Questionnaire-Based Maladaptive Decision-Coping Patterns Involved in Binge Eating Among 1013 College Students.

Questionnaire-Based Maladaptive Decision-Coping Patterns Involved in Binge Eating Among 1013 College Students.
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基于问卷调查的 1013 名大学生与暴饮暴食有关的适应不良决策应对模式

DOI:
10.3389/fpsyg.2018.00609
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发表时间:
2018
影响因子:
3.8
通讯作者:
Li YH
Li YH
中科院分区:
心理学3区
文献类型:
--
作者:
Yan WS;Zhang RR;Lan Y;Li ZM;Li YH

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暴食症(BED),由于其对精神、身体和社会功能的影响而被认为是一个公共卫生问题,在精神疾病诊断与统计手册第五版(DSM-5)中将其提升为一个独立的诊断,值得引起广泛关注。与物质使用障碍类似,一些神经心理和人格结构可能与BED的发生和发展有关,其中错误的决策被认为是促进暴饮暴食和BED的原因。本研究的目的是探讨年轻人的决策应对模式、货币决策和暴饮暴食行为之间的关系。根据暴食量表(BES)得分,将1013名大学生平均分为暴食组和非暴食组,对他们进行了包括墨尔本决策问卷(MDMQ)、延迟贴现测试(DDT)和概率贴现测试(PDT)在内的多项决策测试。与非暴饮暴食组相比,暴饮暴食组在不适应决策模式上表现出更高的分数,包括拖延症、推卸责任和过度警惕。Logistic回归模型显示,拖延症与暴食呈正相关。这些发现表明,在年轻人中,决策的不同维度可能与暴饮暴食明显相关,拖延症被认为是暴饮暴食行为发展的一个风险特征,这可能会促进对这种疾病的更好理解。
Binge Eating Disorder (BED), considered a public health problem because of its impact on psychiatric, physical, and social functioning, merits much attention given its elevation to an independent diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Similar with substance use disorders, some neuropsychological and personality constructs are potentially implicated in the onset and development of BED, in which poor decision-making has been suggested to facilitate overeating and BED. The objective of this study was to investigate the associations between decision-coping patterns, monetary decision-making, and binge-eating behavior in young adults. A sample of 1013 college students, equally divided into binge-eating and non-binge-eating groups according to the scores on the Binge Eating Scale (BES), were administered multiple measures of decision-making including the Melbourne Decision-Making Questionnaire (MDMQ), the Delay-discounting Test (DDT), and the Probability Discounting Test (PDT). Compared with the non-binge-eating group, the binge-eating group displayed elevated scores on maladaptive decision-making patterns including Procrastination, Buck-passing, and Hypervigilance. Logistic regression model revealed that only Procrastination positively predicted binge eating. These findings suggest that different dimensions of decision-making may be distinctly linked to binge eating among young adults, with Procrastination putatively identified as a risk trait in the development of overeating behavior, which might promote a better understanding of this disorder.
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