Eating behaviors最新文献_第9页

Navigating body image flexibility: Psy-Flex scale for body image and its utility in differentiating severity levels of disordered eating and body dysmorphia symptomatology 导航身体形象的灵活性：身体形象的psyf - flex量表及其在区分饮食失调和身体畸形症状的严重程度方面的效用

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-19 DOI: 10.1016/j.eatbeh.2025.101969

Maria Coimbra , Marina Cunha , Ana Ganho-Ávila , Cláudia Ferreira

Body image flexibility concerns the willingness to tolerate undesirable body-related experiences, while remaining committed to valued goals and actions, and plays an important role in the development and maintenance of the body and eating-related disorders. However, the known limitations of current assessment measures represent a major barrier to the adequate study of this construct. Recently, a novel brief psychological flexibility measure was successfully developed (Psy-Flex). The present study aimed to adapt and validate the Psy-Flex for Body Image (Psy-Flex-BI) and to explore its psychometric properties. Additionally, we aimed to support this scale as an important tool in the fields of disordered eating and body dysmorphia, by testing its ability to differentiate the severity levels of these symptoms in the general population. The study comprised 1031 participants who completed online questionnaires. The Psy-Flex-BI (6 items) was successfully adapted, and the one-dimensional factorial structure of the scale was confirmed. The scale presented robust psychometric properties, including a Cronbach's alpha of 0.89, and was invariant across sex. It also correlated in expected directions and strengths with similar constructs and maladaptive psychological indicators. Finally, Psy-flex-BI scores successfully corresponded to distinctive disordered eating and body dysmorphia symptomatology severity levels, presenting two distinct patterns supported by the literature. This data supports the scale's screening potential. Indeed, the Psy-Flex-BI is a brief and sound measure of body image flexibility, encompassing the six core ACT dimensions, and can differentiate the severity of eating and body dysmorphia symptoms in the general population.

身体形象灵活性指的是容忍不良身体相关体验的意愿，同时继续致力于有价值的目标和行动，在身体和饮食相关疾病的发展和维持中起着重要作用。然而，目前评估措施的已知局限性是对这一结构进行充分研究的主要障碍。近年来，一种新型的心理弹性测量方法（psyf - flex）被成功开发出来。本研究旨在适应和验证心理- flex身体形象（Psy-Flex- bi），并探讨其心理测量特性。此外，我们旨在通过测试该量表在普通人群中区分这些症状严重程度的能力，支持该量表作为饮食失调和身体畸形领域的重要工具。这项研究包括1031名参与者，他们完成了在线问卷调查。psyp - flex - bi（6个条目）被成功改编，并确定了量表的一维析因结构。该量表显示出强大的心理测量特性，包括Cronbach's alpha为0.89，并且在性别上是不变的。期望方向和强度与相似构念和适应不良心理指标也存在相关。最后，Psy-flex-BI评分成功对应了独特的饮食失调和身体畸形症状严重程度，呈现出文献支持的两种不同模式。这一数据支持了该量表的筛查潜力。事实上，Psy-Flex-BI是一个简单而合理的身体形象灵活性测量，包括六个核心ACT维度，可以区分一般人群饮食和身体畸形症状的严重程度。

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引用次数: 0

Coping strategies adopted when faced with stress and eating disorders: A systematic review 面对压力和饮食失调时采取的应对策略：系统回顾

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-17 DOI: 10.1016/j.eatbeh.2025.101966

Carmen Jiménez-Padilla, Antonio J. Vázquez Morejón, Samuel Arias-Sánchez

Eating disorders (EDs) are a group of disorders characterized by altered eating behaviors and/or the emergence of behaviors pertaining to weight control. Some studies report a relationship between coping strategies adopted in the face of stress and EDs. However, the latest review on this topic was carried out in 2008 by Quiles & Terol. A systematic review of studies that have investigated the relationship between coping strategies and EDs in clinical (anorexia nervosa, bulimia nervosa, or binge eating disorder) and non-clinical populations, aged 12–25 years has been conducted. Articles in English and Spanish were selected from Web of Science and Psycinfo databases in the last 15 years. Eighteen articles were finally included in the review. The results show a higher use of negative, avoidant, and emotion-focused coping strategies in populations with eating disorders or with high scores on questionnaires; additionally, results uncovered a higher use of positive coping strategies in populations without eating disorders or with low scores on questionnaires measuring ED symptomatology.

