"Feeling fat," disgust, guilt, and shame: Preliminary evaluation of a mediation model of binge-eating in adults with higher-weight bodies.

"Feeling fat," disgust, guilt, and shame: Preliminary evaluation of a mediation model of binge-eating in adults with higher-weight bodies.
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DOI:
10.1016/j.bodyim.2022.05.008
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发表时间:
2022-09
期刊:
影响因子:
5.2
通讯作者:
Peterson, Carol B.
Peterson, Carol B.
中科院分区:
心理学1区
文献类型:
--
作者:
Anderson, Lisa M.;Hall, Leah M. J.;Crosby, Ross D.;Crow, Scott J.;Berg, Kelly C.;Durkin, Nora E.;Engel, Scott G.;Peterson, Carol B.

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“感觉肥胖”是一种主观状态,理论上有助于维持暴饮暴食(BE)。然而,感觉肥胖,以及它与体重较高的人之间的关系,很少被研究。这项研究提出了一个瞬间水平的模型,在这个模型中,负面的道德情绪状态(厌恶、内疚、羞愧)中介了感觉肥胖和暴饮暴食之间的联系。在这项研究中,50名体重较高的成年人(MBMI=40.3±8.5 kg/m2,84%为女性)完成了为期两周的生态瞬时评估方案,该方案测量了感觉肥胖、情绪状态和暴食行为的体验。单变量广义线性混合模型(GLMM)评估了时间1的感觉肥胖水平、时间2的情绪状态和时间2的暴饮暴食之间的瞬时关联,并控制了时间1的情绪状态。GLMM结果表明,从时间1到时间2,每种情绪的增加都中介了时间1感觉肥胖和时间2暴饮暴食之间的联系。当在一个多变量多水平结构方程模型中同时建模时,厌恶似乎推动了感觉肥胖和暴饮暴食之间的关系,而不是内疚和羞耻。虽然是初步的,但研究结果表明,在体重较高的成年人中,负面道德情绪的增加,特别是厌恶情绪的增加,调节了肥胖暴饮暴食的感觉。
“Feeling fat” is a subjective state that theoretically contributes to the maintenance of binge eating (BE). However, feeling fat, and its relation to BE among individuals with higher-weight bodies, has been infrequently studied. This study proposes a momentary-level model in which negative moral emotion states (disgust, guilt, shame) mediate the association between feeling fat and binge eating. In this study, 50 adults with higher-weight bodies (MBMI=40.3 ± 8.5 kg/m2; 84% female) completed a two-week ecological momentary assessment protocol, which measured experiences of feeling fat, emotion states, and binge-eating behavior. Univariate generalized linear mixed models (GLMM) evaluated the momentary associations among levels of feeling fat at Time 1, emotion states at Time 2, and binge eating at Time 2, controlling for Time 1 emotion states. GLMM results suggest that increases in each emotion from Time 1 to Time 2 mediated the association between Time 1 feeling fat and Time 2 binge eating. When modeled simultaneously within one multivariate multilevel structured equation model, disgust appeared to drive the relation between feeling fat and binge eating, over and above guilt and shame. Although preliminary, findings suggest increases in negative moral emotions, particularly disgust, mediate the feeling fat-binge eating association in adults with higher-weight bodies.
DOI: 10.1016/j.bodyim.2018.04.001
发表时间: 2018-06-01
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