Real-time versus retrospective self-report assessment of loss-of-control eating in adults undergoing bariatric surgery.
Real-time versus retrospective self-report assessment of loss-of-control eating in adults undergoing bariatric surgery.
复制标题
对接受减肥手术的成人饮食失控的实时与回顾性自我报告评估。
DOI：
10.1002/oby.23628
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Bond,DaleS
中科院分区：
文献类型：
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作者：
Goldschmidt,AndreaB;Smith,KathrynE;Thomas,JGraham;Espel-Huynh,HallieM;Jones,DanielB;Vithiananthan,Sivamainthan;Bond,DaleS
目的：在接受减肥手术的成年人中，饮食失控（LOC）很常见。实时和回顾性评估方法之间的一致性尚不清楚。方法：通过进食障碍检查问卷（EDE‐Q）项目报告前28天的LOC饮食情况，并在10天内通过生态瞬时评估（EMA；包括在自然环境中通过智能手机进行的每日重复调查）报告近实时的LOC饮食情况，评估表格在手术前和手术后3、6和12个月完成。使用Wilcoxon签名秩检验和广义线性混合模型比较受试者主观和客观大LOC发作的EDE‐Q和EMA报告。结果：在不同的时间点上，受试者主观报告较大的LOC发作频率通过EMA高于EDE‐Q，尽管差异没有达到统计学意义（0.05）。相反，客观上，通过EDE‐Q比EMA更频繁地报道较大的LOC发作，仅在术后6个月差异才达到显著性（p= 0.03）。结论：LOC进食的实时和回顾性评估之间的一致性因发作大小和手术后一年的时间而异。在为寻求减肥手术的成年人设计评估单元时，以及在对接受减肥手术的成年人LOC饮食进行实时与回顾性自我报告评估的不同方法的研究中推断研究结果时，应考虑这些发现。
ObjectiveLoss‐of‐control (LOC) eating is common in adults undergoing bariatric surgery. Agreement between real‐time and retrospective assessment methods is unclear.MethodsAdults with severe obesity reported on LOC eating over the preceding 28 days via Eating Disorder Examination‐Questionnaire (EDE‐Q) items and in near real time over 10 days via ecological momentary assessment (EMA; involving daily repeated surveys delivered via smartphone in the natural environment), with both assessment forms completed before surgery and at 3, 6, and 12 months after surgery. Wilcoxon signed rank tests and generalized linear mixed models were used to compare participants' EDE‐Q and EMA reports of subjectively and objectively large LOC episodes across time points.ResultsParticipants reported subjectively large LOC episodes more frequently via EMA than EDE‐Q across time points, although differences did not reach statistical significance (allp> 0.05). Conversely, objectively large LOC episodes were more frequently reported via EDE‐Q than EMA, with differences reaching significance at 6 months post surgery only (p= 0.03).ConclusionsAgreement between real‐time and retrospective assessments of LOC eating varied by episode size and time elapsed in the year following surgery. These findings should be considered when designing assessment batteries for bariatric surgery–seeking adults and when extrapolating research findings across studies with diverging methods of real‐time versus retrospective self‐report assessment of LOC eating in adults undergoing bariatric surgery.