饮食失调（EDs）是一组以改变饮食行为和/或出现与体重控制有关的行为为特征的疾病。一些研究报告了在面对压力时所采取的应对策略与ed之间的关系。然而，关于这一主题的最新综述是在2008年由Quiles &；Terol。对临床（神经性厌食症、神经性贪食症或暴食症）和非临床人群（12-25岁）应对策略与EDs之间关系的研究进行了系统回顾。英语和西班牙语的文章选自Web of Science和Psycinfo数据库中过去15年的文章。18篇文章最终被纳入综述。结果显示，在饮食失调或问卷得分高的人群中，消极、回避和情绪聚焦应对策略的使用频率更高；此外，研究结果还发现，在没有饮食失调或ED症状调查问卷得分较低的人群中，积极应对策略的使用率更高。

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引用次数: 0

Still waiting: referral patterns, delays, and key factors in accessing specialized eating disorder treatment in an Italian cohort 仍在等待：转诊模式，延迟，以及在意大利队列中获得专业饮食失调治疗的关键因素

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-17 DOI: 10.1016/j.eatbeh.2025.101968

Silvia Tempia Valenta , Federica Marcolini , Miriam Scalise , Marco Verrastro , Michele Rugo , Fabio Panariello , Diana De Ronchi , Anna Rita Atti

Background

Eating disorders (EDs) are prevalent psychopathological conditions with significant psycho-physical consequences. Despite advances in diagnostic tools and treatment approaches, many patients experience barriers to accessing specialized ED care (SEDC). This study aimed to (1) examine the timeline of the care pathway from symptom onset to referral to a regional SEDC; (2) assess the association between referral to SEDC and factors such as the initial healthcare provider and clinical symptoms; and (3) investigate the relationship between the care pathway and clinical severity at the time of referral.

Methods

This study analyzed data from 174 patients accessing the SEDC in Bologna, Italy, between 2022 and 2024. Chi-square tests and Kendall Tau correlations were used to assess the associations between referral patterns, healthcare professionals, symptom severity, and healthcare contacts prior to referral.

Results

On average, participants took 26.3 months from symptom onset to seek help and 53.7 months before reaching the SEDC. General practitioners and psychiatric services had higher referral rates to SEDC. Weight loss and amenorrhea were positively associated with referrals, while depressed mood and fear of weight gain showed negative associations. No significant link was found between the care pathway and clinical severity at the time of referral.

Conclusion

Referral to SEDC is associated with the type of healthcare provider initially consulted and the presence of specific symptoms, particularly weight loss and amenorrhea. These findings highlight the importance of enhancing awareness among frontline healthcare providers to promote earlier recognition and referral of ED cases.

背景：进食障碍（EDs）是一种普遍存在的精神病理状况，具有显著的心理生理后果。尽管诊断工具和治疗方法取得了进步，但许多患者在获得专门的ED护理（SEDC）方面遇到了障碍。本研究旨在(1)检查从症状出现到转诊到区域SEDC的护理路径时间表；(2)评估转诊到SEDC与初始医疗服务提供者和临床症状等因素之间的关系；(3)探讨转诊时护理路径与临床严重程度的关系。方法：本研究分析了2022年至2024年间意大利博洛尼亚SEDC的174名患者的数据。使用卡方检验和Kendall Tau相关性来评估转诊模式、医疗保健专业人员、症状严重程度和转诊前医疗保健接触者之间的关联。结果参与者从症状出现到寻求帮助平均耗时26.3个月，到达SEDC平均耗时53.7个月。全科医生和精神科医生的转介率较高。体重减轻和闭经与转诊呈正相关，而情绪低落和担心体重增加则呈负相关。在转诊时，护理途径和临床严重程度之间没有发现明显的联系。结论：转诊至SEDC与最初咨询的医疗保健提供者类型和特定症状的存在有关，特别是体重减轻和闭经。这些发现强调了提高一线医护人员的认识，以促进早期识别和转诊ED病例的重要性。

