Eating behaviors最新文献_第7页

A formative study of grandparent caregivers' grandchild feeding responsibilities and practices 祖父母照顾者喂养孙子的责任和做法的形成性研究

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101982

Elder Garcia Varela , Michelle E. Clayson , Heidi M. Weeks , Carmen Ramos , Kira S. Birditt , Melissa N. Laska , Jess Haines , Alison L. Miller , Katherine W. Bauer

Background

In the US, grandparents are increasingly living with their grandchildren in multigenerational households and/or providing their grandchildren with regular childcare. However, our understanding of the potential for these grandparents to influence children's nutrition and weight status is limited. This formative study aimed to 1) describe the scope of caregiving grandparents' grandchild-focused food responsibilities and practices, including agreement and discordance with parents' food parenting practices, and 2) assess the internal reliability and acceptability of an adapted CFPQ to measure grandparents' food parenting practices.

Methods

Thirty-two grandparents residing with and/or providing regular childcare for their 3 to 5-year-old grandchild enrolled. Data from interviews and closed-ended survey questions were analyzed to identify prevalent food-related responsibilities and practices. Grandparents also completed an adapted version of the CFPQ and provided feedback on applicability and face validity.

Results

Over 80 % of grandparents were at least “sometimes” responsible for planning, preparing, and serving meals and snacks to their grandchild. Cooking, baking, and eating together were common. While many grandparents reported agreeing with their grandchild's parents' food parenting practices, others felt parents were either too lax or too strict. Only 5 of 12 subscales of the CFPQ demonstrated strong internal reliability when used with grandparents; some grandparents reported difficulty completing the CFPQ as they were not with the grandchildren for all eating occasions, and their feeding practices varied over time.

Conclusion

Many caregiving grandparents have significant responsibility for their grandchildren's nutrition environments. Identifying how grandparents' food responsibilities and practices influence children's nutrition and weight status, independently and in conjunction with parents' practices, is a high priority. Grandparent-specific measures of food parenting are needed to advance this research.

在美国，越来越多的祖父母和孙辈一起生活在多代同堂的家庭中，或者定期为孙辈提供照顾。然而，我们对这些祖父母影响儿童营养和体重状况的潜力的了解是有限的。本形成性研究旨在1)描述照顾祖父母以孙子为中心的食物责任和实践的范围，包括与父母的食物育儿实践的一致和不一致，以及2)评估适应性CFPQ衡量祖父母食物育儿实践的内部可靠性和可接受性。方法对32位与3 ~ 5岁的孙辈同住和（或）定期照看孙辈的祖父母进行调查。来自访谈和封闭式调查问题的数据进行了分析，以确定普遍的食品相关责任和做法。祖父母还完成了一份改编版的CFPQ，并提供了适用性和面部效度的反馈。结果超过80%的祖父母至少“有时”负责计划、准备和为他们的孙子提供饭菜和零食。一起做饭、烘焙和吃饭是很常见的。虽然许多祖父母表示同意孙辈父母的饮食教育方式，但也有人认为父母要么太宽松，要么太严格。当与祖父母一起使用时，CFPQ的12个分量表中只有5个显示出很强的内部信度；一些祖父母报告说，他们很难完成CFPQ，因为他们不是在所有的吃饭场合都和孙子孙女在一起，而且他们的喂养方法随着时间的推移而变化。结论许多照料祖父母对孙辈的营养环境负有重大责任。确定祖父母的饮食责任和做法如何独立地并结合父母的做法影响儿童的营养和体重状况，是一项高度优先事项。需要针对祖父母的食物养育措施来推进这项研究。

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引用次数: 0

Unhealthy app use and dietary restraint among young adults: The moderating role of body appreciation 年轻人不健康的应用程序使用和饮食限制：身体欣赏的调节作用

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101977

Selena G. Courtness, Alexis R. Foulstone

Objective

Health and fitness apps that integrate wearable-device data have increased in popularity for self-monitoring of body appearance and weight goals. However, limited research has explored their potential to promote unhealthy eating behaviors. This study assessed body appreciation as a moderator of the relationship between health and fitness app use and dietary restraint.

Methods

A total of 126 young adults (

M_{age}

= 20.8

\pm

2.2 years, 65.9 % women) completed an online survey incorporating the Three-Factor Eating Questionnaire (TFEQ), Body Appreciation Scale (BAS) and frequency of app usage.

