Food, eating, and weight concerns of men in recovery from substance addiction
Food, eating, and weight concerns of men in recovery from substance addiction
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DOI：
10.1016/j.appet.2007.05.006
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发表时间：
2008-01-01
期刊：
影响因子：
5.4
通讯作者：
Devine, Carol
中科院分区：
文献类型：
--
作者：
Cowan, Jennifer;Devine, Carol
在药物和酒精成瘾的恢复过程中，观察到了饮食模式失调和体重过度增加。然而，人们对药物滥用者的食物选择行为以及食物在他们生活中的作用知之甚少。本研究的目的是了解处于物质成瘾恢复不同阶段的男性如何经历食物和饮食，体重变化以及恢复过程中使用的食物。一个有目的的，多民族的样本25个城市男性在不同阶段的药物和酒精成瘾的恢复参加了定性访谈。基于持续比较方法的数据分析揭示了三个主要主题：体重增加过多，有意义的食物使用，以及饮食失调和健康饮食的斗争，这些都因恢复阶段（早期，中期和后期恢复）而异。早期恢复的男性描述了功能失调的饮食习惯，如情绪和暴食，使用食物作为药物使用的替代品，以及使用食物来满足渴望。处于恢复中期到后期的男性表达了对体重的担忧和对减肥努力的痛苦。研究结果还表明，主动成瘾中的食物剥夺以及恢复阶段和生活环境之间的相互作用可能有助于食物选择行为的变化和恢复过程中的体重增加。这些发现强调了食物和药物滥用之间的行为相互作用，以及恢复过程中营养和体重干预的机会。(c)2007爱思唯尔有限公司保留所有权利。
Dysfunctional eating patterns and excessive weight gains have been observed during recovery from drug and alcohol addictions. Yet, little is known about food choice behaviors among substance abusers and the role that food plays in their lives. The purpose of this study was to understand how men at different stages of recovery from substance addictions experienced food and eating, weight changes, and used food in recovery. A purposive, multi-ethnic sample of 25 urban men at different stages of recovery from drug and alcohol addictions participated in qualitative interviews. Data analysis based on the constant comparative method revealed three main themes: excess weight gain, meaningful use of food, and disordered eating and a struggle to eat healthy that differed by recovery stage (early, mid, and later recovery). Men in early recovery described dysfunctional eating practices such as mood and binge eating, the use of food as a substitute for drug use, and the use of food to satisfy cravings. Men in mid to later recovery expressed weight concerns and distress about efforts to lose weight. The findings also suggest that food deprivation in active addiction and interactions between stage of recovery and living environment may contribute to changes in food choice behaviors and to excess weight gains in recovery. These findings highlight behavioral interactions between food and substance abuse and opportunities for nutrition and weight interventions in recovery. (c) 2007 Elsevier Ltd. All rights reserved.