Eating behaviors最新文献_第7页

Emergency medical reviews and medical admission transfers during psychiatric inpatient eating disorders unit treatment 精神科住院病人进食障碍治疗期间的紧急医疗检查和住院转院

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101979

Natalie Seiler , Benjamin Ziegeler , Natalie Sacco , Nardine Elzahaby , Karen Gwee

Objective

There is limited information regarding emergency medical reviews (EMRs) and medical admission transfers for psychiatric eating disorders inpatients. We aimed to describe (i) EMRs during psychiatric inpatient eating disorders treatment at the Eating Disorders Unit (EDU), Austin Hospital in Melbourne, Victoria, and (ii) medical admission transfers during EDU admissions.

Methods

Retrospective review of patient files was undertaken for inpatients aged 18–65 years with an eating disorder who resided within the Body Image & Eating Disorders Treatment & Recovery Service (BETRS) catchment area and were admitted to EDU between 01/01/21 to 30/10/23.

Results

Among 177 EDU admissions there were 33 EMRs and 17 medical transfers. On average, inpatients with EMRs or medical transfers were older with greater medical multimorbidity or polypharmacy, and a higher proportion of atypical anorexia nervosa and anorexia nervosa – binge/purge subtype. EMR indications included postural tachycardia, hypotension, sinus tachycardia, hypokalaemia, hypoglycaemia, altered conscious state, and chest pain. Medical admission indications included refeeding in the setting of vital sign derangement, intravenous potassium, vital sign derangement or falls attributed to antipsychotic use, infection, abdominal pain, and self-harm.

Conclusion

Early medical assessment and intensive monitoring are recommended for older patients with greater medical multimorbidity/polypharmacy, orthostasis, or higher risk of electrolyte instability. Caution should be undertaken regarding antipsychotic use in this vulnerable population.

目的关于精神性进食障碍住院患者的急诊医学回顾（emr）和住院转院的信息有限。我们的目的是描述(i)在维多利亚州墨尔本奥斯汀医院饮食失调科（EDU）的精神科住院患者饮食失调治疗期间的电子病历记录，以及（ii）在EDU入院期间的医疗转移。方法回顾性分析18-65岁的饮食失调住院患者的病历资料，这些患者居住在Body Image &；饮食失调治疗&；于21年1月1日至23年10月30日期间入院。结果177例急诊入院患者中有33例emr， 17例转院。平均而言，emr或转院的住院患者年龄较大，医疗多重疾病或多种药物较多，非典型神经性厌食症和神经性厌食症-暴食/清除亚型的比例较高。EMR适应症包括体位性心动过速、低血压、窦性心动过速、低钾血症、低血糖、意识状态改变和胸痛。入院指征包括生命体征紊乱、静脉输钾、生命体征紊乱或因使用抗精神病药物而跌倒、感染、腹痛和自残。结论对于医学多病/多药、直立性或电解质不稳定风险较高的老年患者，建议进行早期医学评估和强化监测。在这一脆弱人群中使用抗精神病药物应谨慎。

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引用次数: 0

Acculturative stress, body image ideals, body dissatisfaction, and eating pathology among Black, Asian, and Latina women 黑人、亚洲和拉丁裔女性的异文化压力、身体形象理想、身体不满和饮食病理

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101992

Taryn Henning , Drew M. Parton , Marisol Perez , An Pham , Ann F. Haynos , Suzanne E. Mazzeo

Background

Research supports the relation between acculturative stress and eating pathology across racially and ethnically diverse groups of women. However, relatively few studies have examined mechanisms of this link. The current study addressed these gaps by examining the potential roles of thin-, muscular-, and hourglass-ideal internalization and body dissatisfaction as mediators of the relation between acculturative stress and eating pathology among Asian, Black, and Latina women.

Methods

Adult women from across the United States (Asian N = 308; Black N = 389; Latina N = 234) completed measures of acculturative stress, body dissatisfaction, and eating pathology. Analyses investigated the direct and indirect roles of body image ideal internalization (thin-, muscular-, hourglass-) and body dissatisfaction as mediators of the relation between acculturative stress and eating pathology in each racial and ethnic group.