Results

Hierarchical regression analysis revealed that app use significantly and positively predicted dietary restraint, explaining 33.2 % of the variance (

R^{2}

= 0.33, p < .001), with a combined large effect (

f^{2}

= 0.50). Body appreciation moderated this relationship, accounting for an additional 3.2 % of the variance (p = .018). Further analysis indicated for individuals with higher levels of body appreciation (above 2.95; 70.6 % of the sample), app use was significantly associated with dietary restraint.

Conclusions

Results indicate that dietary restraint was associated with one-third of young adults who use health and fitness apps. Unexpectedly, young adults with high body appreciation who actively engage with these apps report intentions to restrict food intake. It remains unclear whether app-related goal-setting features influence caloric restriction. Incorporating health warnings in apps and personalizing app interactions to discourage extreme goal setting may help protect those individuals at risk of developing eating disorders.

集成可穿戴设备数据的健康和健身应用程序越来越受欢迎，可以自我监测身体外观和体重目标。然而，有限的研究已经探索了它们促进不健康饮食行为的潜力。这项研究评估了身体欣赏作为健康和健身应用程序使用与饮食限制之间关系的调节因素。方法对126名年轻成人（年龄为20.8±2.2岁，女性占65.9%）进行三因素饮食问卷（TFEQ）、身体欣赏量表（BAS）和应用程序使用频率的在线调查。结果层次回归分析显示，应用程序使用显著正向预测饮食限制，解释了33.2%的方差(R2= 0.33, p <；.001)，综合效应较大（f2 = 0.50）。身体欣赏调节了这一关系，占方差的3.2% （p = 0.018）。进一步分析表明，对于身体欣赏水平较高的个体(高于2.95；70.6%的样本)，应用程序的使用与饮食限制显著相关。研究结果表明，三分之一的年轻人使用健康和健身应用程序与饮食限制有关。出乎意料的是，积极使用这些应用程序的对身体有高度欣赏的年轻人表示，他们有意限制食物摄入。目前尚不清楚与应用程序相关的目标设定功能是否会影响热量限制。在应用程序中加入健康警告，并个性化应用程序交互，以阻止极端的目标设定，可能有助于保护那些有患饮食失调风险的人。

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引用次数: 0

Food for thought: The relationship between poor eating habits, delay discounting, and quality of life in substance use recovery 思考：不良饮食习惯、延迟折扣和物质使用恢复中的生活质量之间的关系

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101972

Daniel A.R. Cabral, Anthony N. Nist, Rafaela M. Fontes, Laura E. Bruckner, Ana Carolina L. Bovo, Warren K. Bickel

Background

Research on poor eating habits among individuals recovering from substance use disorders (SUD) is limited. This study examines the relationship between poor eating habits, delay discounting (DD), quality of life (QOL), and remission status, in addition to examining DD as a mediator of the relationship between poor eating and QOL.

Methods

Participants (n = 257) in recovery from SUD, completed the Health Behaviors Questionnaire (poor eating was measured using the food domain), a DD task, the World Health Organization QOL questionnaire, demographics, and SUD-related questions. Multivariate linear regression was used to test associations between poor eating and DD, as well as each QOL domain. Mediation analyses were conducted to evaluate the role of DD in the relationship between poor eating and QOL. A binary logistic regression was used to test associations between poor eating and remission status, as well as DD and remission status.

Results

Poor eating habits were significantly associated with higher rates of DD (β = 0.08, p < .001) and lower QOL across psychological (β = −0.88, p < .001, only for those in remission), physical (β = −0.58, p < .001), and environmental (β = −0.75, p < .001) domains. Additionally, DD significantly mediated the relationship between poor eating habits and reduced QOL in these domains (ꞵs < −0.08, ps < 0.003). Poor eating (ꞵ = 0.05, p = .014; OR = 1.05, p = .012) and high DD rates (ꞵ = 0.12, p = .049; OR = 1.12, p = .038) were associated with a lower likelihood of remission from SUD.

Conclusions

Our findings highlight the integral role of dietary habits in the recovery trajectory of individuals with SUD. The study supports the need for holistic treatment approaches that consider the impacts of nutrition on both psychological and physiological aspects of recovery.