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引用次数: 0

Adopting vegetarian and vegan eating patterns: Associations with disordered eating behaviors among young adult college students 采用素食和纯素饮食模式：与年轻成年大学生饮食失调行为的关系

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-17 DOI: 10.1016/j.eatbeh.2025.101967

Meg G. Salvia , Manu Onteeru , Sarah K. Lipson , Paula A. Quatromoni

Introduction

Vegan and vegetarian diets are increasingly popular, though there is concern that disordered eating can drive, emerge, or intensify from the choice to adopt dietary restrictions.

Objective

We sought to ascertain whether disordered eating or weight-control behaviors are associated with newly adopting a vegetarian/vegan diet during college and to assess symptom awareness and treatment utilization.

Methods

Data came from 11,503 students in the Healthy Minds Study spanning 2015–2021. We examined associations between (i) the SCOFF eating disorder screener and (ii) symptom-specific items from the Eating Disorder Examination Questionnaire, and recent adoption of a vegan/vegetarian diet. Participants' knowledge of eating disorder symptoms and experiences with treatment utilization were also assessed.

Results

Five-hundred thirty-two participants (∼5 %) reported adopting a vegan/vegetarian diet. Compared to students who did not change eating patterns, those who adopted vegetarianism/veganism had higher past-month prevalence of binge eating (25 % vs, 16 %), compulsive exercise (18 % vs. 9 %), and fasting (12 % vs. 8 %). Each behavior was significantly associated with greater odds of having recently adopted a vegetarian/vegan diet. A positive SCOFF screen (2+ items) was associated with 1.79-times (95 % CI: 1.48, 2.16) greater odds of newly adopting a vegetarian/vegan diet. There were no observed differences between groups with respect to knowledge of eating disorder symptoms or treatment-seeking attitudes and behaviors.

Discussion

Disordered eating or weight-control behaviors were prevalent in this population of young adults and were associated with adopting a vegetarian/vegan diet, though awareness and help-seeking were not elevated among those with higher eating disorder risk.

素食主义者和素食主义者的饮食越来越受欢迎，尽管有人担心饮食失调会导致、出现或加剧饮食限制的选择。目的：我们试图确定饮食失调或体重控制行为是否与大学期间新采用素食/纯素饮食有关，并评估症状意识和治疗利用情况。数据来自2015-2021年健康心理研究中的11,503名学生。我们研究了(i) SCOFF饮食失调筛查和（ii）饮食失调检查问卷中的症状特异性项目与最近采用纯素/素食饮食之间的关联。参与者的饮食失调症状的知识和经验的治疗利用也进行了评估。结果532名参与者（约5%）报告采用纯素/素食饮食。与没有改变饮食模式的学生相比，那些采用素食主义/纯素食主义的学生在过去一个月里暴食（25%对16%）、强迫运动（18%对9%）和禁食（12%对8%）的患病率更高。每一种行为都与最近采用素食/纯素饮食的可能性显著相关。SCOFF筛查阳性（2+项）与新采用素食/纯素食饮食的几率增加1.79倍（95% CI: 1.48, 2.16）相关。在饮食失调症状的知识或寻求治疗的态度和行为方面，各组之间没有观察到差异。饮食失调或体重控制行为在这群年轻人中很普遍，并且与采用素食/纯素饮食有关，尽管在饮食失调风险较高的人群中，意识和寻求帮助的程度没有提高。

