Negative parenting styles and disordered eating: an item-level bridge network and simulation-based intervention analysis

消极教养方式与饮食失调:基于项目层面的桥梁网络和模拟干预分析

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Abstract

BACKGROUND: Negative parenting styles are known correlates of disordered eating (DE), yet existing studies have largely focused on construct-level associations, leaving the specific item-level pathways between parenting styles and DE unclear. Identifying these fine-grained mechanisms may offer more targeted insights for prevention and intervention. METHODS: A large sample of Chinese college students (N = 2,008) completed the short-form Egna Minnen av Barndoms Uppfostran for Chinese (s-EMBU-C; paternal rejection, maternal rejection, paternal overprotection, and maternal overprotection subscales) and the Eating Attitudes Test-19 (EAT-19). Applying Gaussian Graphical Models, item-level bridge network analyses were conducted to estimate conditional associations (edges) among individual parenting and DE items (nodes), and Bridge Expected Influence was used to identify nodes that link the two communities. A simulation-based intervention analysis was then conducted to examine how constraining individual bridge nodes-and their sequential removal-reduced cross-community connectivity, quantified using the CrossCut (Cross-Community Coupling) metric. RESULTS: For rejection, bridge nodes included unexplained parental anger, being treated as a scapegoat, and shaming treatment (plus maternal public criticism), along with food avoidance despite hunger and preoccupation with body fat. For overprotection, bridges involved excessive parental worry, exaggerated safety anxiety, and intrusive interference (plus maternal control over appearance), together with desire for an empty stomach and perceived thinness by others. Simulation analyses showed that clamping individual bridge nodes reduced the CrossCut by approximately 13-30%, whereas cumulative clamping produced substantial overall reductions (up to 76-83%), yet displayed clear marginal effects. CONCLUSIONS: These findings highlight that hostile, shaming parental treatments and anxious, intrusive over-involvement, intertwined with restrictive and body-image focused symptoms, constitute the core pathways linking negative parenting styles and DE. Targeting high-impact bridge nodes, rather than the full set, was sufficient to substantially weaken the connection between the parenting and DE communities. These insights provide a useful reference for developing more efficient support strategies for college students.

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