Affective responses to overeating episodes in women participating in a behavioral weight loss program.

Affective responses to overeating episodes in women participating in a behavioral weight loss program.
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对参加行为减肥计划的女性暴饮暴食的情感反应。

DOI:
10.1016/j.eatbeh.2022.101599
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发表时间:
2022-01
期刊:
影响因子:
2.8
通讯作者:
Unick JL
Unick JL
中科院分区:
医学3区
文献类型:
--
作者:
Hayes JF;Schumacher LM;Panza E;Dunsiger SI;Wing RR;Unick JL

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许多研究都集中在减肥计划中饮食失误的前兆上,但对个人对失误的反应如何影响未来的不遵守和计划成功知之甚少。目前的研究检查了对暴饮暴食的情感反应及其对随后暴饮暴食和整体减肥的影响。超重或肥胖的女性(n = 60)(BMI(平均值± SD):34.3 ± 3.9 kg/m2;年龄:48.1 ± 10.1岁)参加了为期3个月的团体行为减肥干预(BWLI)。在基线和3个月时,参与者完成了人体测量评估,并且每天发送5次关于暴饮暴食和影响(压力,羞耻,焦虑和自我感觉良好)的10天生态瞬时评估协议。在不同的时间点,多层次模型被用来检查情绪反应暴饮暴食,并预测随后暴饮暴食的可能性。使用线性回归模型来检查对暴饮暴食的情感反应(在基线和跨时间点崩溃)对体重减轻的影响。在自我报告的暴饮暴食事件之后,与非暴饮暴食事件相比,自我感觉良好的程度降低了。这些减少随着时间从暴饮暴食减少。暴饮暴食预测随后的暴饮暴食事件,暴饮暴食后自我感觉良好的下降略微预测可能性增加(p = 0.065)。无论是基线时的暴饮暴食频率还是暴饮暴食频率的变化都不能预测体重减轻;然而,暴饮暴食后焦虑的减少与体重减轻有关。在BWLI期间自我报告的暴饮暴食与消极的情感反应有关,可能增加了随后暴饮暴食的可能性,但并没有影响该样本的整体体重减轻。
Much research has focused on precursors to dietary lapses in weight loss programs, but less is known about how individual responses to lapses may influence future non-adherence and program success. The current study examined affective responses to overeating lapses and their influence on subsequent overeating and overall weight loss. Women (n = 60) with overweight or obesity (BMI (mean ± SD): 34.3 ± 3.9 kg/m2; age: 48.1 ± 10.1 years) participated in a 3-month group behavioral weight loss intervention (BWLI). At baseline and 3 months, participants completed anthropometric assessments and a 10-day ecological momentary assessment protocol sent 5 times per day reporting on overeating and affect (stress, shame, anxiety, and feeling good about oneself). Across time points, multilevel models were used to examine affective responses to overeating and to predict likelihood of subsequent overeating. Linear regression models were used to examine the effect of affective responses to overeating (at baseline and collapsed across time points) on weight loss. Following self-reported overeating episodes, compared to non-overeating episodes, feeling good about oneself decreased. These decreases lessened with time from overeating. Overeating predicted subsequent overeating episodes, with decreases in feeling good about oneself following overeating marginally predicting increased likelihood (p = 0.065). Neither overeating frequency at baseline nor change in overeating frequency predicted weight loss; however, greater decreases in anxiety following overeating were associated with less weight loss. Self-reported overeating during a BWLI was associated with negative affective responses and may have increased the likelihood of subsequent overeating, but did not affect overall weight loss in this sample.
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