On the relation of flexible and rigid control of eating to body mass index and overeating in patients with binge eating disorder
On the relation of flexible and rigid control of eating to body mass index and overeating in patients with binge eating disorder
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DOI：
10.1002/eat.10001
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发表时间：
2002-01-01
影响因子：
5.5
通讯作者：
Grilo, CM
中科院分区：
文献类型：
--
作者：
Masheb, RM;Grilo, CM
目的：探讨门诊暴食症（BED）患者克制饮食的灵活和刚性维度与体重指数（BMI）和暴饮暴食的关系。方法：参与者是连续 748 名符合 BED 标准的门诊患者。三因素饮食问卷（TFEQ）用于评估认知抑制饥饿和去抑制，TFEQ 还包含两个认知抑制子量表 - 灵活控制和刚性控制。饮食失调检查问卷版本 (EDE-Q) 用于评估过去 28 天内不同形式暴饮暴食的频率以及饮食失调的态度特征。结果：柔性控制与刚性控制显着相关。它们都与 BMI 呈负相关，但与暴食或其他形式暴饮暴食的频率均不显着相关。此外，灵活控制和严格控制预测 BAIL 中几乎相同数量的方差。讨论：BED 患者表现出灵活和严格的饮食控制，与 BMI 相关，但与暴食或其他形式暴饮暴食的频率无关。本研究的结果提供了初步证据，表明灵活和严格的饮食控制对于暴食症患者来说可能不是一个有用的区别。然而，无论何种类型，增加限制可能被证明对控制体重有益，并且可能不会对肥胖 BED 患者的暴饮暴食产生不利影响。 (C) 2002 约翰·威利儿子公司
Objective: To examine the relationship of flexible and rigid dimensions of restrained eating to body mass index (BMI) and overeating in outpatients with binge eating disorder (BED). Method: Participants were 748 consecutive outpatients who met criteria for BED. The Three-Factor Eating Questionnaire (TFEQ) was administered to assess Cognitive Restraint Hunger, and Disinhibition, The TFEQ also contains two Cognitive Restraint subscales - Flexible Control and Rigid Control. The Eating Disorder Examination-Questionnaire version (EDE-Q) was administered to assess frequency of different forms of overeating during the past 28 days and the attitudinal features of eating disorders. Results: Flexible Control and Rigid Control were significantly correlated with each other. They were both negatively correlated with BMI, but neither was significantly correlated with the frequency of binge eating or other forms of overeating, In addition, Flexible Control and Rigid Control predicted almost the same amount of variance in BAIL Discussion: BED patients exhibit flexible and rigid control of eating that is related to BMI, but not to the frequency of binge eating or other forms of overeating. Results of the present study provide preliminary evidence that flexible and rigid control of eating may not be a useful distinction in BED patients. However, increased restraint, regardless of type, may prove to be of benefit with regard to weight control and may not have adverse effects on binge eating in obese BED patients. (C) 2002 John Wiley Sons, Inc.