食物成瘾:与注意缺陷多动障碍和冲动有关

G. Sevinçer, N. Konuk, Nazlı Batar
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引用次数: 1

摘要

目的:本研究旨在探讨非临床样本中食物成瘾及其与ADHD症状和冲动的关系。方法:826人(女性532人;男性:294名大学生自愿参加了这项研究。采用耶鲁食物成瘾量表(YFAS)、成人ADHD自我报告量表(ASRS-v1.1)、Barratt冲动性量表-11 (BIS-11)对被试进行人体测量。使用SPSS version 22进行分析。结果:109名受试者被归类为食物成瘾者。食物成瘾组的身体质量指数(BMI)显著高于对照组(p <0.001)。食物成瘾组的注意力不集中分、多动/冲动分和ASRS总分均显著高于对照组(p <0.001)。食物成瘾和ADHD合并症组的BMI高于单纯食物成瘾组(X2=24.86;p = 0.003)。线性回归分析显示,ASRS测量的多动冲动性(ß= 0.027)、BIS-11测量的运动冲动性(ß=0.030)和BMI (ß=0.037)的增加与较高的YFAS评分相关(F=10.384;P =0.000),年龄和性别因素得到控制。YFAS评分在潜在ADHD组中有统计学意义。(按ASRS分值≥24分)。结论:评估ADHD的存在可能是决定食物成瘾个体肥胖治疗的一个重要问题。临床医生必须意识到与合并症相关的陷阱,并考虑对患有多动症的食物成瘾患者进行筛查。
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Food Addiction: Association with Attention Deficit Hyperactivity Disorder and Impulsivity
Objective: The aim of the present research is to investigate food addiction and its relationship with ADHD symptoms and impulsivity in a non-clinical sample. Method: Eight hundred and twenty-six (women: 532; men: 294) university students volunteered and took part in the study. Yale Food Addiction Scale (YFAS), Adult ADHD Self-Report Scale (ASRS-v1.1), Barratt Impulsiveness Scale-11 (BIS-11) scales were applied to the participants and their anthropometric measurements were taken. Analyses were conducted using SPSS version 22. Results: 109 subjects were classified as food addicts. The food addict group significantly had higher Body Mass Index (BMI) (p <0.001). The subscore of inattentiveness, subscore of hyperactive/impulsiveness and total ASRS scores were significantly higher in food addicted group (p <0.001). BMI was greater in the food addiction and ADHD comorbidity group compared to the food addiction only group (X2=24.86; p=0.003). The lineer regression analysis revealed that the increased hyperactivity- impulsiveness measured by ASRS (ß=0,027), motor impulsiveness measured by BIS-11 (ß=0.030) and BMI (ß=0.037) found to be correlated with higher YFAS scores (F=10.384; p=0.000) when age and sex factors are controlled.) YFAS scores were statistically higher in potential ADHD group. (According to the ASRS cut-off score ≥24). Conclusion: Evaluation of the presence of ADHD might be an important issue in determining treatment for obesity in individuals with food addiction. The clinicians must be aware of the pitfalls associated with the comorbidity and consider screening patients with food addiction for ADHD.
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