背景对物质使用障碍（SUD）康复个体不良饮食习惯的研究是有限的。本研究探讨不良饮食习惯、延迟折扣（DD）、生活质量（QOL）和缓解状态之间的关系，以及DD作为不良饮食与生活质量之间关系的中介。方法257例SUD恢复期患者填写健康行为问卷（饮食不良用食物域测量）、DD任务、世界卫生组织生活质量问卷、人口统计学和SUD相关问题。多元线性回归用于检验饮食不良与DD之间的关系，以及每个QOL域。通过中介分析来评估DD在不良饮食与生活质量之间的作用。使用二元逻辑回归来检验不良饮食与缓解状态以及DD与缓解状态之间的关联。结果不良饮食习惯与DD发生率显著相关(β = 0.08, p <；.001)和较低的心理生活质量(β = - 0.88, p <；.001，仅适用于缓解者)，身体(β = - 0.58, p <；.001)和环境(β = - 0.75, p <；措施)域。此外，DD显著介导了不良饮食习惯与生活质量降低之间的关系(ꞵs <；- 0.08, ps <；0.003)。饮食不良(ꞵ= 0.05,p = 0.014；或= 1.05,p = .012)和DD率高(p = .049ꞵ= 0.12;OR = 1.12, p = 0.038)与较低的SUD缓解可能性相关。结论我们的研究结果强调了饮食习惯在SUD患者康复过程中的重要作用。该研究支持需要考虑营养对心理和生理恢复方面的影响的整体治疗方法。

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引用次数: 0

The relationships among perceived stress, mindful eating, addiction-like eating behavior, and BMI in adults: Exploring gender-specific pathways 感知压力、正念饮食、成瘾性饮食行为和成人体重指数之间的关系：探索性别特定途径

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101989

Yasemin Karaağaç, Canay Ceylan, Ezgi Bellikci-Koyu

This study primarily aimed to examine the relationship between perceived stress (PS) on addiction-like eating behavior (AEB), with a focus on the role of mindful eating (ME) in this relationship. The study also aimed to analyse the indirect impact of these relationships on body mass index (BMI) while exploring possible gender differences. This cross-sectional study utilized multigroup path analysis to test a hypothesized model, proposing that PS influences AEB both directly and indirectly through ME, and is also indirectly linked to BMI in a sample of 1626 adults. The multigroup analysis confirmed that the hypothesized model exhibited a good fit for both genders. The findings of the study demonstrated that PS had a significant and positive total and indirect effect on AEB through ME in both genders. Furthermore, multigroup path analyses revealed that there were no statistically significant differences in these path coefficients between females and males. While the direct effect of PS on AEB was only significant in females, the magnitude of this direct effect did not differ significantly between genders. In addition, AEB demonstrated a direct and positive association with BMI, and the indirect pathways from PS to BMI via ME and AEB were found to be significant in both genders. According to the model, ME is negatively associated with AEB and serves as a protective factor against the effects of PS on both AEB and BMI. Consequently, promoting ME may serve as a dual strategy to alleviate stress-induced maladaptive eating behaviors and mitigate weight-related adverse outcomes.

本研究主要旨在探讨感知压力（PS）与类成瘾饮食行为（AEB）之间的关系，并重点关注正念饮食（ME）在这一关系中的作用。该研究还旨在分析这些关系对身体质量指数（BMI）的间接影响，同时探索可能的性别差异。本横断面研究利用多组路径分析来检验假设模型，提出PS通过ME直接和间接影响AEB，并与1626名成年人的BMI间接相关。多组分析证实了假设模型对两性都很适合。本研究结果表明，PS通过ME对两性AEB均有显著的正向总效应和间接效应。此外，多组通径分析显示，这些通径系数在女性和男性之间没有统计学上的显著差异。虽然PS对AEB的直接影响仅在女性中显著，但这种直接影响的程度在性别之间没有显著差异。此外，AEB与BMI呈直接正相关，且经ME和AEB从PS到BMI的间接通路在两性中均具有显著性。根据该模型，ME与AEB呈负相关，是对抗PS对AEB和BMI影响的保护因素。因此，促进ME可以作为缓解压力引起的饮食不良行为和减轻体重相关不良后果的双重策略。

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引用次数: 0

Adverse childhood experiences, adult emotional eating, and the role of self-compassion 不良童年经历、成年情绪化进食与自我同情的作用

