Associations of negative affect and eating behaviour in obese women with and without binge eating disorder
Associations of negative affect and eating behaviour in obese women with and without binge eating disorder
复制标题
DOI：
10.1007/bf03325311
复制
发表时间：
2010-12-01
影响因子：
2.9
通讯作者：
Laessle, R. G.
中科院分区：
文献类型：
--
作者：
Schulz, S.;Laessle, R. G.
本研究旨在探讨有无卧床的肥胖妇女在精神病理学特征、饮食行为和饮食习惯方面的差异。它还旨在确定BED肥胖女性的情感症状和饮食行为之间的特定关系。研究了84名肥胖女性（40名BED，44名非BED）。采用DSM-IV（SCID）结构化诊断访谈评估精神病合并症。抑郁症状采用贝克抑郁量表（BDI），焦虑采用状态-特质焦虑量表（STAI）。饮食习惯（情绪化和克制饮食）通过荷兰饮食行为问卷（DEBQ）进行评估。食物日记用于评估自然饮食行为（食物摄入）和食物摄入前后的情绪。BED受试者表现出更高水平的合并症（特别是情绪障碍，焦虑症和物质相关障碍），更高的抑郁症状，特质焦虑，外部和情绪化饮食分数比非BED受试者。回归分析显示，焦虑和情绪化饮食是床的状态显着的预测因子。在BED组中，抑郁症状与情绪化饮食和食物摄入显著相关，与克制呈负相关。焦虑与情绪化进食显著相关。总的来说，食物摄入量显著增强了情绪。情绪在自我报告的暴饮暴食事件的日子比非暴饮暴食的日子更糟。这些结果进行了讨论，关于病因模型床和床是一个独特的诊断类别分开肥胖。（饮食失调。15：e287-e293，2010）。（C）2010年，编辑库尔蒂斯
The present study was planned to investigate differences in psychopathological features, eating behaviour and eating habits between obese women with and without BED. It also aimed to identify specific relationships between affective symptoms and eating behaviour in obese women with BED. Eighty-four obese women were studied (40 with BED, 44 non-BED). Psychiatric comorbidities were assessed with the structured diagnostic interview for DSM-IV (SCID). Depressive symptoms were measured with the Beck Depression Inventory (BDI) and anxiety with the state-trait anxiety inventory (STAI). Eating habits (emotional and restrained eating) were assessed by the Dutch eating behaviour questionnaire (DEBQ). Food diaries were used for assessing naturalistic eating behaviour (food intake) and mood before and after food intake. BED subjects exhibited higher levels of comorbidity (in particular mood disorders, anxiety disorders and substance-related disorders), higher depressive symptoms, trait anxiety, external and emotional eating scores than non-BED subjects. Regression analyses revealed that anxiety and emotional eating were significant predictors for BED status. In the BED group, depressive symptoms were significantly related to emotional eating and food intake and negatively related to restraint. Anxiety was significantly related to emotional eating. In general, food intake significantly enhanced mood. Mood was worse on the days with self-reported binge eating episodes than on nonbinge days. These results are discussed with regard to aetiological models for BED and for BED being a distinct diagnostic category separate from obesity. (Eating Weight Disord. 15: e287-e293, 2010). (C)2010, Editrice Kurtis