Eating behaviors最新文献_第8页

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

Eating disorders among an online sample of Canadian and American boys and men 在加拿大和美国的男孩和男人的在线样本饮食失调

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101980

Kyle T. Ganson , Deborah Mitchison , Rachel F. Rodgers , Stuart B. Murray , Alexander Testa , Jason M. Nagata

There is a continued need to identify the prevalence and sociodemographic correlates of eating disorders, particularly among the under-researched group of boys and men, to inform prevention and intervention efforts. Data from The Study of Boys and Men, a sample of 1553 boys and men aged between 15 and 35 years in Canada and the United States, were analyzed in 2024. Probable eating disorder diagnoses were identified using a previously established algorithm based on current diagnostic criteria. A multivariable logistic regression analysis was used to determine the sociodemographic correlates of meeting the criteria for any probable eating disorder diagnosis. The prevalence of meeting the criteria for any probable eating disorder diagnosis was 21.3 % (95 % confidence interval [CI] 18.7–24.1), while meeting criteria for a probable bulimia nervosa diagnosis had the highest prevalence (5.8 %, 95 % CI 4.6–7.1) and anorexia nervosa had the lowest prevalence (0.34 %, 95 % CI 0.1–0.8). Boys and men who identified as gay (adjusted odds ratio [AOR] 2.28, 95 % CI 1.35–3.85) or bisexual (AOR 2.22, 95 % CI 1.23–3.99) had higher odds of meeting criteria for any probable eating disorder diagnosis, compared to those who did not. Finally, boys and men who had a higher body mass index (BMI) (AOR 1.18, 95 % CI 1.14–1.23) had greater odds of meeting criteria for any probable eating disorder diagnosis. Findings add to the growing understanding of eating disorders among boys and men. Targeted and tailored prevention and intervention programming is needed for sexual minority boys and men, and those with higher BMIs.

仍然需要确定饮食失调的患病率和社会人口学相关性，特别是在研究不足的男孩和男性群体中，以便为预防和干预工作提供信息。2024年，研究人员分析了来自加拿大和美国1553名年龄在15至35岁之间的男孩和男人的数据。可能的饮食失调诊断是使用先前建立的基于当前诊断标准的算法确定的。采用多变量logistic回归分析来确定满足任何可能的饮食失调诊断标准的社会人口学相关性。符合任何可能的饮食失调诊断标准的患病率为21.3%(95%可信区间[CI] 18.7-24.1)，而符合可能的神经性贪食诊断标准的患病率最高（5.8%,95% CI 4.6-7.1），神经性厌食症的患病率最低（0.34%,95% CI 0.1-0.8）。男同性恋者（调整比值比[AOR] 2.28, 95% CI 1.35-3.85）或双性恋者（AOR 2.22, 95% CI 1.23-3.99）与非调整比值比者相比，符合任何可能的饮食失调诊断标准的几率更高。最后，身体质量指数（BMI）较高的男孩和男性（AOR 1.18, 95% CI 1.14-1.23）符合任何可能的饮食失调诊断标准的几率更大。研究结果进一步加深了人们对男孩和男性饮食失调的了解。针对性少数男孩和男性，以及那些bmi较高的人，需要有针对性和量身定制的预防和干预规划。

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引用次数: 0

Body image disorders: A new theoretical model supporting the reclassification 身体意象障碍：支持重新分类的新理论模型

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101988

Rafael Moreton Alves da Rocha , Nelson Hauck-Filho , Nathália Bonugli Caurin , Andrea Phillipou

The present study aims to test a new theoretical model for grouping Anorexia nervosa (AN), bulimia nervosa (BN), body dysmorphic disorder (BDD), and muscle dysmorphia (MD) as Body Image Disorders. In a sample composed of 579 individuals from the community, we used exploratory bifactor modeling to investigate the presence of a higher-order general component in these disorders and identify shared and unique components within each condition. Additionally, we explored the relationships between the assessment instruments' total scores and external variables to assess the distinctiveness of the factors in our model. Our findings indicate the existence of a common general factor encompassing body image disturbance across these disorders. Furthermore, the factor decomposition reveals distinct factors for BDD, MD, and AN/BN, supporting the notion that these are separate conditions despite their shared central element. Other commonalities and differentiation points between the disorders are also identified through decomposition analysis. The external correlations examined provide further support for the bifactor modeling findings. Our evidence supports the recommendation for reclassification of AN, BN, BDD, and MD as Body Image Disorders, which may enable a more precise theoretical understanding that emphases this central component of these conditions.

