Loss of Control Over Eating in Overweight Youngsters: The Role of Anxiety, Depression and Emotional Eating
Loss of Control Over Eating in Overweight Youngsters: The Role of Anxiety, Depression and Emotional Eating
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DOI：
10.1002/erv.892
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发表时间：
2009-01-01
影响因子：
5.3
通讯作者：
Mels, Saskia
中科院分区：
文献类型：
--
作者：
Goossens, Lien;Braet, Caroline;Mels, Saskia
本研究采用半结构化临床访谈和自我报告问卷调查了寻求治疗（N = 115）和非寻求治疗（N = 73）超重青少年（8-18岁）的饮食失控（LC）以及焦虑，抑郁和情绪化饮食的作用。结果发现，寻求治疗者报告的LC（40%）是非寻求治疗者（21%）的两倍。横截面预测模型表明，增加焦虑与情绪化饮食和LC。情绪化进食倾向于调解焦虑和LC之间的关系。抑郁症的增加与情绪化饮食有关，但与LC无关。特别是超重的治疗寻求者变成了LC的风险。由于LC可能是由于应对焦虑等负面情绪不足而发展起来的，因此肥胖治疗应侧重于教授更有效的应对策略。建议进行纵向研究，以进一步阐述情感调节和LC。版权所有（c）2008约翰威利父子有限公司和饮食失调协会。
The current study investigated loss of control (LC) over eating and the role of anxiety, depression and emotional eating in a sample of both treatment seeking (N = 115) and non-treatment seeking (N = 73) overweight youngsters (aged 8-18) using a semi-structured clinical interview and self-report questionnaires. It was found that treatment seekers reported twice as much LC (40%) compared to non-treatment seekers (21%). Cross-sectional prediction models indicated that increased anxiety was associated with emotional eating and LC. Emotional eating tended to mediate the relationship between anxiety and LC. Increased depression was associated with emotional eating but not with LC. Especially overweight treatment seekers turn out to be at risk for LC. Because LC may develop as a result of inadequate coping with negative emotions like anxiety, obesity treatment should focus on teaching more effective coping strategies. Longitudinal research is recommended to further elaborate affect regulation and LC. Copyright (c) 2008 John Wiley & Sons, Ltd and Eating Disorders Association.