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101978

Asher E. Hong , Marny M. Ehmann , Christina Chwyl , Charlotte J. Hagerman

Adverse childhood experiences (ACEs) are risk factors for the development of a range of physical and mental health problems throughout the lifetime, including emotional eating. Though the negative effects of ACEs are well established, research on protective factors that may mitigate these effects is limited. Self-compassion, which involves treating oneself kindly during challenges, is linked to greater emotional resilience and better emotion regulation. This study examined if ACEs were associated with adult emotional eating and how self-compassion affected this relationship. Adult participants (N = 98) were recruited nationally and completed self-report measures as part of a larger study on self-compassion, distress tolerance, and health belief change. Participants who passed attention check questions and completed optional measures of ACEs and emotional eating were included in the current sample. ACE scores were dichotomized into high (≥4) and low (<4). Multiple linear regressions examined interactions between variables, and mediation analyses explored self-compassion's indirect effects on the ACEs-emotional eating relationship. When controlling for age and socioeconomic status, high ACEs predicted greater propensity for emotional eating. Contrary to hypotheses, self-compassion did not moderate the ACEs-emotional eating relationship, but lower levels of self-compassion emerged as a significant mediator. Findings suggest that higher ACEs may be related to greater adult emotional eating through reduced self-compassion. Results are limited by potential recall bias, reliance on self-report measures, and the cross-sectional nature of the study. Future work should test interventions that enhance self-compassion to reduce emotional eating in adults with ACEs.

不良的童年经历（ace）是一生中一系列身心健康问题发展的危险因素，包括情绪化饮食。虽然ace的负面影响是众所周知的，但对可能减轻这些影响的保护因素的研究是有限的。自我同情，包括在挑战中善待自己，与更强的情绪弹性和更好的情绪调节有关。这项研究调查了ace是否与成人情绪化进食有关，以及自我同情如何影响这种关系。在全国范围内招募了98名成年参与者，并完成了自我报告测量，作为一项关于自我同情、痛苦容忍和健康信念改变的更大研究的一部分。通过注意力检查问题并完成ace和情绪化饮食的可选测量的参与者包括在当前的样本中。ACE评分分为高（≥4分）和低（<；4分）。多元线性回归检验了变量间的交互作用，中介分析探讨了自我同情对ace -情绪性饮食关系的间接影响。当控制年龄和社会经济地位时，高ace预示着更大的情绪化进食倾向。与假设相反，自我同情并没有调节ace -情绪性饮食关系，但较低水平的自我同情成为显著的中介。研究结果表明，较高的ace可能与成年人通过减少自我同情而产生的更多情绪化进食有关。结果受到潜在的回忆偏倚、对自我报告测量的依赖以及研究的横断面性质的限制。未来的工作应该测试增强自我同情的干预措施，以减少成年ace患者的情绪性进食。

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引用次数: 0

Does the interpersonal model of binge eating function similarly across diverse ethnic groups? 暴饮暴食的人际关系模型在不同的种族群体中是否同样有效？

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101975

Neha J. Goel , Juan C. Hernández , Francesca Gomez , Kimberly Yu , Marisol Perez

Most eating disorder (ED) etiological models were developed based on symptom presentations experienced by White individuals. This cross-sectional study examined whether the interpersonal model of binge eating is applicable for ethnic minority emerging adults. Participants (N = 424; women: 65.8 %) were recruited via an online study in the United States (US). College students were: American Indian or Alaska Native (20.3 %), Asian (13.7 %), Black or African American (7.8 %), Other minority group (13.2 %), Spanish-origin or Hispanic/Latino (17.92 %), and White (26.42 %). One-fifth (22.9 %) of the sample reported moderately severe binge eating symptoms. Mediation and path invariance analyses explored whether interpersonal problems contributed to binge eating via negative affect, and whether relations differed between non-Hispanic, White and ethnic minority participants. Across the entire sample, interpersonal problems were significantly associated with negative affect and binge eating, and negative affect significantly contributed to binge eating (ps ≤ 0.001). Negative affect significantly mediated the pathway between interpersonal problems and binge eating (95 % CI = 1.05, 2.82). Multigroup results showed that the constrained model had superior fit based on AIC/BIC values and primary regression paths were invariant between models, indicating no significant differences between groups. Results suggest that the interpersonal model of binge eating may be a useful theoretical framework for understanding mechanisms of binge eating among minoritized college students, reiterating the importance of targeting interpersonal and mood symptoms in treatment. Future studies may consider testing associations prospectively and exploring specific types of interpersonal conflict and cultural moderators of this model for different ethnic groups within and beyond the US.

