利用生态瞬间评估分析暴饮暴食症状的瞬间机制:食物成瘾的调节作用

IF 3.9 2区 心理学 Q1 PSYCHIATRY
Shirley S. Li, Rachel E. Kalan, Alexandro Smith, Tyler B. Mason, Kathryn E. Smith
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引用次数: 0

摘要

目的:食物成瘾(FA)与以暴饮暴食为特征的进食障碍在表型和诊断上存在重叠,但目前尚不清楚不同FA导致暴饮暴食症状的瞬间过程有何不同。本研究采用生态瞬间评估(EMA)方法,研究了FA严重程度对暴食症状的瞬间机制可能产生的调节作用:方法:符合FA和/或暴食症标准的成年人(N = 49,平均年龄 = 34.9 ± 12.1,顺性别女性 = 77.1%)完成基线测量,包括耶鲁食物成瘾量表(YFAS),然后完成为期10天的EMA方案。广义线性混合模型评估了YFAS的主效应、瞬间前因(情绪、冲动、食物线索暴露、食欲和进食预期)以及YFAS和人内前因之间的双向交互作用:FA严重程度调节了食物线索暴露与随后暴饮暴食症状之间的瞬间关联:在YFAS得分较低而非较高的参与者中,这种关联更强。其他交互作用均不显著:结论:暴食症状的某些功能性关联因个体的 FA 症状水平而异。未来的研究将进一步了解所观察到的关联在不同人群和不同病程中的差异,这也将为未来的预防和干预措施提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Momentary mechanisms of binge-eating symptoms using ecological momentary assessment: The moderating role of food addiction

Objective

Food addiction (FA) shows phenotypic and diagnostic overlap with eating disorders characterised by binge eating, though it is unknown how momentary processes driving binge-eating symptoms differ by FA. The present study examined the possible moderating influence of FA severity on momentary mechanisms underlying binge-eating symptomatology using ecological momentary assessment (EMA).

Method

Adults (N = 49, mean age = 34.9 ± 12.1, cis-gender female = 77.1%) who met criteria for FA and/or binge-eating disorder completed baseline measures including the Yale Food Addiction Scale (YFAS) followed by a 10-day EMA protocol. Generalised linear mixed models assessed main effects of YFAS, momentary antecedents (affect, impulsivity, food cue exposure, appetite, and eating expectancies) and two-way interactions between YFAS and within-person antecedents.

Results

FA severity moderated momentary associations between food cue exposure and subsequent binge-eating symptoms: the association was stronger among participants with lower but not higher YFAS scores. No other interactions were significant.

Conclusions

Some functional associations underlying binge-eating symptoms vary based on individuals' level of FA symptoms. Future research to further understand how observed associations may differ amongst diverse populations and over course of illness may also inform future prevention and interventions.

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来源期刊
European Eating Disorders Review
European Eating Disorders Review PSYCHOLOGY, CLINICAL-
CiteScore
8.90
自引率
7.50%
发文量
81
期刊介绍: European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.
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