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引用次数: 0

Negative emotion differentiation, but not gastric interoception, is linked to “feeling fat” among women with elevated eating pathology 负面情绪分化，而不是胃内感受，与进食病理升高的女性“感觉肥胖”有关

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-12 DOI: 10.1016/j.eatbeh.2025.101964

Naomi G. Hill, K. Jean Forney

“Feeling fat” is the subjective sensation of being overweight, which is not fully explained by one's body weight. Disruptions in emotion differentiation and gastric interoception may contribute to feeling fat. We hypothesized that poor negative emotion differentiation and poor gastric interoceptive accuracy would each be associated with higher levels of feeling fat after adjusting for negative affect intensity and body fat percentage. Cisgender female university students (N = 69; M(SD) age = 20.3(3.7), 60.9 % heterosexual, 91.3 % white) completed questionnaires and the two-step water load test. Regression analyses, which adjusted for negative affect intensity and body fat percentage, found that neither negative emotion differentiation (B < 0.001, p = .52) nor gastric interoceptive accuracy (B = 0.01, p = .97) were related to feeling fat. Post hoc, eating pathology severity moderated the relationship between negative emotion differentiation and feeling fat (B = −6.97, p = .03); poorer negative emotion differentiation was associated with greater feeling fat for those with Eating Disorder Examination Questionnaire Global Scores above 1.47 (B = −5.79, p = .050). The relationship between gastric interoception and feeling fat did not vary by eating pathology severity (B = −0.04, p = .79). Self-reported feeling full also contributed to feeling fat after consuming water to perceived maximum fullness (p < .001); however, changes in feeling full were not associated with changes in feeling fat across the task (p = .09). Poorer negative emotion differentiation is associated with feeling fat for those with elevated eating pathology. Individuals with elevated eating pathology may benefit from improving their ability to label and understand emotions to reduce feeling fat. Future research should test whether changes in feeling full cause feeling fat.

“感觉胖”是超重的主观感觉，不能完全用体重来解释。情绪分化和胃内感受的中断可能导致感觉肥胖。我们假设，在调整负面情绪强度和体脂率后，不良的负面情绪分化和不良的胃内感受准确性都与较高的感觉肥胖水平有关。顺性别女大学生(N = 69；M（SD）年龄= 20.3(3.7)，异性恋60.9%，白人91.3%)完成问卷调查和两步水负荷测试。对负面情绪强度和体脂率进行调整的回归分析发现，负面情绪分化(B <；0.001, p = 0.52)与胃内感受准确度（B = 0.01, p = 0.97）无关。事后，进食病理严重程度调节了负性情绪分化与感觉肥胖的关系（B = - 6.97, p = .03）；对于饮食失调检查问卷整体得分高于1.47的患者，较差的负面情绪分化与更大的肥胖感相关（B = - 5.79, p = 0.050）。胃内感受与感觉肥胖之间的关系不因进食病理严重程度而变化（B = - 0.04, p = .79）。自我报告的饱腹感也有助于在喝水到最大饱腹感后感到肥胖(p <；措施);然而，在整个任务中，饱腹感的变化与感觉肥胖的变化无关（p = .09）。对于那些饮食病理升高的人来说，较差的负面情绪分化与感觉肥胖有关。饮食病理升高的个体可能会受益于提高他们标记和理解情绪的能力，以减少感觉肥胖。未来的研究应该测试饱腹感的变化是否会导致肥胖。

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引用次数: 0

Psychological factors associated with binge eating among women with infertility 不孕妇女暴食的相关心理因素

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-10 DOI: 10.1016/j.eatbeh.2025.101965

Erin N. Haley , Alyssa M. Vanderziel , Amy M. Loree , Kaitlyn M. Vagnini , Genevieve E.M. Joseph-Mofford , Leah M. Hecht , Lisa R. Miller-Matero

