The Fear of Food Measure: A Novel Measure for use in Exposure Therapy for Eating Disorders
The Fear of Food Measure: A Novel Measure for use in Exposure Therapy for Eating Disorders
复制标题
DOI：
10.1002/eat.22344
复制
发表时间：
2015-04-01
影响因子：
5.5
通讯作者：
Byrne, Meghan
中科院分区：
文献类型：
--
作者：
Levinson, Cheri A.;Byrne, Meghan
目的暴露疗法对神经性厌食症（AN）患者的进餐时间焦虑有增加食物摄入量和减少焦虑的初步效果。为了提高我们对AN暴露治疗的认识，研究人员和临床医生需要一个全面的措施来评估AN暴露治疗的相关结果。方法在目前的四项研究中，我们开发了食物恐惧测量（FOFM），评估三种认知和行为结果：关于饮食的特质焦虑，食物回避行为和与饮食相关的恐惧担忧。结果在社区（N=399）和女大学生（N=203）中，FOFM具有良好的三因子结构和收敛与发散效度。在一份女性样本（N=72）中，我们发现进食焦虑分量表比其他已知的进食预测因子（如克制）更能显著地预测体内食物摄入量。在一个被诊断为饮食失调的临床样本中（N=41），我们发现对饮食的焦虑与暴露餐期间的食物摄入和焦虑有关，并且FOFM的所有亚量表在四次暴露干预的过程中都显着下降。最后，我们发现被诊断为饮食失调的参与者对食物的恐惧程度高于对照组（N=23）。FOFM是一种心理测量学上有效的测量方法，可以评估患者在接受暴露治疗时是否有所改善，并可用于查明暴露治疗中可以解决的问题行为。(c) 2014 Wiley期刊公司国际饮食失调杂志2015；48:271 - 283
ObjectiveExposure therapy for mealtime anxiety has preliminarily been effective at increasing food intake and decreasing anxiety in individuals with anorexia nervosa (AN). To enhance our knowledge of exposure therapy for AN researchers and clinicians need a comprehensive measure that assesses outcomes relevant to exposure therapy for AN.MethodIn the current four studies we developed Fear of Food Measure (FOFM) that assesses three cognitive and behavioral outcomes: trait anxiety about eating, food avoidance behaviors, and feared concerns related to eating.ResultsIn a community (N=399) and undergraduate female sample (N=203) the FOFM exhibited a good three-factor structure and convergent and divergent validity. In a sample of women (N=72) we showed that the anxiety about eating subscale significantly predicted in vivo food intake over and above other established predictors of eating (e.g., restraint). In a clinical sample diagnosed with an eating disorder (N=41) we showed that anxiety about eating was associated with food intake and anxiety during an exposure meal and that all subscales of the FOFM significantly decreased over the course of a four-session exposure intervention. Finally, we found that participants diagnosed with an eating disorder had higher levels of fear of food than did matched controls (N=23).DiscussionThe FOFM is a psychometrically valid measure that can assess if patients are improving while undergoing exposure therapy and could be used to pinpoint problematic behaviors that can be addressed in exposure therapy. (c) 2014 Wiley Periodicals, Inc. Int J Eat Disord 2015; 48:271-283