Subjective and Objective Binge Eating in Relation to Eating Disorder Symptomatology, Depressive Symptoms, and Self-Esteem among Treatment-Seeking Adolescents with Bulimia Nervosa
Subjective and Objective Binge Eating in Relation to Eating Disorder Symptomatology, Depressive Symptoms, and Self-Esteem among Treatment-Seeking Adolescents with Bulimia Nervosa
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DOI：
10.1002/erv.2297
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发表时间：
2014-07-01
影响因子：
5.3
通讯作者：
Le Grange, Daniel
中科院分区：
文献类型：
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作者：
Fitzsimmons-Craft, Ellen E.;Ciao, Anna C.;Le Grange, Daniel
本研究调查了80名寻求治疗的青少年神经性贪食症患者的客观（OBE）和主观暴食（SBE）之间的区别的重要性。我们使用两种方法探讨了OBE、SBE、进食障碍（艾德）、抑郁和自尊之间的关系。组间比较显示，OBE组和SBE组在艾德症状或自尊方面没有差异;然而，SBE组有明显更大的抑郁。检查连续变量，OBE（不是SBE）占全球艾德病理学，呕吐和自尊的显着独特的方差。SBEs（不是OBEs）解释了约束和抑郁的显著独特方差。OBE和SBE都解释了饮食问题的显著独特方差;都没有解释体重/形状问题、泻药使用、利尿剂使用或驱动运动的独特方差。失去控制，而不是食物的数量，可能是定义暴饮暴食最重要的。此外，OBE可能表明更广泛的艾德病理，而SBE可能表明限制性/抑郁性病理。版权所有（c）2014约翰威利父子有限公司和饮食失调协会。
This study investigated the importance of the distinction between objective (OBE) and subjective binge eating (SBE) among 80 treatment-seeking adolescents with bulimia nervosa. We explored relationships among OBEs, SBEs, eating disorder (ED) symptomatology, depression, and self-esteem using two approaches. Group comparisons showed that OBE and SBE groups did not differ on ED symptoms or self-esteem; however, the SBE group had significantly greater depression. Examining continuous variables, OBEs (not SBEs) accounted for significant unique variance in global ED pathology, vomiting, and self-esteem. SBEs (not OBEs) accounted for significant unique variance in restraint and depression. Both OBEs and SBEs accounted for significant unique variance in eating concern; neither accounted for unique variance in weight/shape concern, laxative use, diuretic use, or driven exercise. Loss of control, rather than amount of food, may be most important in defining binge eating. Additionally, OBEs may indicate broader ED pathology, while SBEs may indicate restrictive/depressive symptomatology. Copyright (c) 2014 John Wiley & Sons, Ltd and Eating Disorders Association.