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An Exploration of Assessments, Predictors, and Models of Uncontrolled Eating in Youth.
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An Exploration of Assessments, Predictors, and Models of Uncontrolled Eating in Youth.
자료유형  
 학위논문
Control Number  
0017162023
International Standard Book Number  
9798384100546
Dewey Decimal Classification Number  
157
Main Entry-Personal Name  
Manzano, Michael Anthony.
Publication, Distribution, etc. (Imprint  
[S.l.] : University of California, San Diego., 2024
Publication, Distribution, etc. (Imprint  
Ann Arbor : ProQuest Dissertations & Theses, 2024
Physical Description  
169 p.
General Note  
Source: Dissertations Abstracts International, Volume: 86-03, Section: B.
General Note  
Advisor: Boutelle, Kerri.
Dissertation Note  
Thesis (Ph.D.)--University of California, San Diego, 2024.
Summary, Etc.  
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.
Subject Added Entry-Topical Term  
Clinical psychology.
Subject Added Entry-Topical Term  
Psychology.
Subject Added Entry-Topical Term  
Medicine.
Subject Added Entry-Topical Term  
Pediatrics.
Subject Added Entry-Topical Term  
Nutrition.
Index Term-Uncontrolled  
Pediatric obesity
Index Term-Uncontrolled  
Loss of control
Index Term-Uncontrolled  
Eating behaviors
Index Term-Uncontrolled  
Clinical practice
Added Entry-Corporate Name  
University of California, San Diego Clinical Psychology (Joint Doctoral with SDSU)
Host Item Entry  
Dissertations Abstracts International. 86-03B.
Electronic Location and Access  
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Control Number  
joongbu:657004
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