Results

Results identified a significant association between acculturative stress and eating pathology among all three groups of women (Asian, Black, and Latina). Also, across all groups, thin-, muscular-, and hourglass-ideal internalization mediated the relation between acculturative stress and eating pathology. Finally, body dissatisfaction mediated the relation between acculturative stress and eating pathology within the subsamples of Asian and Black women.

Conclusion

Interventions addressing eating disorder symptoms and body image could benefit from incorporating content related to acculturative stress and the impact of diverse body ideals, including thin, muscular, and hourglass, to enhance support for Black, Latina, and Asian women.

研究支持跨种族和多民族女性群体的文化适应压力和饮食病理之间的关系。然而，相对较少的研究检查了这种联系的机制。目前的研究通过检查亚洲、黑人和拉丁裔女性中瘦、肌肉和沙漏理想内化和身体不满作为异文化压力和饮食病理关系中介的潜在作用来解决这些差距。方法来自美国各地的成年女性(亚洲N = 308；黑色N = 389；Latina N = 234)完成了异文化压力、身体不满和饮食病理的测量。分析调查了身体形象理想内化（瘦型、肌肉型、沙漏型）和身体不满意作为跨文化压力和饮食病理之间关系的中介的直接和间接作用。结果发现，在所有三组女性（亚洲、黑人和拉丁裔）中，异文化压力和饮食病理之间存在显著关联。此外，在所有人群中，瘦型、肌肉型和沙漏型理想内化介导了异文化压力和饮食病理之间的关系。最后，在亚洲和黑人女性的亚样本中，身体不满介导了异文化压力和饮食病理之间的关系。结论针对饮食失调症状和身体形象的干预措施可以通过纳入与异文化压力相关的内容和不同身体理想的影响，包括瘦、肌肉和沙漏，以加强对黑人、拉丁裔和亚洲女性的支持。

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引用次数: 0

Ethnic identity, body appreciation, and intuitive eating in a national sample of U.S. adults 美国成年人的民族认同、身体欣赏和直觉性饮食

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101991

Mengyuan Xia , Jennifer A. Harriger , Khanh Bui , Loan P. Kim

Current research on eating behaviors and body image has shifted from an emphasis on disordered eating and body dissatisfaction to a broader approach that incorporates adaptive eating and positive body image. This study explored the direct relationships among body appreciation, intuitive eating, and ethnic identity in a representative sample of U.S. participants, while also examining whether ethnic identity moderated the link between body appreciation and intuitive eating. A total of 1018 U.S. adults were recruited through Qualtrics to complete an online survey. Zero-order Pearson correlations were used to analyze the direct relationships among the variables, and multiple regression was conducted to investigate the potential moderating role of ethnic identity. The findings revealed that higher levels of body appreciation were associated with greater intuitive eating, aligning with previous research and confirming this relationship within a representative U.S. sample. Furthermore, individuals with a stronger ethnic identity tended to have a slightly more positive body image and engage in intuitive eating. However, ethnic identity did not moderate the relationship between body appreciation and intuitive eating. These results highlight the importance of promoting body appreciation as a means to foster healthier eating behaviors across diverse groups. Future studies with larger and more diverse samples are needed to further examine how ethnic identity relates to body image and eating behaviors across different racial and ethnic groups. Despite its limitations, this research underscores the potential benefits of body appreciation in improving individuals' relationships with food, regardless of their background.