本研究旨在验证将神经性厌食症（AN）、神经性贪食症（BN）、身体畸形症（BDD）和肌肉畸形症（MD）归为身体形象障碍的新理论模型。在一个由来自社区的579个人组成的样本中，我们使用探索性双因素模型来研究这些疾病中存在的高阶一般成分，并确定每种疾病中共享和独特的成分。此外，我们探讨了评估工具的总分与外部变量之间的关系，以评估我们模型中因素的独特性。我们的研究结果表明，存在一个共同的一般因素，包括身体形象障碍在这些障碍。此外，因子分解揭示了BDD、MD和AN/BN的不同因子，支持了尽管它们共享中心元素，但它们是独立条件的概念。通过分解分析，还发现了疾病之间的其他共同点和不同点。研究的外部相关性为双因素建模结果提供了进一步的支持。我们的证据支持将AN， BN， BDD和MD重新分类为身体形象障碍的建议，这可能会使更精确的理论理解强调这些疾病的核心组成部分。

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引用次数: 0

Psychometric properties of the eating disorder examination questionnaire full-scale and short forms in Japanese female clinical and nonclinical samples 日本女性临床和非临床样本进食障碍检查问卷的全量表和短量表的心理测量特征

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101981

Yoshikatsu Nakai , Mitsuko Nakata , Kazuko Nin , Shun'ichi Noma , Satoshi Teramukai

Objective

This study aimed to provide an empirical foundation for selecting optimal models of the Eating Disorder Examination Questionnaire (EDE-Q) full-scale and short forms in Japanese female clinical and nonclinical populations.

Method

The sample comprised 526 female patients with eating disorders and 744 female controls. The analysis systematically compared psychometric properties, including factor structures, internal consistency, and discriminative capabilities across five full-scale models and three short-form models of the EDE-Q. Furthermore, factorial estimates were evaluated across diagnostic subgroups: anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED).

Results

Confirmatory factor analysis (CFA) did not support the proposed factor structure for any of the EDE-Q models, except for the 7-item (EDE-Q7) and 9-item (EDE-Q9) forms. The three-factor EDE-Q7 model, comprising dietary restraint, shape/weight overvaluation, and body dissatisfaction, was validated in the clinical sample but not in the nonclinical sample. Conversely, the four-factor EDE-Q9 model, comprising dietary restraint, shape/weight overvaluation, body dissatisfaction, and preoccupation, demonstrated structural validity across both clinical and nonclinical samples. CFA results indicated optimal model fit for the EDE-Q9 in the AN, BN, and BED groups, whereas for the EDE-Q7 in the BN and BED groups. Both short forms exhibited robust internal consistency and effectively differentiated between clinical and nonclinical samples.

Conclusions

The findings indicate that specific short forms of the EDE-Q offer viable alternatives in time-constrained settings, exhibiting more consistent structural validity compared to the full-scale version.

本研究旨在为日本女性临床和非临床人群选择饮食失调检查问卷（EDE-Q）全量表和简表的最佳模型提供经验基础。分析系统地比较了 EDE-Q 的心理测量特性，包括五个全量表模型和三个短表模型的因子结构、内部一致性和区分能力。此外，还对神经性厌食症（AN）、神经性贪食症（BN）和暴饮暴食症（BED）等诊断亚组的因子估计值进行了评估。结果除了 7 题项（EDE-Q7）和 9 题项（EDE-Q9）外，其他 EDE-Q 模型的确认性因子分析（CFA）均不支持所提出的因子结构。三因素 EDE-Q7 模型包括饮食限制、体形/体重高估和身体不满意，该模型在临床样本中得到验证，但在非临床样本中未得到验证。相反，由饮食节制、体形/体重高估、身体不满意和妄想组成的四因素 EDE-Q9 模型在临床和非临床样本中均表现出结构有效性。CFA结果表明，在AN、BN和BED组中，EDE-Q9的模型拟合度最佳，而在BN和BED组中，EDE-Q7的模型拟合度最佳。结论研究结果表明，在时间有限的情况下，特定的EDE-Q简表提供了可行的替代方法，与全量表版本相比，EDE-Q简表表现出更一致的结构效度。

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引用次数: 0

Cognitive inflexibility moderates the association between drive for muscularity and dysfunctional exercise in men 认知不灵活性缓和了男性对肌肉力量的驱动和功能失调运动之间的联系

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101985

McKenzie L. Miller , Christina M. Sanzari , Julia M. Hormes

Objective

Drive for muscularity, a concern with meeting societal standards for a highly muscular physique, is a rising concern among men. Dysfunctional exercise is associated with drive for muscularity and leads to a myriad of negative physical and psychosocial outcomes. Cognitive inflexibility, a difficulty adapting to changing circumstances, is a transdiagnostic mechanism across psychiatric conditions, including dysfunctional exercise. This study evaluated cognitive inflexibility as a moderator of the relationship between drive for muscularity and dysfunctional exercise in men.

