A latent profile analysis of the functions of binge eating.

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS Journal of Eating Disorders Pub Date : 2025-01-24 DOI:10.1186/s40337-024-01147-0
Elyse O'Loghlen, Roslyn Galligan, Sharon Grant
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Abstract

Objective: The aim of this study was to identify naturally occurring groups of individuals experiencing binge eating (BE) symptoms based on their endorsement of varied functions of BE.

Method: Adults (N = 646) with self-reported BE symptoms were examined using latent profile analysis to identify differentiated profiles based on eight established functions of BE. Profiles were also compared on measures of BE symptoms, eating disorder psychopathology, internal shame, body shame, psychological distress, adverse childhood experiences, and demographic variables.

Results: A four-profile solution was selected balancing goodness-of-fit and interpretability. Profiles identified were Emotion Avoidance, Classic, Emotion Reactivity, and Complex, with profiles differing primarily on emotion- and trauma-related functions of BE, and varying on all associated characteristics examined, with the Complex profile showing the most adverse associations.

Discussion: The identification of these distinct profiles suggests that individuals present with differentiated, inter-related patterns or reasons for BE. These clinically relevant profiles may inform binge-eating intervention choice and the targeting of specific maintenance factors within profiles. Further research is needed to examine the clinical utility of these profiles in informing the most suitable psychological treatment for an individual.

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暴饮暴食功能的潜在特征分析。
目的:本研究的目的是根据对暴饮暴食各种功能的认可,确定自然发生的暴饮暴食(BE)症状的个体群体。方法:对646名自我报告有BE症状的成人(N = 646)进行潜在特征分析,以确定基于BE八种已确定功能的不同特征。还比较了BE症状、饮食失调精神病理学、内在羞耻、身体羞耻、心理困扰、不良童年经历和人口统计学变量的测量结果。结果:选择了一种平衡拟合优度和可解释性的四剖面解决方案。确定的特征有情绪回避、经典、情绪反应和复杂,这些特征主要在情绪和创伤相关功能上有所不同,在所有相关特征上都有所不同,复杂的特征显示出最不利的关联。讨论:这些不同特征的识别表明个体呈现出不同的、相互关联的BE模式或原因。这些临床相关的概况可以为暴饮暴食干预的选择和特定维持因素的目标提供信息。需要进一步的研究来检验这些档案在为个体提供最合适的心理治疗方面的临床应用。
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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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