Eating disorder pathology, including binge eating, is highly prevalent among women diagnosed with infertility. Binge eating has a range of consequences that may undermine fertility outcomes, yet population-specific risk and protective factors are unknown. Identifying factors associated with binge eating among this unique population may inform more sensitive and effective prevention and intervention efforts. In this cross-sectional observational study, women diagnosed with infertility completed validated self-report measures of psychiatric symptoms, eating disorder pathology, overvaluation of shape and weight (OSW), infertility distress, infertility acceptance, and trait mindfulness. Mann-Whitney U tests and two-part zero-inflated Poisson regression analyses were performed to identify associations between these factors and the presence and frequency of binge eating. In our sample (N = 188), 39.4 % endorsed recent binge eating (n = 74). These participants reported higher symptoms of anxiety (p < .001), depression (p < .001), OSW (p < .001), dietary restraint (p < .001), body mass index (<0.001), and lower mindfulness (p = .003) relative to those who denied binge eating. There were no group differences in infertility distress or acceptance. In a two-part zero-inflated Poisson regression model, higher OSW was the only factor significantly independently associated with higher odds of binge eating, whereas increased depression severity was significantly independently associated with greater binge eating frequency. Ultimately, OSW and depression may be particularly important treatment targets for women with infertility engaging in binge eating, above and beyond related psychological risk factors. Implications for future research and clinical practice are discussed.

饮食失调病理，包括暴饮暴食，在诊断为不孕症的女性中非常普遍。暴饮暴食有一系列可能破坏生育结果的后果，但特定人群的风险和保护因素尚不清楚。在这一独特人群中确定与暴饮暴食相关的因素可能会为更敏感和有效的预防和干预工作提供信息。在这项横断面观察性研究中，诊断为不孕症的妇女完成了精神症状、饮食失调病理、身材和体重高估（OSW）、不孕症困扰、不孕症接受和特质正念的有效自我报告测量。进行了Mann-Whitney U检验和两部分零膨胀泊松回归分析，以确定这些因素与暴饮暴食的存在和频率之间的关联。在我们的样本（N = 188）中，39.4%的人支持最近的暴食（N = 74）。这些参与者报告了更高的焦虑症状(p <；.001)，抑郁(p <；.001), OSW (p <；.001)，饮食限制(p <；.001)，体重指数（<0.001），以及相对于否认暴食的人更低的正念（p = .003）。在不孕症的痛苦和接受程度上没有组间差异。在两部分零膨胀泊松回归模型中，较高的OSW是唯一与暴饮暴食几率显著独立相关的因素，而抑郁症严重程度的增加与暴饮暴食频率显著独立相关。最终，OSW和抑郁症可能是特别重要的治疗目标，对于不孕妇女参与暴食，超过相关的心理风险因素。讨论了对未来研究和临床实践的启示。

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引用次数: 0

Exploring clinical phenotypes of food addiction and its distress correlates: A cross-sectional evaluation in treatment-seeking individuals with obesity 探索食物成瘾及其痛苦相关的临床表型：肥胖症寻求治疗个体的横断面评估

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-04 DOI: 10.1016/j.eatbeh.2025.101961

Fausta Micanti , Claudio Caiazza , Luigi Franzese , Michele D'Ambrosio , Niccolò Solini , Felice Iasevoli , Michele Fornaro , Andrea de Bartolomeis , Vito Rago

Introduction

Food addiction (FA) shares neurobiological and behavioral mechanisms with substance use disorders, including craving and compulsive consumption despite harm and significant impairment. This study examines the prevalence of FA among treatment-seeking individuals with obesity, focusing on the contribution of emotional dysregulation, eating behaviors, and distress tolerance, to draw parallels with substance use frameworks.