Methods

Undergraduate men (n = 243, 53.5% White) completed self-report measures assessing drive for muscularity, dysfunctional exercise, and general and domain-specific cognitive inflexibility. Moderation analyses assessed whether cognitive inflexibility moderated the relationship between drive for muscularity and dysfunctional exercise.

Results

Cognitive inflexibility specific to food/exercise and weight/shape moderated the relationship between drive for muscularity behaviors and dysfunctional exercise (R² = 0.01, 0.03 respectively). General cognitive inflexibility did not moderate the relationship. Attitudes (r(237) = 0.25, p < .001) and behaviors (r(237) = 0.53, p < .001) related to a drive for muscularity were positively associated with dysfunctional exercise.

Conclusion

Results suggest that domain-specific cognitive inflexibility amplifies the risk of dysfunctional exercise in men with a high drive for muscularity. Findings suggest that interventions targeting cognitive inflexibility may help mitigate the risk of problematic exercise in this population.

对肌肉的追求，即对高肌肉体格的社会标准的关注，越来越受到男性的关注。功能失调的运动与肌肉的驱动有关，并导致无数负面的身体和心理后果。认知缺乏灵活性，即难以适应不断变化的环境，是一种跨精神疾病的跨诊断机制，包括功能失调的运动。本研究评估了认知不灵活性作为男性肌肉动力和功能障碍运动之间关系的调节因素。方法大学生男性（n = 243，白人53.5%）完成了自我报告测量，评估肌肉力量驱动、功能障碍运动、一般和特定领域认知不灵活性。适度分析评估了认知不灵活性是否调节了肌肉动力和功能障碍运动之间的关系。结果特定于食物/运动和体重/体型的认知不灵活性调节了肌肉行为驱动与功能障碍运动之间的关系（R2分别= 0.01,0.03）。一般的认知不灵活性并没有缓和这种关系。态度(r(237) = 0.25, p <；.001)和行为(r(237) = 0.53, p <；.001)与肌肉化驱动相关，与功能障碍运动呈正相关。结论：研究结果表明，特定领域的认知不灵活性增加了高肌肉动力男性运动功能障碍的风险。研究结果表明，针对认知不灵活性的干预措施可能有助于减轻这一人群中有问题的运动的风险。

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引用次数: 0

‘Harder to reach’ versus reaching harder: Exploring preferred dissemination pathways to a digital binge-eating intervention for adults with or at risk of food insecurity “更难接触”与“更难接触”：为有或面临粮食不安全风险的成年人探索数字暴饮暴食干预的首选传播途径

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-24 DOI: 10.1016/j.eatbeh.2025.101970

Isabel R. Rooper , Chidiebere Azubuike , Adrian Ortega , Graham C. Miller , Leah M. Parsons , Lindsay D. Lipman , Macarena Kruger , Rebecca L. Flynn , Basia Silverberg , Jennifer E. Wildes , Andrea K. Graham

Objective

Individuals from minoritized and under-resourced subpopulations, such as individuals with food insecurity, are sometimes considered “harder to reach.” Instead, tailored dissemination pathways may be required to reach them. We sought to learn how best to reach individuals with food insecurity seeking digital intervention for binge eating.

Method

As part of continued design work in two ongoing trials testing a digital intervention for binge eating, we conducted a secondary exploratory analysis of individuals' preferred dissemination channels, modes, and materials. We assessed individuals' preferences at baseline via a pre-intervention questionnaire. Adults (n = 90) with binge eating and food insecurity or at risk of food insecurity completed the questionnaire. We also compared their preferences to adults (n = 106) with binge eating and without food insecurity, and highlighted differences of p < 0.10.

Results

Individuals with or at risk of food insecurity preferred dissemination via community organizations and events, healthcare centers, fitness centers, and online sources, more than trusted sources (e.g., clinicians). They preferred websites over other dissemination modes (e.g., videos). They were most interested in useful promotional materials (e.g., grocery bags). Compared to those without food insecurity, individuals with or at risk of food insecurity were more interested in dissemination via community organizations and events, and less interested in dissemination through doctors.

Discussion

Findings indicate tailored dissemination strategies could improve reach to individuals with or at risk of food insecurity. This study is a first step toward better engaging this subpopulation. Future work should disseminate through the preferred channels, assess their reach, and iterate as needed.

