2017). Weight, shape, and muscularity con-cerns in male and female adolescents: Predictors of change and influences on eating concern. International Journal of Eating Disorders, 50(2), 139-147.
https://doi.org/10.1002/eat.22635
Lavender, J. M., Anderson, D. A., & Gratz, K. L. (2012). Examining the Association Between Thought Suppression and Eating Disorder Symptoms in Men. Cognitive Therapy and Research, 36(6), 788–795.
https://doi.org/10.1007/s10608-011-9403-x
Lavender, J. M., Brown, T. A., & Murray, S. B. (2017). Men, muscles, and eating disorders: An overview of traditional and muscularity-oriented disordered eating. Current Psychiatry Reports, 19(6), 1-7. https://doi.org/10.1007/s11920-017-0787-5
Limbers, C. A., Cohen, L. A., & Gray, B. A. (2018). Eating disorders in adolescent and young adult males: Prevalence, diagnosis, and treatment strategies. Adolescent Health, Medicine and Therapeutics, 9, 111-116.
https://doi.org/10.2147/AHMT.S147480
Llorente, E., Gleaves, D. H., Warren, C. S., Pérez‐de‐Eulate, L., & Rakhkovskaya, L. (2015). Translation and validation of Spanish version of the sociocultural attitudes towards appearance questionnaire‐4(SATAQ‐4). International Journal of Eating Disorders, 48(2), 170-175. https://doi.org/10.1002/eat.22263
Macedo Uchôa, F. N., Macedo Uchôa, N., da Costa Daniele, T. M., Pinheiro Lustosa, R., Domingos Garrido, N., Figueiredo Deana, N., Marques Aranha, A. C., & Alves, N. (2019). Influence of the mass media and body dissatisfaction on the risk in adolescents of developing eating disorders. International Journal of Environmental Research and Public Health, 16(9), 1508.
https://doi.org/10.3390/ijerph16091508
McCabe, M. P., Mavoa, H., Ricciardelli, L. A., Waqa, G., Fotu, K., & Goundar, R. (2011). Sociocultural influences on body image among adolescent boys from Fiji, Tonga, and Australia. Journal of Applied Social Psychology, 41(11), 2708-2722. https://doi.org/10.1111/j.1559-1816.2011.00846.x
McCabe, M. P., & Ricciardelli, L. A. (2005). A prospective study of pressures from parents, peers, and the media on extreme weight change behaviors among adolescent boys and girls. Behaviour Research and Therapy, 43(5), 653-668. https://doi.org/10.1016/j.brat.2004.05.004
Murray, S. B., Griffiths, S., & Lavender, J. M. (2019). Introduction to a special issue on eating disorders and related symptomatology in male populations. International Journal of Eating Disorders, 52(12), 1339-1342.
https://doi.org/10.1002/eat.23184
Murray, S. B., Griffiths, S., & Mond, J. M. (2016). Evolving eating disorder psychopathology: Conceptualising muscularity-oriented disordered eating. The British Journal of Psychiatry, 208(5), 414-415. https://doi.org/10.1192/bjp.bp.115.168427
Murray, S. B., Griffiths, S., & Nagata, J. M. (2018). Community-based eating disorder research in males: A call to action. Journal of Adolescent Health, 62(6), 649-650.
https://doi.org/10.1016/j.jadohealth.2018.03.008
Murray, S. B., Nagata, J. M., Griffiths, S., Calzo, J. P., Brown, T. A., Mitchison, D., Blashill, A. J., & Mond, J. M. (2017). The enigma of male eating disorders: A critical review and synthesis. Clinical Psychology Review, 57, 1-11. https://doi.org/10.1016/j.cpr.2017.08.001
Nagata, J. M., Ganson, K. T., & Murray, S. B. (2020). Eating disorders in adolescent boys and young men: An update. Current Opinion in Pediatrics, 32(4), 476.
https://doi.org/10.1097/MOP.0000000000000911
R Core Team (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/.
Raevuori, A., Keski-Rahkonen, A., & Hoek, H. W. (2014). A review of eating disorders in males. Current Opinion in Psychiatry, 27(6), 426-430.
https://doi.org/10.1097/YCO.0000000000000113
Ricciardelli, L. A., & McCabe, M. P. (2004). A biopsychosocial model of disordered eating and the pursuit of muscularity in adolescent boys. Psychological Bulletin, 130(2), 179.
https://doi.org/10.1037/0033-2909.130.2.179
Ricciardelli, L. A., & McCabe, M. (2015). Eating disorders in boys and men. The Wiley Handbook of Eating Disorders, 492-506. https://doi.org/10.1002/9781118574089.ch37
Ricciardelli, L. A., McCabe, M. P., & Banfield, S. (2000). Body image and body change methods in adolescent boys: Role of parents, friends and the media. Journal of Psychosomatic Research, 49(3), 189-197. https://doi.org/10.1016/s0022-3999(00)00159-8
Ricciardelli, L. A., McCabe, M. P., Mussap, A. J., & Holt, K. E. (2009). Body image in preadolescent boys. In L. Smolak & J. K. Thompson (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment (pp. 77–96). American Psychological Association. https://doi.org/10.1037/11860-004
Rutsztein, G., Leonardelli, E., Scappatura, M. L., Murawski, B., Elizathe, L., & Maglio, A. L. (2013). Propiedades psicométricas del Inventario de Trastornos Alimentarios-3 (EDI-3) en mujeres adolescentes de Argentina. Revista Mexicana de Trastornos Alimentarios, 4(1), 1-14.