Methods

This cross-sectional study included 125 individuals with obesity (BMI > 30 kg/m²) and FA diagnosis was performed using the Yale Food Addiction Scale 2.0 (YFAS-2.0). We employed the Difficulties in Emotional Regulation Scale (DERS), Distress Tolerance Scale (DTS), Interpersonal Reactivity Index (IRI) to evaluate emotional, empathy and distress measures, and performed an Exploratory Factory Analysis to evaluate the adequacy of DTS and IRI. We used LASSO regression to identify FA predictors, mediation analysis to explore indirect effects among significant variables and FA.

Results

FA was present in 37.6 % of participants, with higher prevalence among individuals with binge eating (68.4%) and grazing (54.8 %). DERS was higher in individuals with FA (MD = 25.79; 95 % C.I. [18.45, 33.13], p < .01), while distress tolerance was lower (MD = −7.15, 95 % C.I. [−10.5, −3.84], p < .01). LASSO regression identified pathological eating behaviors as the strongest predictors of FA, alongside emotional dysregulation. Mediation analysis revealed that emotional dysregulation mediated the relationship between distress tolerance and FA.

Discussion

FA represents a frequent phenomenon in obesity, often driven by low distress tolerance and poor emotional regulation, mirroring other addictions. Pathological eating behaviors may represent different phenotypic expressions of FA. Considering the relevant psychological underpinning, integrating tailored psychological interventions into obesity management may promote sustained weight management and improved outcomes.

食物成瘾（FA）与物质使用障碍（包括渴望和强迫性消费）具有相同的神经生物学和行为机制，尽管存在危害和重大损害。本研究调查了寻求治疗的肥胖患者中FA的患病率，重点关注情绪失调、饮食行为和痛苦耐受性的贡献，并将其与药物使用框架进行比较。方法本横断面研究纳入125例肥胖(BMI >；30 kg/m2)，采用耶鲁食物成瘾量表2.0 （YFAS-2.0）进行FA诊断。采用情绪调节困难量表（DERS）、痛苦容忍量表（DTS）、人际反应指数（IRI）对被试的情绪、共情和痛苦措施进行评估，并通过探索性工厂分析对DTS和IRI的充分性进行评估。我们使用LASSO回归来确定FA的预测因子，中介分析来探索显著变量与FA之间的间接影响。结果37.6%的参与者存在fa，其中暴饮暴食（68.4%）和放牧（54.8%）的人群患病率更高。FA患者的DERS较高(MD = 25.79；95% C.I. [18.45, 33.13], p <；.01)，而痛苦承受能力较低(MD = - 7.15, 95% C.I. [- 10.5, - 3.84], p <；. 01)。LASSO回归发现病理性饮食行为与情绪失调一起是FA的最强预测因子。中介分析显示，情绪失调在痛苦耐受与FA之间起中介作用。fa在肥胖中是一种常见的现象，通常是由较低的痛苦耐受性和较差的情绪调节引起的，反映了其他成瘾。病理进食行为可能代表FA的不同表型表达。考虑到相关的心理学基础，将量身定制的心理干预纳入肥胖管理可能会促进持续的体重管理和改善结果。

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引用次数: 0

Beyond the screen: The relationships between online activities and eating disorder risk 屏幕之外：网络活动与饮食失调风险之间的关系

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-03-03 DOI: 10.1016/j.eatbeh.2025.101963

Xinfang Ding

This study explores the associations between online activities and eating disorder (ED) risk. Seven types of online activities were investigated: the usage of calorie counting and fitness apps, dating apps, social networking sites (SNS), engagement in online games, exposure to pro-ED content, cyberbullying victimization, and mukbang. A sample of 404 participants (257 females, 147 males) aged 18–48 were recruited via a Chinese online survey platform. Latent profile analysis (LPA) identified patterns of online activity, and multiple linear regression assessed the relationship between these activities and ED risk. The results showed that three distinct online activity profiles emerged: Low Risk Group, Moderate Risk Group, and High Risk Group, comprising 63.12 %, 29.70 %, and 7.18 % of the sample, respectively. The Low Risk Group exhibited the lowest ED risk and significantly lower engagement in all ED-related online activities except for social media use, compared to the other groups. The Moderate Risk Group showed a moderate level of ED risk; it did not differ significantly from the High Risk Group in most online activities, but it had higher social media use and lower rates of cyberbullying victimization. Regression analysis indicated that social media use, pro-ED content exposure, and cyberbullying victimization were significantly associated with ED risk, accounting for 43.9 % of the variance. These findings indicate that different patterns of online activity are associated with varying ED risks, and the combination of social media use and cyberbullying victimization, rather than each factor alone, appears to be correlated with higher ED risk.

