'Feeling fat' is associated with specific eating disorder symptom dimensions in young men and women
'Feeling fat' is associated with specific eating disorder symptom dimensions in young men and women
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DOI：
10.1007/s40519-020-01074-4
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发表时间：
2021-01-02
影响因子：
2.9
通讯作者：
Racine, S. E.
中科院分区：
文献类型：
--
作者：
Mehak, A.;Racine, S. E.
目的“感觉肥胖”是体重过重的躯体体验，不能完全用真正的肥胖来解释，与临床和非临床样本中的饮食病理学相关。目前尚不清楚“感觉肥胖”是否与特定的饮食失调症状维度更密切相关，这些症状维度通常表征神经性厌食症、神经性贪食症和/或暴食症。了解“感觉肥胖与特定饮食失调症状维度（认知克制、饮食限制、暴食和清除）之间的关系的重要性可能表明其与特定形式的饮食病理学的相关性，并阐明解决“感觉肥胖”的治疗方向。方法 989 名本科生（54.3% 为女性）完成了问卷调查。结果路径分析表明感觉肥胖与所有症状维度之间存在显着关联；这些路径不受性别的调节。最合适的模型是包含从“感觉肥胖”到所有症状维度的路径的模型；没有其他模型具有同等的拟合度。结论“感觉肥胖”与混合性别非临床人群中饮食失调的所有检查症状有关。这些结果表明，“感觉肥胖”与饮食病理学的多个核心症状相关，表明“感觉肥胖”对于整个饮食病理学范围内的饮食病理维持具有重要意义。未来的研究应该在混合性别临床样本中比较“感觉肥胖”对这些症状的影响。
Purpose 'Feeling fat,' the somatic experience of having excess body weight that is not fully explained by true adiposity, correlates with eating pathology in clinical and non-clinical samples. It is unknown whether 'feeling fat' more strongly relates to specific eating disorder symptom dimensions that typically characterize anorexia nervosa, bulimia nervosa, and/or binge eating disorder. Understanding the significance of 'feeling fat's relationship with specific eating disorder symptom dimensions-cognitive restraint, dietary restriction, binge eating, and purging-may suggest its relevance to particular forms of eating pathology and elucidate treatment directions for addressing 'feeling fat'. Methods Questionnaires were completed by 989 undergraduates (54.3% female). Results Path analyses indicated significant associations between feeling fat and all symptom dimensions; these paths were not moderated by gender. The best fitting model was the model including paths from 'feeling fat' to all symptom dimensions; no other model had equivalent fit. Conclusion 'Feeling fat' relates to all examined symptoms of eating disorders in a mixed-gender non-clinical population. These results indicate that 'feeling fat' is associated with multiple core symptoms of eating pathology, pointing to 'feeling fat's significance to eating pathology maintenance across the spectrum of eating pathology. Future research should compare the influence of 'feeling fat' on these symptoms in mixed-gender clinical samples.