El comportamiento de los padres como factor de riesgo de los trastornos alimentarios: Desarrollo de un Instrumento de Medida

Autores/as

DOI:

https://doi.org/10.18050/psiquemag.v14i2.3561

Palabras clave:

Trastornos alimentarios, Factor de riesgo, Evaluación psicométrica, Imagen corporal, Adolescentes

Resumen

Los trastornos de la conducta alimentaria (TCA) son enfermedades complejas en las que influyen factores psicológicos, biológicos y socioculturales, y la influencia de los padres desempeña un papel clave en su aparición y mantenimiento. Sin embargo, no existen instrumentos específicos que evalúen cómo las conductas parentales pueden actuar como factores de riesgo para el desarrollo de los TCA. El objetivo de este estudio fue diseñar y validar un instrumento para medir estas conductas desde la perspectiva de los adolescentes. Se realizó un estudio instrumental con una muestra de 300 estudiantes de secundaria a los que se administró la versión inicial del instrumento. La validez de contenido se evaluó mediante la V de Aiken, que permitió seleccionar 14 ítems con adecuada coherencia, representatividad y claridad. Se realizaron análisis factoriales exploratorios (AFE) y análisis gráficos exploratorios (EGA) para determinar la estructura del instrumento. Los resultados indicaron un modelo unidimensional con cargas factoriales superiores a 0,50 para cada ítem. Se alcanzó una fiabilidad adecuada (α = .90; ω = .90) y una estabilidad del 100% en el remuestreo de redes. Estos resultados confirman que el instrumento es válido y fiable para evaluar la influencia de los padres en los TCA. Su aplicación puede contribuir a la detección precoz de factores de riesgo y facilitar el desarrollo de estrategias de prevención e intervención en contextos clínicos y educativos.

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Referencias

Aiken, L. R. (1980). Content Validity and Reliability of Single Items or Questionnaires. Educational and Psychological Measurement, 40(4), 955–959. https://doi.org/10.1177/001316448004000419

Allen, K. L., Byrne, S. M., Forbes, D., & Oddy, W. H. (2009). Risk Factors for Full- and Partial-Syndrome Early Adolescent Eating Disorders: A Population-Based Pregnancy Cohort Study. Journal of the American Academy of Child & Adolescent Psychiatry, 48(8), 800–809. https://doi.org/10.1097/CHI.0b013e3181a8136d

Almanasreh, E., Moles, R., & Chen, T. F. (2019). Evaluation of methods used for estimating content validity. Research in Social and Administrative Pharmacy, 15(2), 214–221. https://doi.org/10.1016/j.sapharm.2018.03.066

Ato, M., López, J. J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29(3), 1038–1059. https://doi.org/10.6018/analesps.29.3.178511

Arauco-Lozada, T., Yupanqui-Lorenzo, D. E., & Ottiniano-Malaga, T. (2024). Development and Validation of the Binge Eating Disorder Scale (BEDS). Nutrición Clínica y Dietética Hospitalaria, 44(2). https://doi.org/10.12873/442arauco

Arija Val, V., Santi Cano, M. J., Novalbos Ruiz, J. P., Canals, J., & Rodríguez Martín, A. (2022). Characterization, epidemiology and trends of eating disorders. Nutrición Hospitalaria. https://doi.org/10.20960/nh.04173

Arjona, Á., Monserrat, M., & Checa, J. C. (2024). Use of Social Media, Satisfaction with Body Image, and the Risk of Manifesting Eating Disorders. Social Sciences, 13(2), 105. https://doi.org/10.3390/socsci13020105

Beck, C. T., & Gable, R. K. (2001). Ensuring Content Validity: An Illustration of the Process. Journal of Nursing Measurement, 9(2), 201–215. https://doi.org/10.1891/1061-3749.9.2.201

Brown, T. A., Forney, K. J., Klein, K. M., Grillot, C., & Keel, P. K. (2020). A 30-year longitudinal study of body weight, dieting, and eating pathology across women and men from late adolescence to later midlife. Journal of Abnormal Psychology, 129(4), 376–386. https://doi.org/10.1037/abn0000519

Carvalho, P. H. B. de, & Ferreira, M. E. C. (2020). Disordered eating and body change behaviours: support for the Tripartite Influence Model among Brazilian male university students. Ciência & Saúde Coletiva, 25(11), 4485–4495. https://doi.org/10.1590/1413-812320202511.35572018

Cella, S., Iannaccone, M., & Cotrufo, P. (2020). Does body shame mediate the relationship between parental bonding, self-esteem, maladaptive perfectionism, body mass index and eating disorders? A structural equation model. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 25(3), 667–678. https://doi.org/10.1007/s40519-019-00670-3

Christensen, A. P. (2020). Towards a Network Psychometrics Approach to Assessment: Simulations for Redundancy, Dimensionality, and Loadings. https://doi.org/10.31234/osf.io/84kgd

