Smoking in eating disorders.
Smoking in eating disorders.
复制标题
DOI：
10.1016/j.eatbeh.2006.06.005
复制
发表时间：
2006-11-01
期刊：
影响因子：
2.8
通讯作者：
Bulik, Cynthia M
中科院分区：
文献类型：
--
作者：
Anzengruber, Doris;Klump, Kelly L;Bulik, Cynthia M
目的：据报道，吸烟是饮食失调症的食欲和体重控制方法;然而，很少有研究探讨饮食失调症亚型的吸烟模式。本文的目的是探讨1,524名妇女的吸烟行为的模式和流行率，这些妇女来自两个多地点的普赖斯基金会遗传学研究。对306例神经性厌食症限制型（RAN）、186例神经性厌食症清除型（PAN）、180例神经性厌食症和神经性贪食症（ANBN）、107例神经性厌食症-暴食型（BAN），71例神经性贪食症-暴食型（PBN），674例女性社区对照。我们比较了吸烟患病率和吸烟行为在饮食失调（艾德）亚型和对照组相比，使用Fagerstrom测试尼古丁依赖（FTND）。结果：总体而言，女性饮食失调报告吸烟率较高，尼古丁依赖比对照组。在所有的饮食失调亚型中，患有暴食/泻药亚型的女性吸烟率最高。吸烟的饮食失调与冲动的人格特质。结论：女性饮食失调似乎是在吸烟的风险增加，特别是那些暴饮暴食和/或清洗和显示冲动的人格特征。鉴于高患病率，持续吸烟对维持进食障碍症状的影响值得临床和研究关注。
OBJECTIVE: Smoking has been reported as an appetite and weight control method in eating disorders; however, few studies have explored patterns of smoking across subtypes of eating disorders. The aim of this paper was to explore the patterns and prevalence of smoking behavior in 1,524 women from two of the multisite Price Foundation Genetic studies.METHOD: Smoking behavior was assessed in 306 individuals with anorexia nervosa-restricting type (RAN), 186 with anorexia nervosa-purging type (PAN), 180 with anorexia nervosa and bulimia nervosa (ANBN), 107 with anorexia nervosa-binging type (BAN), 71 individuals with purging type-bulimia nervosa (PBN), and 674 female community controls. We compared smoking prevalence and smoking behaviors across eating disorder (ED) subtypes and in comparison to controls using the Fagerstrom Test of Nicotine Dependence (FTND).RESULTS: Overall, women with eating disorders reported higher rates of smoking and greater nicotine dependence than controls. Women with binge/purge subtypes of eating disorders reported the highest rates of smoking of all of the subtypes. Smoking in eating disorders was related to impulsive personality traits.CONCLUSIONS: Women with eating disorders appear to be at increased risk for smoking, particularly those who binge eat and/or purge and display impulsive personality characteristics. Given the high prevalence, the impact of ongoing smoking on maintenance of eating disorders symptoms is worthy of both clinical and research attention.