Alycia Jobin, Félicie Gingras, Juliette Beaupré, M. Legendre, Catherine Bégin
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They were categorized by the presence of an eating disorder (no BED, subthreshold BED, or BED) and the presence of FA. Group comparisons showed that, in patients with BED, those with FA demonstrated higher disinhibition (t(79) = −2.19, p = 0.032) and more maladaptive emotional regulation strategies (t(43) = −2.37, p = 0.022) than participants without FA. In patients with subthreshold BED, those with FA demonstrated higher susceptibility to hunger (t(68) = −2.55, p = 0.013) and less cooperativeness (t(68) = 2.60, p = 0.012). In patients without BED, those with FA demonstrated higher disinhibition (t(70) = −3.15, p = 0.002), more maladaptive emotional regulation strategies (t(53) = −2.54, p = 0.014), more interpersonal trauma (t(69) = −2.41, p = 0.019), and less self-directedness (t(70) = 2.14, p = 0.036). We argue that the assessment of FA provides relevant information to complement eating disorder diagnoses. 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引用次数: 0
摘要
食物成瘾(FA)与暴食症(BED)并发时,许多与进食有关的相关因素的严重程度会更高,但目前还没有研究证实这种关系适用于整个暴食范围,即从无 BED、亚阈值 BED 到 BED 诊断。本研究旨在探讨 FA 的存在对无 BED、亚阈值 BED 或 BED 诊断患者进食行为的严重程度及心理相关因素的影响。研究人员在一所专门从事肥胖症和进食障碍治疗的大学中心招募了参与者(n = 223),并对他们进行了半结构化诊断访谈,同时发放了测量进食行为、情绪调节、冲动性、童年人际创伤和人格特质的问卷。他们根据是否存在进食障碍(无进食障碍、亚阈值进食障碍或进食障碍)和是否存在 FA 进行了分类。分组比较结果显示,与无进食障碍的参与者相比,有进食障碍的患者表现出更高的抑制能力(t(79) = -2.19,p = 0.032)和更多的不良情绪调节策略(t(43) = -2.37,p = 0.022)。在亚阈值BED患者中,有FA的患者更容易感到饥饿(t(68) = -2.55,p = 0.013),合作性更差(t(68) = 2.60,p = 0.012)。在无 BED 的患者中,有 FA 的患者表现出更高的抑制性(t(70) = -3.15,p = 0.002)、更多的适应不良的情绪调节策略(t(53) = -2.54,p = 0.014)、更多的人际创伤(t(69) = -2.41,p = 0.019)和更少的自我导向性(t(70) = 2.14,p = 0.036)。我们认为,FA 评估为饮食失调症的诊断提供了相关的补充信息。在暴食谱系中,FA 可识别出在许多与进食相关的相关因素上表现出较高严重性的患者亚群。此外,它还能锁定那些没有被正式诊断为进食障碍的患者,这些患者仍将受益于专业帮助。
Clinical Relevance of Food Addiction in Higher Weight Patients across the Binge Eating Spectrum
Food addiction (FA) is associated with greater severity on many eating-related correlates when comorbid with binge eating disorder (BED) but no study has established this relation across the whole spectrum of binge eating, i.e., from no BED to subthreshold BED to BED diagnosis. This study aims to examine the effect of the presence of FA on the severity of eating behaviors and psychological correlates in patients without BED, subthreshold BED or BED diagnosis. Participants (n = 223) were recruited at a university center specialized in obesity and eating disorder treatment and completed a semi-structured diagnostic interview and questionnaires measuring eating behaviors, emotional regulation, impulsivity, childhood interpersonal trauma, and personality traits. They were categorized by the presence of an eating disorder (no BED, subthreshold BED, or BED) and the presence of FA. Group comparisons showed that, in patients with BED, those with FA demonstrated higher disinhibition (t(79) = −2.19, p = 0.032) and more maladaptive emotional regulation strategies (t(43) = −2.37, p = 0.022) than participants without FA. In patients with subthreshold BED, those with FA demonstrated higher susceptibility to hunger (t(68) = −2.55, p = 0.013) and less cooperativeness (t(68) = 2.60, p = 0.012). In patients without BED, those with FA demonstrated higher disinhibition (t(70) = −3.15, p = 0.002), more maladaptive emotional regulation strategies (t(53) = −2.54, p = 0.014), more interpersonal trauma (t(69) = −2.41, p = 0.019), and less self-directedness (t(70) = 2.14, p = 0.036). We argue that the assessment of FA provides relevant information to complement eating disorder diagnoses. FA identifies a subgroup of patients showing higher severity on many eating-related correlates along the binge eating spectrum. It also allows targeting of patients without a formal eating disorder diagnosis who would still benefit from professional help.