The mediating effect of sense of coherence in the relationship between eating attitudes and self-esteem in adolescents

Abstract
Purpose: This study aimed to examine the mediating effect of a sense of coherence in the relationship between eating attitudes and self-esteem in adolescents.
Methods: The study was conducted in a descriptive-correlational exploratory design. The sample of the study consisted of 1175 adolescents who met the inclusion criteria. Data were obtained by the researchers using personal information form, the Sense of Coherence Scale (SOC-13), the Eatıng Attitude Test (EAT-26), and the Rosenberg Self-Esteem Scale (RSES).
Results: SOC-13 mean score was 50.21 ± 11.06, EAT-26 mean score was 14.53 ± 10.17, and RSES mean score was 4.17 ± 1.66. It was found that there was a statistically significant negative relationship between the mean scores of RSES and the EAT, a positive relationship between the mean scores of the RSES and SOC, and a negative relationship between the mean scores of EAT and SOC. Moreover, the mediating role of SOC was found to be moderate. Furthermore, 4.5% of adolescents' sense of coherence scores are explained by eating attitude. On the other hand, 16.4% of self-esteem scores are explained by eating attitude and sense of coherence.
Conclusion: As a result of this study, it was determined that students' sense of coherence moderately mediated the relationship between eating attitude and self-esteem. At the same time, eating attitude had a direct predictive effect on self-esteem.

摘要
研究目的：本研究旨在考察青少年群体中，心理连贯感（sense of coherence）在饮食态度与自尊之间关系中的中介效应。
研究方法：本研究采用描述性-相关性探索性研究设计。本研究纳入1175名符合纳入标准的青少年，研究人员通过个人信息调查表、心理连贯感量表（Sense of Coherence Scale, SOC-13）、饮食态度测试（Eating Attitude Test, EAT-26）以及罗森伯格自尊量表（Rosenberg Self-Esteem Scale, RSES）收集相关数据。
研究结果：SOC-13平均得分为50.21±11.06，EAT-26平均得分为14.53±10.17，RSES平均得分为4.17±1.66。分析结果显示，RSES得分与EAT-26得分呈具有统计学意义的显著负相关，RSES得分与SOC-13得分呈显著正相关，EAT-26得分与SOC-13得分呈显著负相关。此外，心理连贯感的中介效应为中等程度。进一步分析表明，青少年的心理连贯感得分中有4.5%可由饮食态度解释；而青少年的自尊得分中有16.4%可由饮食态度与心理连贯感共同解释。
研究结论：本研究结果证实，青少年的心理连贯感在饮食态度与自尊的关系中起到中等程度的中介作用；同时，饮食态度对自尊具有直接的预测效应。