TEMPORAL PATTERNS OF HUNGER AND FULLNESS RATINGS AND RELATED COGNITIONS IN ANOREXIA AND BULIMIA

TEMPORAL PATTERNS OF HUNGER AND FULLNESS RATINGS AND RELATED COGNITIONS IN ANOREXIA AND BULIMIA
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DOI:
10.1016/0195-6663(91)90060-6
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发表时间:
1991-06-01
期刊:
影响因子:
5.4
通讯作者:
SUNDAY, SR
SUNDAY, SR
中科院分区:
医学2区
文献类型:
--
作者:
HALMI, KA;SUNDAY, SR

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在84名饮食失调患者(包括三个诊断亚组)和19名体重正常且饮食健康的对照组中,通过评级评估实验性液体餐期间的饥饿和饱胀感。与对照组相比,厌食限制者的饥饿评分较低,饱腹评分较高。厌食-贪食症患者也存在同样的趋势。这些评级相对不受处理影响。厌食限制者比厌食暴食者和正常体重的暴食者进餐时间更长。与暴食症患者相比,厌食限制者也倾向于吃得更慢。然而,这些群体在消费量上没有差异。在实验餐结束时,与对照组相比,厌食暴食症患者更专注于食物的想法,而厌食限制者的进食欲望较低。所有诊断组的饥饿和饱腹感评分均呈负相关;然而,进食障碍组的相关性不太明显。饮食失调患者的饥饿和饱腹曲线主要呈“异常”模式,表明这些概念的混乱。
Hunger and fullness during an experimental liquid meal were evaluated by ratings in 84 eating-disordered patients, including three diagnostic subgroups, and in 19 controls who were normal in weight and eating healthily. Anorectic-restrictors had lower hunger ratings and higher fullness ratings than controls. The same tendency was present in anorectic-bulimics. These ratings were relatively unaffected by treatment. Anorectic-restrictors had longer meals than the anorectic-bulimics and normal-weight bulimics. The anorectic-restrictors also tended to eat more slowly than did the bulimic patients. These groups did not, however, differ in amount consumed. At the end of the experimental meal, the anorectic-bulimics were more preoccupied with thoughts of food and anorectic-restrictors had a lower urge to eat, as compared with the controls. Hunger and fullness ratings were negatively correlated for all diagnostic groups; however, these correlations were less pronounced for the eating disorder groups. The eating-disordered patients had predominantly “abnormal” patterns of hunger and fullness curves, indicating a confusion of these concepts.