Predictors of Binge Eating among Bariatric Surgery Candidates: Disinhibition as a Mediator of the Relationship Between Depressive Symptoms and Binge Eating.
Predictors of Binge Eating among Bariatric Surgery Candidates: Disinhibition as a Mediator of the Relationship Between Depressive Symptoms and Binge Eating.
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DOI：
10.1007/s11695-018-3129-8
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发表时间：
2018-07
期刊：
影响因子：
2.9
通讯作者：
Brode C
中科院分区：
文献类型：
--
作者：
Cox S;Brode C
目前和终身精神病理学在寻求减肥手术的成年患者中很常见，其中重度抑郁症和暴食症影响这一群体的比例高于一般人群。虽然抑郁症状以前与饮食病理学有关，但这种关系的潜在介质尚未得到很好的理解。本研究采用自然主义的回顾性设计，调查饮食行为的认知和行为方面（认知抑制、去抑制和饥饿）作为119名成年患者样本中抑郁症状和暴食之间关系的潜在介导因素（82.4%女性; 96.6%白色;平均年龄= 47岁）在一个大型大学医学中心寻求减肥手术（Rouxen-Y和袖状胃切除术）。患者完成了标准化的术前心理评估，以确定是否适合减肥手术作为常规临床实践的一部分。基于DSM-IV诊断标准和自我报告测量（暴食量表），通过临床医生评级（每周暴食发作次数）评估暴食，以解释潜在的方法学差异。使用贝克抑郁量表评估抑郁症状。抑郁症状是暴饮暴食、抑制解除和饥饿的重要预测因子。然而，只有去抑制出现作为一个显着的抑郁症状和暴饮暴食之间的关系调解。行为去抑制，或倾向于过度消费的食物和挑战，抑制冲动与失控的饮食，可能是一个重要的变量，在确定抑郁症状和暴饮暴食之间的关系，在减肥手术患者。
Current and lifetime psychopathology is common in adult patients seeking bariatric surgery, with major depressive disorder and binge eating disorder affecting a higher proportion of this group than the general population. While depressive symptoms have been previously associated with eating pathology, potential mediators of this relationship are not well understood. This study used a naturalistic, retrospective design to investigate cognitive and behavioral aspects of eating behavior (cognitive restraint, disinhibition, and hunger) as potential mediators of the relationship between depressive symptoms and binge eating within a sample of 119 adult patients (82.4% female; 96.6% white; mean age = 47 years) seeking bariatric surgery (Rouxen-Y and sleeve gastrectomy) at a large university medical center. Patients completed a standardized presurgical psychological evaluation to determine appropriateness for bariatric surgery as part of routine clinical practice. Binge eating was assessed via clinician rating (number of binge eating episodes per week) based on DSM-IV diagnostic criteria and self-report measures (Binge Eating Scale) in order to account for potential methodological differences. Depressive symptoms were assessed using the Beck Depression Inventory. Depressive symptoms were a significant predictor of binge eating, disinhibition, and hunger. However, only disinhibition emerged as a significant mediator of the relationship between depressive symptoms and binge eating. Behavioral disinhibition, or a tendency toward overconsumption of food and challenges restraining impulses associated with a loss of control eating, may represent an important variable in determining the relation between depressive symptoms and binge eating, in bariatric surgery patients.
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影响因子：
7.6
作者：
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通讯作者：
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影响因子：
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10.1002/oby.21648
发表时间：
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