Rutsztein, G., Murawski, B., Elizathe, L., & Scappatura, M. L. (2010). Trastornos alimentarios: Detección en adolescentes mujeres y varones de Buenos Aires. Un estudio de doble fase. Revista Mexicana de Trastornos Alimentarios, 1(1), 48-61.
Sandín, B. (2003). Escalas PANAS de afecto positivo y negativo para niños y adolescentes (PANASN). Revista de Psicopatología y Psicología Clínica, 8(2), 173-182.
https://doi.org/10.5944/rppc.vol.8.num.2.2003.3953
Schaefer, L. M., Burke, N. L., Thompson, J. K., Dedrick, R. F., Heinberg, L. J., Calogero, R. M., Bardone-Cone, A. M., Higgins, M. K., Frederick, D. A., Kelly, M., Anderson, D. A., Schaumberg, K., Nerini, A., Stefanile, C., Dittmar, H., Clark, E., Adams, Z., Macwana, S., Klump, K. L., . . . Swami, V. (2015). Development and validation of the sociocultural attitudes towards appearance questionnaire-4 (SATAQ-4). Psychological Assessment, 27(1), 54.
https://doi.org/10.1037/a0037917
Shu, C. Y., Limburg, K., Harris, C., McCormack, J., Hoiles, K. J., Hamilton, M. J., & Watson, H. J. (2015). Clinical presentation of eating disorders in young males at a tertiary setting. Journal of Eating Disorders, 3(1), 1-7.
https://doi.org/10.1186/s40337-015-0075-x
Silén, Y., & Keski-Rahkonen, A. (2022). Worldwide prevalence of DSM-5 eating disorders among young people. Current Opinion in Psychiatry, 35(6), 362-371.
https://doi.org/10.1097/YCO.0000000000000818
Smolak, L. (2009). Risk factors in the development of body image, eating problems, and obesity. In L. Smolak & J. K. Thompson (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment (pp. 135–155). American Psychological Association. https://doi.org/10.1037/11860-007
Stunkard, A. J., Sørensen, T., & Schulsinger, F. (1983). Use of the Danish adoption register for the study of obesity and thinness. Research publications - Association for Research in Nervous and Mental Disease, 60, 115–120.
Turel, T., Jameson, M., Gitimu, P., Rowlands, Z., Mincher, J., & Pohle-Krauza, R. (2018). Disordered eating: Influence of body image, sociocultural attitudes, appearance anxiety and depression-a focus on college males and a gender comparison. Cogent Psychology, 5(1), 1483062. https://doi.org/10.1080/23311908.2018.1483062
Tylka, T. L. (2021). Models of body image for boys and men. Eating Disorders in Boys and Men, 7- 20.
https://doi.org/10.1007/978-3-030-67127-3_2
Tylka, T. L., Bergeron, D., & Schwartz, J. P. (2005). Development and psychometric evaluation of the Male Body Attitudes Scale (MBAS). Body Image, 2(2), 161-175. https://doi.org/10.1016/j.bodyim.2005.03.001
van Hoeken, D., & Hoek, H. W. (2020). Review of the burden of eating disorders: Mortality, disability, costs, quality of life, and family burden. Current Opinion in Psychiatry, 33(6), 521.
https://doi.org/10.1097/YCO.0000000000000641
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070.
https://doi.org/10.1037/0022-3514.54.6.1063
Weber, A. M., Cislaghi, B., Meausoone, V., Abdalla, S., Mejía-Guevara, I., Loftus, P., Hallgreen, E., Seff. I, Stark, L., Victora, C. G., Buffarini, R., Barros, A. J. D., Domingue, B.W., Bushan, D., Gupta, R., Nagata, J. M., Shakya, H. B., Richter, L. M., Norris, S. A., …& Darmstadt, G. L. (2019). Gender norms and health: Insights from global survey data. The Lancet, 393(10189), 2455-2468.
https://doi.org/10.1016/S0140-6736(19)30765-2
Westmoreland, P., Krantz, M. J., & Mehler, P. S. (2016). Medical complications of anorexia nervosa and bulimia. The American Journal of Medicine, 129(1), 30-37. https://doi.org/10.1016/j.amjmed.2015.06.031
Whitelaw, M., & Nagata, J. M. (2021). Nutritional considerations for boys and men with eating disorders. Eating Disorders in Boys and Men, 137-147. https://doi.org/10.1007/978-3-030-67127-3_11
Wilksch, S., & Wade, T. D. (2015). Media literacy in the prevention of eating disorders. The Wiley handbook of eating disorders, 610-624.
Cómo citar
Trastornos de la conducta alimentaria y de la ingesta: Predictores de riesgo en varones adolescentes de Argentina. (2023). Revista Puertorriqueña De Psicologia, 34(2), 180-193. https://doi.org/10.55611/reps.3402.04
Sección
Artículo de investigación

Cómo citar

Trastornos de la conducta alimentaria y de la ingesta: Predictores de riesgo en varones adolescentes de Argentina. (2023). Revista Puertorriqueña De Psicologia, 34(2), 180-193. https://doi.org/10.55611/reps.3402.04