Mood, eating attitudes, and anger in obese women with and without Binge Eating Disorder
Mood, eating attitudes, and anger in obese women with and without Binge Eating Disorder
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DOI：
10.1016/s0022-3999(02)00462-2
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发表时间：
2003-06-01
影响因子：
4.7
通讯作者：
Rovera, GG
中科院分区：
文献类型：
--
作者：
Fassino, S;Leombruni, P;Rovera, GG
目的：本研究的目的是评估肥胖患者的愤怒水平及其管理。研究方法：共有103名肥胖女性[51名患有暴食症（BED），52名没有BED]被纳入研究，并与93名健康对照进行比较。采用状态-特质愤怒表达量表（STAXI）、贝克抑郁量表（BDI）和进食障碍量表-2（EDI-2）进行评估。结果如下：肥胖患者的BDI评分高于对照组，肥胖暴食者的抑郁水平高于无BED的肥胖患者。三组之间的差异可以发现在几乎所有的分量表的EDI-2，即使在控制变量抑郁症（BDI）。对于STAXI，三组之间唯一的差异，在控制抑郁症后仍然显着，是表达愤怒的倾向（AX-OUT），这在肥胖的暴食者中更高。相关性研究强调了冲动在肥胖暴食者中的重要性，而在没有BED的肥胖患者中，可以看到愤怒抑制（AX-IN）的趋势。讨论内容：BED的肥胖患者可能被认为是一个亚组，值得更大的精神病学的兴趣，无论是更严重的进食障碍和合并症与阈下抑郁症状和边缘性人格特质。在没有卧床的肥胖患者中，饮食行为似乎与心身疾病的典型心理功能更相关。治疗的影响进行了讨论。(C)2003年爱思唯尔公司All rights reserved.
Objective: The aim of this study was to evaluate the anger levels and their management in obese patients. Methods: A total of 103 obese women [51 with Binge Eating Disorder (BED) and 52 without BED] were included in the study and compared to 93 healthy controls. They were assessed with the State-Trait Anger Expression Inventory (STAXI), Beck Depression Inventory (BDI), and Eating Disorder Inventory-2 (EDI-2). Results: The BDI score is higher in obese subjects than in controls and obese binge eaters have higher levels of depression than obese patients without BED. Differences among the three groups can be found in almost all subscales of the EDI-2, even after controlling for the variable depression (BDI). For STAXI, the only difference among the three groups, which remains significant after controlling for depression, is the tendency to express anger outside (AX-OUT), which is higher in obese binge eaters. The correlation study highlights the importance of impulsivity in the group of obese binge eaters, whereas in obese patients without BED, the tendency toward anger suppression (AX-IN) is seen. Discussion: Obese patients with BED might be considered a subgroup deserving greater psychiatric interest, both, for the greater severity of the eating disorder and for the comorbidity with subthreshold depressive symptoms and with borderline personality traits. In obese patients without BED, eating behavior seems more correlated to the psychological functioning typical of Psychosomatic disorders. Implications for treatment are discussed. (C) 2003 Elsevier Inc. All rights reserved.