目前关于饮食行为和身体形象的研究已经从强调饮食失调和身体不满转向了一个更广泛的方法，包括适应性饮食和积极的身体形象。本研究在美国参与者的代表性样本中探讨了身体欣赏、直觉饮食和种族认同之间的直接关系，同时也研究了种族认同是否调节了身体欣赏和直觉饮食之间的联系。Qualtrics总共招募了1018名美国成年人来完成一项在线调查。采用零阶Pearson相关分析各变量之间的直接关系，并采用多元回归分析民族认同的调节作用。研究结果显示，对身体的欣赏程度越高，饮食的直觉性越强，这与之前的研究一致，并在一个有代表性的美国样本中证实了这一关系。此外，具有较强种族认同的个体往往具有更积极的身体形象，并从事直觉饮食。然而，种族认同并没有调节身体欣赏与直觉饮食之间的关系。这些结果强调了在不同群体中促进身体欣赏作为培养更健康饮食行为的一种手段的重要性。未来的研究需要更大、更多样化的样本，以进一步研究种族认同与不同种族和民族群体的身体形象和饮食行为之间的关系。尽管有其局限性，但这项研究强调了身体欣赏在改善个人与食物关系方面的潜在好处，而不管他们的背景如何。

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引用次数: 0

The role of hyper-palatable foods in energy intake measured using mobile food photography methodology 利用移动食品摄影方法测量超美味食品在能量摄入中的作用

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101983

Daiil Jun , Jeffrey M. Girard , Corby K. Martin , Tera L. Fazzino

Objective

Hyper-palatable foods (HPF) contain nutrient combinations that are hypothesized to maximize their rewarding effects during consumption. Due to their strong reinforcing properties, HPF are hypothesized to lead to greater energy intake within a meal. However, this premise has not been tested in free-living conditions. The current study examined the association between within-meal HPF intake and 1) measured energy intake and 2) self-reported overeating, assessed within eating occasions using smartphone-based food photography methodology.

Methods

A total of 29 participants reported food intake and eating experiences (N=345 total eating occasions) in real-time for 4 days using smartphone-based food photography methodology. HPF were identified using a standardized definition. Bayesian multilevel modeling was conducted to investigate the within-person effects of proportional calorie intake from HPF (%kcal from HPF) on total energy intake and subjective overeating. Pre-meal hunger and proportional energy intake from high energy dense (HED) foods were included as covariates.

Results

Results revealed that when participants consumed more %kcal from HPF than their average, they consumed greater total energy during eating occasions, even when controlling for pre-meal hunger and %kcal from HED foods (median β = 0.09, 95% HDI [0.02, 0.16], pd. = 99.56%). Additionally, consuming more %kcal from HPF than average was associated with greater eating despite feeling full, when controlling covariates (median β = 0.15, 95% HDI [-0.02, 0.34], pd = 96.45%).

Conclusions

The findings supported the premise that HPF themselves may yield greater energy intake and eating despite satiation, measured in real-time and free-living conditions.

目的超美味食物（HPF）含有营养组合，假设在食用过程中最大化其奖励效果。由于其强大的增强特性，高强度食物被假设会导致在一餐中摄入更多的能量。然而，这个前提还没有在自由生活的条件下得到检验。目前的研究调查了餐内高强度pf摄入与1)测量的能量摄入和2)自我报告的暴饮暴食之间的关系，使用基于智能手机的食物摄影方法在进食场合进行评估。方法29名参与者使用基于智能手机的食物摄影方法，在4天内实时报告食物摄入和饮食经历（N=345次进食）。使用标准化定义确定HPF。贝叶斯多层模型研究了从高强度食物中摄入的卡路里比例（从高强度食物中摄入的卡路里百分比）对总能量摄入和主观暴饮暴食的影响。餐前饥饿感和高能量密度（HED）食物的比例能量摄入作为协变量。结果显示，当参与者从高热量食物中摄入的%kcal高于平均水平时，即使在控制餐前饥饿感和从高热量食物中摄入的%kcal时，他们在进食时消耗的总能量也更高（中位数β = 0.09, 95% HDI [0.02, 0.16], pd）。= 99.56%)。此外，当控制协变量（中位数β = 0.15, 95% HDI [-0.02, 0.34], pd = 96.45%）时，从HPF中摄入的卡路里比平均水平多%与更大的进食量相关。研究结果支持了这样一个前提，即在实时和自由生活条件下，HPF本身可能会产生更多的能量摄入和进食，尽管有饱腹感。

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引用次数: 0

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