Emotion and overeating behavior: effects of alexithymia and emotional regulation on overweight and obesity
Emotion and overeating behavior: effects of alexithymia and emotional regulation on overweight and obesity
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DOI：
10.1007/s40519-019-00767-9
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发表时间：
2020-10-01
影响因子：
2.9
通讯作者：
Favieri, Francesca
中科院分区：
文献类型：
--
作者：
Casagrande, Maria;Boncompagni, Ilaria;Favieri, Francesca
目的肥胖和超重是许多严重疾病的重要危险因素。几项研究已经调查了情绪调节与饮食紊乱患者超重或肥胖的关系。虽然一些研究已经探索了没有饮食障碍的严重肥胖者的述情障碍，但还没有人关注超重和临床前肥胖的个体。这项研究旨在评估超重和肥胖是否与情绪失调和述情障碍有关。方法研究对象为111名未被诊断为进食障碍的本科生。根据体重指数(BMI)将样本分为正常体重(N=55)和超重(N=56)两组。所有患者均完成了多伦多述情障碍量表(TAS-20)、情绪调节问卷(ERQ)和饮食障碍问卷-2(EDI-2)。结果结果显示，超重的参与者有更高的述情障碍水平，特别是在识别情感和外向思维方面的难度更高。多元相关分析显示EDI-2部分分量表与述情障碍和情绪调节得分呈正相关。线性回归表明，身体BMI与述情障碍和情绪调节策略之间存在显著关系。结论与正常体重状态相比，超重/肥胖状态似乎与更严重的情绪失调有关。研究这种关系是至关重要的，因为它可能是与暴饮暴食和超重相关的问题恶化的危险因素。这些发现表明，旨在考虑促进情绪调节的综合方法可能有助于降低超重和肥胖计划的有效性。
Purpose Obesity and overweight are significant risk factors for many serious diseases. Several studies have investigated the relationship between emotional regulation and overweight or obesity in people with eating disorders. Although a few studies have explored alexithymia in individuals with severe obesity without eating disorders, no attention has been paid to individuals with overweight and preclinical form of obesity. This study aims to assess whether overweight and obesity are related to emotional dysregulation and alexithymia. Methods The study involved 111 undergraduate students who had not been diagnosed with an eating disorder. The sample was divided into two groups according to their body mass index (BMI): normal weight (N = 55) and overweight (N = 56). All of them completed the Toronto Alexithymia Scale (TAS-20), the Emotional Regulation Questionnaire (ERQ), and the Eating Disorder Inventory-2 (EDI-2). Results Results showed higher levels of alexithymia, and specifically higher difficulty in identifying feelings and an externally oriented thought, in participants with overweight. Multiple correlation analysis highlighted the positive relations between some EDI-2 subscales and both alexithymia and emotional regulation scores. Linear regressions revealed a significant relationship between body BMI and both alexithymia and emotional regulation strategies. Conclusions The condition of overweight/obesity seems to be associated with higher emotional dysregulation compared to normal weight condition. It is essential to study this relationship because it could represent a risk factor for the worsening of problems related to overeating and excessive body weight. These findings suggest that an integrated approach aimed at considering the promotion of emotional regulation could contribute to the effectiveness of a program designed to reduce overweight and obesity.