这项研究探讨了网络活动与饮食失调（ED）风险之间的关系。调查了七种类型的在线活动：使用卡路里计算和健身应用程序、约会应用程序、社交网站（SNS）、参与在线游戏、接触亲ed内容、网络欺凌受害和mukbang。通过中国在线调查平台招募了404名参与者（257名女性，147名男性），年龄在18-48岁之间。潜在剖面分析（LPA）确定了在线活动模式，多元线性回归评估了这些活动与ED风险之间的关系。结果显示，出现了三种不同的在线活动概况：低风险组，中等风险组和高风险组，分别占样本的63.12%，29.70%和7.18%。与其他组相比，低风险组表现出最低的ED风险，除社交媒体使用外，所有与ED相关的在线活动的参与度都明显较低。中度风险组ED风险中等；在大多数网络活动中，这一群体与高风险群体没有显著差异，但他们使用社交媒体的频率更高，遭受网络欺凌的比例更低。回归分析显示，社交媒体使用、亲ED内容曝光和网络欺凌受害与ED风险显著相关，占方差的43.9%。这些发现表明，不同的在线活动模式与不同的ED风险相关，社交媒体使用和网络欺凌受害的结合，而不是单独的因素，似乎与更高的ED风险相关。

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引用次数: 0

Implicit approach-avoidance bias for body and food-related stimuli among individuals with anorexia nervosa in partial remission 部分缓解期神经性厌食症患者对身体和食物相关刺激的内隐趋近回避偏向

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-02-28 DOI: 10.1016/j.eatbeh.2025.101962

Caroline Christian, Chloe M. Hudson, Victoria E. Bell, Andrea B. Goldschmidt

Objective

Partial remission from anorexia nervosa (AN) is an understudied stage of illness, during which individuals experience improvements in behavioral/physical symptoms, but continue to experience cognitive/affective symptoms. Studying factors that may be related to recovery vs. relapse during partial remission is important given the relatively low rates of full remission in AN. Fear and avoidance of eating disorder-related stimuli are important maintaining factors in AN and require evaluation during this stage of remission.

Methods

The current exploratory study (N = 35 individuals with AN in partial remission) investigates implicit approach-avoidance bias for food and body stimuli using a computer-based, behavioral task.

Results

Participants on average had an avoidance bias for larger bodies, an approach bias for smaller bodies, and an avoidance bias for lower calorie foods.

Discussion

These findings suggest that implicit avoidance bias for larger bodies, but not higher-calorie foods, may be present during partial remission from AN. These results are consistent with current treatment models of AN, which prioritize behavioral and nutritional rehabilitation first, and persistent body image preoccupations later in treatment. Pending future research, step-down care and relapse prevention for AN during partial remission may benefit from targeting these body-related fear and avoidance biases.

