A narrative review of binge eating and addictive behaviors: shared associations with seasonality and personality factors.
A narrative review of binge eating and addictive behaviors: shared associations with seasonality and personality factors.
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DOI：
10.3389/fpsyt.2013.00183
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发表时间：
2013-12-27
影响因子：
4.7
通讯作者：
Davis, Caroline
中科院分区：
文献类型：
--
作者：
Davis, Caroline
暴食症和季节性情感障碍在几十年前首次被描述为时间非常接近的临床相关病症。这两种疾病在女性中的患病率高于男性，其特点是容易承受压力，并且对高热量、美味食物的反应性更强。近年来，大量令人信服的证据表明，高糖和高脂肪食物有可能改变大脑奖赏回路，其方式类似于过量食用酒精和海洛因等成瘾药物时所见的情况。这些发现表明，某些强迫性暴饮暴食的病例可能被理解为对甜食、高脂肪和咸食物的成瘾。在这篇论文中，有人提出，高季节性是暴食的一个危险因素，尤其是那些具有焦虑和冲动人格特征的人——这种关联只能发生在有过剩且容易获得的丰富而美味的食物的环境中。鉴于暴食和成瘾疾病之间已确立的联系[参考文献。 (1-3) 的评论]，还表明季节性以及相同的高风险心理特征会加剧从事各种成瘾行为的可能性。来自成人社区样本 (n=412) 的数据使用线性回归程序测试了这些模型。结果证实，暴食症状和其他成瘾行为显着相关，季节性、性别和成瘾人格特征是暴食分数方差的强有力的统计预测因素。季节性和成瘾人格特征也占成瘾行为测量差异的很大一部分。结论是在大脑奖励机制、针对长期过度消费的动机变化及其与治疗过度食欲行为的相关性的背景下进行讨论的。
Binge-eating disorder and seasonal affective disorder were first described as clinically relevant conditions in very close temporal proximity a few decades ago. Both disorders have a higher prevalence rate in woman than in men, are characterized by a high proneness-to-stress and manifest heightened responsiveness to high-calorie, hyper-palatable foods. In recent years, a compelling body of evidence suggests that foods high in sugar and fat have the potential to alter brain reward circuitry in a manner similar to that seen when addictive drugs like alcohol and heroin are consumed in excess. These findings have led to suggestions that some cases of compulsive overeating may be understood as an addiction to sweet, fatty, and salty foods. In this paper, it is proposed that high seasonality is a risk factor for binge eating, especially in those characterized by anxious and impulsive personality traits - associations that could only occur in an environment with a superfluity of, and easy access to, rich and tasty foods. Given the well-established links between binge eating and addiction disorders [Ref. (1-3) for reviews], it is also suggested that seasonality, together with the same high-risk psychological profile, exacerbates the likelihood of engaging in a broad range of addictive behaviors. Data from a community sample (n=412) of adults tested these models using linear regression procedures. Results confirmed that symptoms of binge eating and other addictive behaviors were significantly inter-correlated, and that seasonality, gender, and addictive personality traits were strong statistical predictors of the variance in binge-eating scores. Seasonality and addictive personality traits also accounted for a significant proportion of the variance in the measure of addictive behaviors. Conclusions are discussed in the context of brain reward mechanisms, motivational alternations in response to chronic over-consumption, and their relevance for the treatment of excessive appetitive behaviors.