Eating Behaviors Associated With Suicidal Behaviors and Overall Risk.

IF 1.3 4区 医学 Q3 PSYCHIATRY
Terran M S Sutphin, Adam D Hicks, David McCord
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引用次数: 0

Abstract

Objective: Maladaptive eating behaviors remain prevalent in the US population, and a significant percentage of US college students acknowledge engaging in maladaptive eating. Formally defined eating disorders (EDs) have one of the highest mortality rates among all mental illnesses. Suicide risk is substantially elevated among individuals diagnosed with EDs, and even subclinical levels of maladaptive eating behaviors are associated with suicidality. The current study examined associations between specific problematic eating behaviors measured dimensionally (eg, purging, binging, laxative use) and specific suicide-related constructs and behaviors as well as overall suicide risk.

Methods: College students (N=188; 62% women) completed the Eating Disorder Examination-Questionnaire, a well-established measure of dysfunctional eating, as well as several self-report measures of theoretical components of suicidality, and, finally, a semistructured clinical interview to specify suicide risk category.

Results: Results showed a general pattern of moderate and strong associations between the subscales and the overall score of the Eating Disorder Examination-Questionnaire and core suicide constructs of the interpersonal-psychological theory of suicide. Many substantive correlations were found between specific eating behaviors and specific suicide-related behaviors; for example, purging was the highest correlate of overall suicide risk (ρ=0.36).

Discussion: These results are discussed in terms of consistency with the interpersonal-psychological theory of suicide as well as practical implications for intervention.

与自杀行为和总体风险相关的进食行为。
目的:适应不良的进食行为在美国人口中仍然普遍存在,相当比例的美国大学生承认自己有适应不良的进食行为。在所有精神疾病中,正式定义的饮食失调症(ED)是死亡率最高的疾病之一。被诊断出患有饮食失调症的人自杀风险大大增加,即使是亚临床水平的适应不良饮食行为也与自杀有关。目前的研究考察了从维度衡量的特定问题饮食行为(例如,清食、暴饮暴食、使用泻药)与特定自杀相关结构和行为以及总体自杀风险之间的关联:大学生(人数=188;62%为女性)完成了饮食失调检查问卷,这是一项对饮食功能失调的成熟测量方法,还完成了几项自杀倾向理论要素的自我报告测量,最后还进行了一次半结构化临床访谈,以确定自杀风险类别:结果显示,饮食失调检查问卷的各分量表和总分与自杀的人际-心理理论的核心自杀建构之间普遍存在中度和高度关联。在特定进食行为和特定自杀相关行为之间发现了许多实质性的关联;例如,清食与总体自杀风险的关联度最高(ρ=0.36):讨论:这些结果与自杀的人际心理理论的一致性以及对干预的实际意义进行了讨论。
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来源期刊
CiteScore
2.30
自引率
10.50%
发文量
159
审稿时长
>12 weeks
期刊介绍: Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.
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