Psychological symptoms in individuals successful at long-term maintenance of weight loss

Psychological symptoms in individuals successful at long-term maintenance of weight loss
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DOI:
10.1037/0278-6133.17.4.336
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发表时间:
1998-07-01
期刊:
影响因子:
4.2
通讯作者:
Hill, JO
Hill, JO
中科院分区:
心理学2区
文献类型:
--
作者:
Klem, ML;Wing, RR;Hill, JO

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设定值理论认为,成功维持减肥(“体重抑制”)可能与心理困扰有关。本研究通过对629名女性和155名男性进行登记,检查了心理症状与体重抑制之间的关系,这些患者至少减轻了13.6 kg(平均减重= 30 +/- 15 kg),并保持了至少1年(平均持续时间= 5.5 +/- 6.8年)。参与者完成了情绪、痛苦、克制、解除抑制、狂欢和净化的测量。维护者的痛苦和抑郁水平低于精神病学样本,与社区样本相似。暴饮暴食和排便率与社区样本的比率相当。维持者的抑制和去抑制水平与饮食失调的样本明显不同,类似于最近接受肥胖治疗的患者的水平。没有证据表明长期抑制体重与心理困扰有关。
Set point theory suggests that successful maintenance of weight loss ("weight suppression") may be associated with psychological distress. This study examined the association between psychological symptoms and body weight suppression by using a registry of 629 women and 155 men who lost at least 13.6 kg (mean loss = 30 +/- 15 kg) and maintained the loss for at least 1 year (mean duration = 5.5 +/- 6.8 years). Participants completed measures of mood, distress, restraint, disinhibition, bingeing, and purging. Maintainers' levels of distress and depression were lower than those of psychiatric samples and resembled those of community-based samples. Binge-eating and purging rates were comparable to rates of community samples. Maintainers' levels of restraint and disinhibition were markedly different from those of eating-disordered samples, resembling levels found in patients recently treated for obesity. There was no evidence that long-term suppression of body weight is associated with psychological distress.