大多数饮食失调（ED）的病因模型是基于白人个体的症状表现而建立的。本横断面研究考察了暴饮暴食的人际关系模型是否适用于少数民族新兴成人。参与者(N = 424；女性：65.8%)是通过美国的在线研究招募的。大学生包括：美洲印第安人或阿拉斯加原住民（20.3%）、亚洲人（13.7%）、黑人或非裔美国人（7.8%）、其他少数民族（13.2%）、西班牙裔或西班牙裔/拉丁裔（17.92%）和白人（26.42%）。五分之一（22.9%）的样本报告了中度严重的暴食症状。调解和路径不变性分析探讨了人际问题是否通过负面影响导致暴饮暴食，以及非西班牙裔、白人和少数民族参与者之间的关系是否不同。在整个样本中，人际关系问题与消极情绪和暴饮暴食显著相关，消极情绪对暴饮暴食有显著贡献（ps≤0.001）。负性情绪在人际关系问题与暴食之间具有显著的中介作用（95% CI = 1.05, 2.82）。多组结果表明，基于AIC/BIC值的约束模型具有较好的拟合性，模型间的主回归路径不变，组间无显著差异。结果表明，暴食的人际模型可能是理解少数民族大学生暴食机制的一个有用的理论框架，重申了在治疗中针对人际和情绪症状的重要性。未来的研究可能会考虑前瞻性地测试关联，并探索该模型在美国国内外不同种族群体中的特定类型的人际冲突和文化调节因素。

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引用次数: 0

Validation of the food craving acceptance and action questionnaire (FAAQ) in pregnancy 妊娠期食物渴望接受与行动问卷的验证

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101974

Julia M. Hormes , C. Alix Timko

Food cravings are common during pregnancy and can trigger disordered eating behaviors, including binge and loss of control eating, which pose risks to maternal and fetal health. Assessing mechanisms underlying food cravings with theoretically informed and empirically validated measures is crucial for advancing research and clinical interventions that target cravings as predictors of disordered eating and its adverse sequelae during gestation. Pregnant individuals (n = 305) completed the ten-item Food Craving Acceptance and Action Questionnaire (FAAQ), a measure of acceptance of (factor 1) and willingness to experience cravings (factor 2), along with the Food Craving Questionnaire – Trait – reduced (FCQ-T-r), the Prenatal Eating Behaviors Screening Tool (PEBS), and Edinburgh Postnatal Depression Scale. Confirmatory factor analyses yielded poor fit for the original ten-item, two-factor structure of the FAAQ but excellent fit for the previously established seven-item, two-factor FAAQ-II (CFI = 0.96, RMSEA = 0.07, TLI = 0.94, with items 1, 3, and 6 removed). Internal consistency reliability was adequate for total (α = 0.68) and subscale scores (α = 0.76, 0.79). FAAQ-II scores correlated significantly with FCQ-T-r scores (r = −0.37 to −0.56, p < .001), supporting construct validity. FAAQ-II scores differentiated participants with versus without clinically significant disordered eating (PEBS ≥34, p < .001) and were significantly associated with pre-pregnancy body mass and mood symptoms. The FAAQ-II demonstrated robust psychometric properties in this sample, supporting its use in assessing acceptance of and willingness to experience food cravings during pregnancy.

对食物的渴望在孕期很常见，并可能引发饮食失调行为，包括暴饮暴食和饮食失控，从而对母体和胎儿的健康造成危害。用有理论依据和经验验证的方法来评估食物渴望的内在机制，对于推进针对渴望的研究和临床干预至关重要，因为渴望是妊娠期饮食紊乱及其不良后遗症的预测因素。孕妇（n = 305）完成了由十个项目组成的食物渴望接受和行动问卷（FAAQ），该问卷是对食物渴望的接受程度（因子1）和体验食物渴望的意愿（因子2）的测量，同时还完成了食物渴望问卷-特质-减少（FCQ-T-r）、产前饮食行为筛查工具（PEBS）和爱丁堡产后抑郁量表。确认性因素分析结果显示，FAAQ 原始的十项双因素结构拟合度较差，但与之前建立的七项双因素 FAAQ-II 的拟合度极佳（CFI = 0.96，RMSEA = 0.07，TLI = 0.94，删除了项目 1、3 和 6）。总分（α = 0.68）和分量表得分（α = 0.76、0.79）的内部一致性信度良好。FAAQ-II得分与FCQ-T-r得分显著相关（r = -0.37 to -0.56，p <.001），支持建构效度。FAAQ-II 评分可区分临床上是否存在明显的进食障碍（PEBS ≥34，p < .001），并且与孕前体重和情绪症状有明显关联。FAAQ-II 在该样本中表现出很强的心理测量特性，支持将其用于评估孕期对食物渴望的接受程度和意愿。