神经性厌食症（AN）的部分缓解是一个尚未得到充分研究的疾病阶段，在此期间，个体经历行为/身体症状的改善，但继续经历认知/情感症状。考虑到AN的完全缓解率相对较低，研究可能与部分缓解期间恢复与复发相关的因素是很重要的。对饮食失调相关刺激的恐惧和回避是AN的重要维持因素，需要在缓解阶段进行评估。方法目前的探索性研究（N = 35名AN部分缓解的个体）使用基于计算机的行为任务调查了对食物和身体刺激的内隐回避偏见。结果平均而言，参与者对较大的身体有回避偏见，对较小的身体有接近偏见，对低热量食物有回避偏见。这些发现表明，在AN的部分缓解期间，可能存在对体型较大而不是高热量食物的隐性回避偏见。这些结果与目前的AN治疗模式一致，即优先考虑行为和营养康复，然后在治疗中持续关注身体形象。在未来的研究中，针对这些与身体相关的恐惧和回避偏见，AN部分缓解期间的逐步护理和复发预防可能会受益。

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引用次数: 0

Preventing weight gain in adults who emotionally eat: An open pilot 防止情绪化进食的成年人体重增加：一个开放的试点

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-02-20 DOI: 10.1016/j.eatbeh.2025.101960

Rachel W. Goode , Loneke T. Blackman Carr , Yiwen Xu , Tyisha Harper-Cooks , Stephanie Wilhoit-Reeves , Ramine C. Alexander , Ana Paola Campos , Julian Robles , Deborah F. Tate

Background

Weight gain prevention is a critical component of comprehensive obesity care. Emotional eating may contribute to unwanted weight gain, increasing cardiometabolic risk factors among adults with obesity. One way to help reduce emotional eating and reduce weight gain is to provide instruction in Appetite Awareness Training (AAT).

Purpose

The purpose of this open pilot study was to examine the feasibility and acceptability of the SATISFY intervention, a 12-week intervention consisting of AAT and training from the Diabetes Prevention Program in a sample of Black and White adults with obesity, and who report emotional eating.

Methods

Eligible adults participated in 12 virtual weekly 60–90-minute group sessions. The intervention included content from AAT and the Diabetes Prevention Program. Participants also received weekly feedback on weight and eating behavior trends via a digital health platform. Participants were assessed at 0, 3 (T1), and 6 months (T2).

Results

At baseline, participants (N = 31) had a mean (±SD) age of 47.55 ± 12.41 years, BMI of 36.6 ± 6.6 kg/m² and moderate levels of emotional eating. Participants attended approximately 50 % of sessions and 77 % of participants were retained at six months. Reductions in emotional eating subscales, disinhibition, and improvements in interoceptive awareness were observed, with participants also largely maintaining their weight from T1–T3. Finally, participants reported moderate to moderately high acceptability scores.

Conclusion

The results of this study provide evidence about the feasibility, acceptability, and potential of the SATISFY program to help participants with emotional eating maintain their weight.

预防体重增加是肥胖症综合治疗的关键组成部分。情绪化进食可能会导致不必要的体重增加，增加肥胖成年人的心脏代谢风险因素。帮助减少情绪化进食和减少体重增加的一种方法是提供食欲意识训练（AAT）的指导。目的：本开放试点研究的目的是检验SATISFY干预的可行性和可接受性，这是一项为期12周的干预，包括糖尿病预防计划的AAT和培训，在患有肥胖的黑人和白人成年人中进行，并报告情绪性饮食。方法符合条件的成年人参加了12个虚拟的每周60 - 90分钟的小组会议。干预包括来自AAT和糖尿病预防计划的内容。参与者还通过数字健康平台每周收到有关体重和饮食行为趋势的反馈。在0、3 （T1）和6个月（T2）时对参与者进行评估。结果基线时，参与者（N = 31）的平均（±SD）年龄为47.55±12.41岁，BMI为36.6±6.6 kg/m2，情绪性饮食水平中等。参与者参加了大约50%的会议，77%的参与者在六个月后保留了下来。观察到情绪进食亚量表、去抑制和内感受意识的改善有所减少，参与者也在很大程度上保持了T1-T3的体重。最后，参与者报告了中等到中等高的可接受性得分。结论本研究的结果为“满足”项目帮助情绪性进食参与者保持体重的可行性、可接受性和潜力提供了证据。

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引用次数: 0