RELAPSE CRISES AND COPING AMONG DIETERS
RELAPSE CRISES AND COPING AMONG DIETERS
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DOI：
10.1037/0022-006x.57.4.488
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发表时间：
1989-08-01
影响因子：
5.9
通讯作者：
WING, RR
中科院分区：
文献类型：
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作者：
GRILO, CM;SHIFFMAN, S;WING, RR
我们研究了节食复发危机和节食者试图科普暴饮暴食诱惑的情景前因。我们分析了57个肥胖的Ss与II型糖尿病治疗后的访谈，比较的情况下，Ss的失败与那些在他们克服诱惑暴饮暴食。聚类分析得出3类复发危机：进餐时间，低唤醒，情绪不安的情况。这些集群的结果不同：心烦意乱的情况几乎总是导致暴饮暴食;情境因素，特别是食物相关的线索，增加复发风险;但应对的表现是最强的结果相关性。认知和行为应对反应与积极的结果同样相关。当学生报告结合两种类型的应对，他们不太可能报告暴饮暴食。节食者复发危机的动力学类似于成瘾行为中控制复发危机的动力学。
We examined situational antecedents of dieting relapse crises and dieters' attempts to cope with temptations to overeat. We analyzed posttreatment interviews with 57 obese Ss with Type II diabetes, comparing situations in which Ss lapsed with those in which they overcame temptation to overeat. Cluster analysis yielded 3 categories of relapse crises: mealtime, low-arousal, and emotional upset situations. The clusters differed in outcome: Upset situations almost always resulted in overeating; situational factors, especially food-related cues, increased relapse risk; but performance of coping was the strongest correlate of outcome. Cognitive and behavioral coping responses were each equally associated with positive outcomes. When Ss reported combining both types of coping, they were less likely to report overeating. The dynamics of relapse crises among dieters resemble those that govern relapse crises in addictive behaviors.