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引用次数: 0

Dimensions of perfectionism in subtypes of anorexia nervosa, atypical anorexia nervosa, and bulimia nervosa 神经性厌食症、非典型神经性厌食症和神经性贪食症亚型的完美主义维度

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101986

Kathryn E. Barber , Christina Ralph-Nearman , Madison A. Hooper , Sofie Glatt , Yuchen Han , Cheri A. Levinson

Objective

Perfectionism is implicated in the development and maintenance of eating disorders (EDs), yet its dimensions across ED diagnoses and behavioral presentations remain underexplored.

Method

This study examined differences in Personal Standards and Concern Over Mistakes, two subscales of the Frost Multidimensional Perfectionism Scale, among individuals with anorexia nervosa (AN), atypical anorexia nervosa (AAN), and bulimia nervosa (BN) and between restricting and binge-eating/purging behavioral presentations. Participants included 546 individuals (Mage = 30.1, 97 % female) meeting DSM-5 criteria for AN, AAN, or BN, with behavioral presentations categorized as restricting (AN/AAN-restricting; n = 260) or binge-eating/purging (BN and AN/AAN-binge-eating/purging; n = 286).

Results

Personal Standards were higher in AN and AAN compared to BN (ds = 0.38–0.42), but no differences emerged between AN and AAN. Similarly, restricting presentations had higher Personal Standards scores than binge-eating/purging presentations (d = 0.32). However, Concern Over Mistakes did not differ across diagnoses or behavioral presentations.

Discussion

These results highlight the nuances of perfectionism in EDs, extending prior work by comparing AN, AAN, and BN and behavioral presentations. Higher Personal Standards in restrictive EDs may suggest a tendency toward rigid goal-setting and high self-imposed standards, which may contribute to dietary restraint and strict self-control. The lack of differences in Concern Over Mistakes suggests the transdiagnostic relevance of self-critical perfectionism across EDs. These findings underscore the importance of considering both shared and distinct perfectionism dimensions to understand ED psychopathology and individual differences. Future studies should investigate the utility of dimension-specific perfectionism interventions for EDs.

完美主义与饮食失调（ED）的发展和维持有关，但其在ED诊断和行为表现中的维度仍未得到充分探讨。方法研究了Frost多维完美主义量表的个人标准和错误关注两个分量表在神经性厌食症（AN）、非典型神经性厌食症（AAN）和神经性暴食症（BN）患者中的差异，以及限制型和暴食型行为表现之间的差异。参与者包括546名符合DSM-5 AN、AAN或BN标准的个体（年龄为30.1,97%为女性），行为表现分为限制性(AN/AAN限制性；n = 260)或暴食/泻食(BN和AN/ aan -暴食/泻食；n = 286)。结果AN和AAN的个人标准高于BN (ds = 0.38 ~ 0.42)，但AN和AAN之间没有差异。同样，限制陈述比暴食/净化陈述具有更高的个人标准得分（d = 0.32）。然而，对错误的关注在诊断或行为表现上没有差异。这些结果突出了ed完美主义的细微差别，通过比较AN、AAN和BN和行为表现扩展了之前的工作。限制性急症患者较高的个人标准可能表明他们倾向于严格的目标设定和较高的自我强加标准，这可能有助于饮食限制和严格的自我控制。对错误的关注缺乏差异，这表明在ed中自我批评的完美主义具有跨诊断的相关性。这些发现强调了考虑共同和独特的完美主义维度对于理解ED精神病理和个体差异的重要性。未来的研究应探讨特定维度的完美主义干预对急症患者的效用。

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引用次数: 0

Comparing eating disorder examination questionnaire factor structures in veteran men and women 退伍军人男女饮食失调检查问卷因素结构比较

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101976

Patrycja Klimek-Johnson , Robin M. Masheb , Joy Huggins , Lindsay Munro , Sarah Siegel , Jennifer Snow , Shira Maguen

