DIETING AND BINGING - A CAUSAL-ANALYSIS
DIETING AND BINGING - A CAUSAL-ANALYSIS
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DOI：
10.1037/0003-066x.40.2.193
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发表时间：
1985-01-01
影响因子：
16.4
通讯作者：
HERMAN, CP
中科院分区：
文献类型：
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作者：
POLIVY, J;HERMAN, CP
我们首先建立暴食和节食之间的关联，并提供序列数据，表明节食通常按时间顺序先于暴饮暴食。我们认为，节食通过促进采用认知调节的饮食方式来引起暴饮暴食，如果要克服体重的生理防御，这是必要的。保护体重需要进行各种代谢调整，以帮助节省能量，但暴食的行为反应最好从认知角度而不是生理角度来理解。通过用认知控制取代生理调节控制，节食使节食者容易出现抑制解除和随之而来的暴饮暴食。讨论了治疗的意义，以及将节食视为暴饮暴食问题的“解决方案”的社会后果。
We first establish the association between binge eating and dieting and present sequence data indicating that dieting usually precedes binging, chronologically. We propose that dieting causes binging by promoting the adoption of a cognitively regulated eating style, which is necessary if the physiological defense of body weight is to be overcome. The defense of body weight entails various metabolic adjustments that assist energy conservation, but the behavioral reaction of binge eating is best understood in cognitive, not physiological, terms. By supplanting physiological regulatory controls with cognitive controls, dieting makes the dieter vulnerable to disinhibition and consequent overeating. Implications for therapy are discussed, as are the societal consequences of regarding dieting as a “solution” to the problem of binging.