来自少数群体和资源不足亚群体的个人，如粮食不安全的个人，有时被认为“更难接触到”。相反，可能需要量身定制的传播途径来接触他们。我们试图了解如何最好地接触到寻求暴饮暴食数字干预的粮食不安全个体。方法：作为两项正在进行的测试暴食数字化干预的持续设计工作的一部分，我们对个体偏好的传播渠道、模式和材料进行了二次探索性分析。我们通过干预前问卷在基线时评估个体的偏好。有暴饮暴食和食物不安全或有食物不安全风险的成年人（n = 90）完成了问卷。我们还比较了他们与暴饮暴食和没有食物不安全的成年人（n = 106）的偏好，并强调了p <；0.10.结果：有或有食品不安全风险的个人更倾向于通过社区组织和活动、医疗保健中心、健身中心和在线来源传播信息，而不是通过可信的来源（如临床医生）传播信息。与其他传播方式（如视频）相比，他们更喜欢网站。他们最感兴趣的是有用的宣传材料（例如，杂货袋）。与没有粮食不安全的人相比，有粮食不安全或面临粮食不安全风险的人对通过社区组织和活动进行传播更感兴趣，而对通过医生进行传播不太感兴趣。讨论结果表明，有针对性的传播策略可以提高对粮食不安全或面临粮食不安全风险的个人的覆盖面。这项研究是更好地吸引这一人群的第一步。未来的工作应通过首选渠道传播，评估其影响范围，并根据需要进行迭代。

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引用次数: 0

Eating behavior profiles in children following a 10-week lifestyle camp due to overweight/obesity and low quality of life: A latent profile analysis on eating behavior 超重/肥胖和低生活质量儿童在10周生活方式训练营后的饮食行为概况：对饮食行为的潜在概况分析

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-24 DOI: 10.1016/j.eatbeh.2025.101971

Dorthe Dalstrup Pauls , Loa Clausen , Jens Meldgaard Bruun

Lifestyle interventions are the preferred treatment option for childhood obesity, but the effectiveness varies among individuals, and not all children benefit from treatment which may be explained by different eating behavior profiles. This study aimed to identify eating behavior latent profiles in 7–14 year olds with overweight/obesity and low quality of life (QoL) referred to a 10-week multicomponent lifestyle camp, characterize the profiles, and explore treatment effect across profiles. In total, 174 children with overweight/obesity were included. At baseline, 10 and 52-weeks, participants answered questionnaires on eating behavior traits, QoL, and overeating (OE)/loss-of-control (LOC) eating, while anthropometry was measured. Latent profile analysis was performed to identify eating behavior profiles upon entering. A three-profile solution was identified: Low Food Approach (LFA) showing a low degree of Food Responsiveness (FR) and Emotional Overeating (EOE), Medium Food Approach (MFA) characterized with a moderate FR and EOE, and High Food Approach (HFA) showing the highest degree of FR and EOE. The HFA profile (42 %) was younger, had lowest QoL, and highest body mass index standard deviation score (BMI-SDS) compared to the remaining profiles. The HFA profile showed superior improvements in QoL and OE after 10-weeks, despite no differences in BMI-SDS changes between the profiles. Additionally, the HFA profile showed greater improvements in QoL after 52-weeks but continued to have the highest BMI-SDS. This study emphasizes the importance of personalized approaches in childhood obesity treatment, and identifying eating behavior profiles may be a simple tool for tailoring future intervention strategies.

生活方式干预是儿童肥胖的首选治疗方案，但效果因人而异，并不是所有儿童都能从治疗中受益，这可能是由不同的饮食行为特征来解释的。本研究旨在通过为期10周的多组分生活方式训练营，确定7-14岁超重/肥胖和低生活质量（QoL）儿童的饮食行为潜在特征，对这些特征进行表征，并探讨不同特征的治疗效果。总共包括174名超重/肥胖儿童。在基线，10周和52周，参与者回答了关于饮食行为特征，生活质量和暴饮暴食(OE)/失去控制（LOC）饮食的问卷，同时测量了人体测量。进行潜在特征分析以确定进入时的饮食行为特征。确定了三种解决方案：低食物方法（LFA）表现出低程度的食物反应（FR）和情绪性暴饮暴食（EOE），中等食物方法（MFA）表现出中等程度的FR和EOE，高食物方法（HFA）表现出最高程度的FR和EOE。与其他类型的患者相比，HFA组（42%）更年轻，生活质量最低，体重指数标准偏差评分（BMI-SDS）最高。10周后，尽管两组的BMI-SDS变化无差异，但HFA组的QoL和OE均有显著改善。此外，52周后，HFA谱显示生活质量有较大改善，但BMI-SDS仍然最高。这项研究强调了个性化方法在儿童肥胖治疗中的重要性，确定饮食行为概况可能是定制未来干预策略的简单工具。

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