ArticleJournal of eating disorders2026
Gender differences in relationships among parenting dimensions, disordered eating, and psychological factors in adolescents: a network analysis.
Article in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveDisordered eating (DE) is prevalent among adolescents and often linked to parenting dimensions. Proximal psychological factors such as self-esteem, depression, anxiety, and sleep quality are associated with DE. However, the interplay between parenting dimensions and these psychological factors remains unclear. This study used a network approach to examine how parenting dimensions are associated with proximal psychological factors in relation to DE in Chinese adolescents, and to explore potential gender differences.
methodsA total of 5148 adolescents aged 12-20 were included in the analysis. Network analysis was employed to construct basic networks of parenting dimensions and DE, and extended networks incorporating proximal psychological factors. Bridge strength indices were calculated to identify bridge nodes. Network comparison tests were used to explore gender differences in network structure and strength.
resultsIn the basic networks, maternal rejection showed the strongest association with DE symptom "self-induced vomiting". Gender differences were observed in the basic network, with boys' DE symptoms linked to both maternal and paternal parenting dimensions, while girls' DE symptoms were more associated with maternal parenting dimensions. When psychological factors were included, self-esteem and sleep quality emerged as key bridge variables connecting parenting dimensions and DE. Gender-specific patterns were observed: in boys, self-esteem was the primary bridge node, whereas in girls, sleep quality was the strongest bridge node. No significant global differences were found between gender networks, but several edge variations revealed distinct gender-specific associations. DISCUSSION: Parenting dimensions are closely linked to adolescents' disordered eating through psychological factors such as self-esteem and sleep quality. Gender-specific associations suggest that prevention efforts should focus on both parental influences and self-esteem for boys, and maternal influences and sleep quality for girls.
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