Christensen, A. P., & Golino, H. F. (2021). Estimating the Stability of Psychological Dimensions via Bootstrap Exploratory Graph Analysis: A Monte Carlo Simulation and Tutorial. Psych, 3(3), 479–500. https://doi.org/10.3390/psych3030032

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. Lawrence Erlbaum Associates. http://utstat.toronto.edu/~brunner/oldclass/378f16/readings/CohenPower.pdf

Costello, A. B., & Osborne, J. W. (2005). Best Practices in Exploratory Factor Analysis: Four Recommendations for Getting the Most From Your Analysis. Practical Assessment, Research, and Evaluation, 10(1). https://doi.org/10.7275/jyj1-4868

D’Anna, G., Lazzeretti, M., Castellini, G., Ricca, V., Cassioli, E., Rossi, E., Silvestri, C., & Voller, F. (2022). Risk of eating disorders in a representative sample of Italian adolescents: prevalence and association with self-reported interpersonal factors. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 27(2), 701–708. https://doi.org/10.1007/s40519-021-01214-4

Dahill, L. M., Touyz, S., Morrison, N. M. V., & Hay, P. (2021). Parental appearance teasing in adolescence and associations with eating problems: a systematic review. BMC Public Health, 21(1), 450. https://doi.org/10.1186/s12889-021-10416-5

Davis, C., Shuster, B., Blackmore, E., & Fox, J. (2004). Looking good—family focus on appearance and the risk for eating disorders. International Journal of Eating Disorders, 35(2), 136–144. https://doi.org/10.1002/eat.10250

Drury, C. R., Hail, L., Rienecke, R. D., Accurso, E. C., Coelho, J. S., Lock, J., Le Grange, D., & Loeb, K. L. (2023). Psychometric properties of the Parent Eating Disorder Examination Questionnaire. International Journal of Eating Disorders, 56(9), 1730–1742. https://doi.org/10.1002/eat.23999

Eisenberg, M. E., Berge, J. M., Fulkerson, J. A., & Neumark-Sztainer, D. (2012). Associations between hurtful weight-related comments by family and significant other and the development of disordered eating behaviors in young adults. Journal of Behavioral Medicine, 35(5), 500–508. https://doi.org/10.1007/s10865-011-9378-9

Epskamp, S., Borsboom, D., & Fried, E. I. (2018). Estimating psychological networks and their accuracy: A tutorial paper. Behavior Research Methods, 50(1), 195–212. https://doi.org/10.3758/s13428-017-0862-1

Fernández-Gómez, E., Martín-Salvador, A., Luque-Vara, T., Sánchez-Ojeda, M. A., Navarro-Prado, S., & Enrique-Mirón, C. (2020). Content Validation through Expert Judgement of an Instrument on the Nutritional Knowledge, Beliefs, and Habits of Pregnant Women. Nutrients, 12(4), 1136. https://doi.org/10.3390/nu12041136

Finney, S. J., & DiStefano, C. (2013). Nonnormal and categorical data in structural equation modeling. In G. R. Hancock & R. O. Mueller (Eds.), Structural equation modeling: A second course (2nd ed., pp. 439–492). IAP Information Age Publishing.

Flora, D. B., & Curran, P. J. (2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9(4), 466–491. https://doi.org/10.1037/1082-989X.9.4.466

Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9(2), 273–279. https://doi.org/10.1017/S0033291700030762

Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2(2), 15–34. https://doi.org/10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6

Golino, H. F., & Epskamp, S. (2017). Exploratory graph analysis: A new approach for estimating the number of dimensions in psychological research. PLOS ONE, 12(6), e0174035. https://doi.org/10.1371/journal.pone.0174035

Golino, H. F., Shi, D., Garrido, L. E., Christensen, A. P., Nieto, M. D., Sadana, R., Thiyagarajan, J. A., & Martinez-Molina, A. (2018). Investigating the performance of Exploratory Graph Analysis and traditional techniques to identify the number of latent factors: A simulation and tutorial. https://doi.org/10.31234/osf.io/gzcre

Gruber, M., König, D., Holzhäuser, J., Castillo, D. M., Blüml, V., Jahn, R., Leser, C., Werneck-Rohrer, S., & Werneck, H. (2020). Parental feeding practices and the relationship with parents in female adolescents and young adults with eating disorders: A case control study. PLOS ONE, 15(11), e0242518. https://doi.org/10.1371/journal.pone.0242518

Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/EBR-11-2018-0203

Hampshire, C., Mahoney, B., & Davis, S. K. (2022). Parenting Styles and Disordered Eating Among Youths: A Rapid Scoping Review. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.802567

Iannaccone, M., D’Olimpio, F., Cella, S., & Cotrufo, P. (2016). Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: A mediation model. Eating Behaviors, 21, 80–83. https://doi.org/10.1016/j.eatbeh.2015.12.010