The present study aims to investigate the factor structure and measurement invariance by gender of the Eating Disorder Examination Questionnaire (EDE-Q)—a commonly used measure evaluating eating disorder symptom severity— in veterans. The present study used data from a 2022 survey study conducted with a nationally representative sample of 405 veterans. Competing factor structures based on prior literature were compared using confirmatory factor analyses (CFA). Multigroup CFA was used to evaluate measurement invariance among men and women (n = 401). None of the full-item factor structures, including the original four-factor model, were supported. A brief seven-item, first-order three-factor structure demonstrated best model fit and highest scale reliability. A bifactor model that included a general factor and three brief factors demonstrated adequate fit; however, factor loadings for two of the specific factors were low, and internal consistency of all three specific factors in this model was poor. Both the best-fitting first-order and the bifactor models demonstrated measurement invariance by gender. The present study strongly supports the use of a brief, seven-item three-factor EDE-Q with veterans. Moreover, there was some evidence for the appropriateness of a global score from the seven-item EDE-Q, although it may not fully capture eating disorder symptom severity in veterans. Further, the brief seven-item EDE-Q is appropriate for gender comparisons. The results of this study have important clinical and research implications for the use of the EDE-Q to evaluate eating disorder symptom severity in veteran men and women.

本研究旨在探讨退伍军人进食障碍症状严重程度评估量表《进食障碍检查问卷》（ed - q）的因素结构及其性别不变性。本研究使用的数据来自2022年的一项调查研究，该研究对全国代表性的405名退伍军人进行了调查。采用验证性因子分析（CFA）对基于先前文献的竞争因子结构进行比较。采用多组CFA来评估男性和女性的测量不变性（n = 401）。全项目因子结构，包括原来的四因素模型，都不被支持。一个简短的七项一阶三因子结构显示出最佳的模型拟合和最高的量表信度。包含一个一般因子和三个简短因子的双因子模型拟合良好；然而，两个特定因素的因子负荷较低，并且该模型中三个特定因素的内部一致性较差。最优拟合一阶模型和双因子模型均表现出不同性别的测量不变性。本研究强烈支持在退伍军人中使用简短的七项三因素ed - q。此外，有一些证据表明，从七个项目ed - q中得出的整体评分是适当的，尽管它可能不能完全反映退伍军人饮食失调症状的严重程度。此外，简短的七项ed - q适用于性别比较。本研究结果对使用ed - q评估退伍军人饮食失调症状严重程度具有重要的临床和研究意义。

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引用次数: 0

Examining the weight status criterion as a perpetuator of harm and racial/ethnic disparities in anorexia nervosa 检查体重状态标准作为神经性厌食症伤害和种族/民族差异的延续者

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101984

Yvette Karvay, Julia Yermash, Tatyana Bidopia, Natasha L. Burke

Anorexia Nervosa is distinguished from a similar - if not identical - disorder, atypical Anorexia Nervosa, based on weight status. Atypical Anorexia Nervosa is diagnosed when, “despite significant weight loss, [an] individual’s weight is within or above the normal range.” The current scholarly commentary grapples with the historical, biological, and psychosocial flaws inherently entangled in utilizing weight status (and its standardized metrics – i.e., Body Mass Index) as proxies for dietary restriction and health status. We briefly synthesize evidence suggesting that utilization of weight status to differentiate Anorexia Nervosa and Atypical Anorexia Nervosa perpetuates systemic and structural health inequities for individuals with marginalized racial and ethnic identities. This commentary aims to spark discussion on the lack of utility in maintaining two seemingly identical disorders at the cost of perpetuating harm toward historically marginalized groups.

根据体重状况，神经性厌食症与类似（如果不是完全相同）的非典型神经性厌食症有所区别。非典型神经性厌食症的诊断是，“尽管体重明显减轻，但个体的体重在正常范围内或高于正常范围。”目前的学术评论努力解决历史、生物和社会心理上的缺陷，这些缺陷固有地纠缠在使用体重状况（及其标准化指标——即身体质量指数）作为饮食限制和健康状况的代理中。我们简要地综合证据表明，利用体重状况来区分神经性厌食症和非典型神经性厌食症会使具有边缘种族和民族身份的个体持续存在系统性和结构性的健康不平等。这篇评论的目的是引发讨论，以对历史上处于边缘地位的群体造成长期伤害为代价，维持两种看似相同的疾病缺乏效用。

引用次数: 0