Killen, J. D., Taylor, C. B., Hayward, C., Haydel, K. F., Wilson, D. M., Hammer, L., Kraemer, H., Blair-Greiner, A., & Strachowski, D. (1996). Weight concerns influence the development of eating disorders: A 4-year prospective study. Journal of Consulting and Clinical Psychology, 64(5), 936–940. https://doi.org/10.1037/0022-006X.64.5.936

Kluck, A. S. (2010). Family influence on disordered eating: The role of body image dissatisfaction. Body Image, 7(1), 8–14. https://doi.org/10.1016/j.bodyim.2009.09.009

Kohli, T. (2023). Parenting Styles and its Impact on Eating Disorde. International Journal of Social Science and Economic Research, 08(06), 1458–1464. https://doi.org/10.46609/IJSSER.2023.v08i06.020

Kontele, I., Saripanagiotou, S., Papadopoulou, A. M., Zoumbaneas, E., & Vassilakou, T. (2023). Parental Dieting and Correlation with Disordered Eating Behaviours in Adolescents: A Narrative Review. Adolescents, 3(3), 538–549. https://doi.org/10.3390/adolescents3030038

Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., & Tomás-Marco, I. (2014). El análisis factorial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de Psicología, 30(3). https://doi.org/10.6018/analesps.30.3.199361

Londoño-Pérez, C., & Moreno Ruge, A. M. (2017). Factores Familiares y Personales Predictores de Trastornos de Conducta Alimentaria en Jóvenes. Anales de Psicología, 33(2), 235. https://doi.org/10.6018/analesps.33.2.236781

López-Gil, J. F., García-Hermoso, A., Smith, L., Firth, J., Trott, M., Mesas, A. E., Jiménez-López, E., Gutiérrez-Espinoza, H., Tárraga-López, P. J., & Victoria-Montesinos, D. (2023). Global Proportion of Disordered Eating in Children and Adolescents. JAMA Pediatrics, 177(4), 363. https://doi.org/10.1001/jamapediatrics.2022.5848

Makki, N., Althubyani, S. A., Mobarki, R. Q., Alsayed, J. A., Almohammadi, R. J., & Baabdullah, R. A. (2023). The Effect of Sociocultural Attitudes on Developing Eating Disorders Among Young Females in Almadinah Almunawarah, Saudi Arabia. Cureus. https://doi.org/10.7759/cureus.50576

Morgan, J. F. (2000). The SCOFF questionnaire: a new screening tool for eating disorders. Western Journal of Medicine, 172(3), 164–165. https://doi.org/10.1136/ewjm.172.3.164

Peleg, O., Tzischinsky, O., & Spivak‐Lavi, Z. (2021). Depression and social anxiety mediate the relationship between parenting styles and risk of eating disorders: A study among Arab adolescents. International Journal of Psychology, 56(6), 853–864. https://doi.org/10.1002/ijop.12787

Revicki, D. (2014). Internal Consistency Reliability. In Encyclopedia of Quality of Life and Well-Being Research (pp. 3305–3306). Springer Netherlands. https://doi.org/10.1007/978-94-007-0753-5_1494

Signorelli, A. (2022). Eating disorders and adolescence. From diagnosis to treatment. RIVISTA SPERIMENTALE DI FRENIATRIA, 146(3), 81–103. https://doi.org/10.3280/RSF2022-003005

Soper, D. S. (2021). A-priori sample size calculator for structural equiation models. https://www.danielsoper.com/statcalc/default.aspx

Toro, J., Salamero, M., & Martinez, E. (1994). Assessment of sociocultural influences on the aesthetic body shape model in anorexia nervosa. Acta Psychiatrica Scandinavica, 89(3), 147–151. https://doi.org/10.1111/j.1600-0447.1994.tb08084.x

Unikel-Santoncini, C., Bojórquez-Chapela, I., & Carreño-García, S. (2004). Validation of a brief questionnaire to measure the risk of abnormal eating behaviors. Salud Publica Mex, 46, 509–515. https://saludpublica.mx/index.php/spm/article/view/6572/8096

Ventura‐León, J., Lluncor‐Vasquez, A., & Chuquillanqui‐Silva, M. (2024). A computer tool for Aiken’s coefficients calculation: Applications in clinical and research settings. Journal of Evaluation in Clinical Practice. https://doi.org/10.1111/jep.14134

Zelkowitz, R. L., & Cole, D. A. (2020). Longitudinal relations of self-criticism with disordered eating behaviors and nonsuicidal self-injury. International Journal of Eating Disorders, 53(7), 1097–1107. https://doi.org/10.1002/eat.23284

Publicado

2025-12-23

Número

Sección

Artículos científicos

Cómo citar

Gamarra-Tafur, L. Y., Faria-Romero, J. A., Reyes-Cariapaza, D. L., Yupanqui-Lorenzo, D. E., & Figueroa-Quiñones, J. (2025). El comportamiento de los padres como factor de riesgo de los trastornos alimentarios: Desarrollo de un Instrumento de Medida. PsiqueMag, 14(2), 48-63. https://doi.org/10.18050/psiquemag.v14i2.3561