寻求暴食症治疗的男性和女性具有相似的基线特征。

IF 3.8 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2025-08-05 DOI:10.1016/j.appet.2025.108254

Ross M. Sonnenblick , Adrienne S. Juarascio

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引用次数: 0

摘要

目的：男性寻求饮食失调（EDs）治疗的可能性低于女性，但当他们寻求治疗时，他们的结果是相似的。一些研究表明，寻求ED治疗的男性有不同的代偿行为，在ED严重程度的常规测量中得分较低，但几乎没有研究检查可能成为可行治疗目标的心理变量（如情感不稳定和冲动）的潜在性别差异。方法：我们通过一项临床试验检查了在人口统计学、心理变量和ED病理方面的差异，男性和女性狂暴性ED患者提出治疗。我们分别使用t检验和卡方检验来探讨连续变量和分类变量的差异。我们对多重比较进行了修正。结果：240名参与者中，34名（14.2%）为男性。男性和女性仅在一个人口统计学变量和两个心理变量上表现出临床显著差异。男性的身体质量指数更高，更容易冲动，而且他们的直觉性饮食水平也更高。结论：在这项研究中，寻求治疗狂饮型ED的男性和女性总体上表现相似，这可能解释了他们相似的ED治疗结果。尽管如此，在治疗中更直接地解决男性较高的冲动性可以改善他们的治疗效果。

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Men and women who seek treatment for binge-spectrum eating disorders have similar baseline characteristics

Objective

Men are less likely than women to seek treatment for eating disorders (EDs), but when they do seek treatment, they have comparable outcomes. Some research has shown that men who seek treatment for EDs have different compensatory behaviors and score lower on conventional measures of ED severity, but almost no research has examined potential gender differences in psychological variables (e.g., affective lability and impulsivity) that could be viable treatment targets.

Method

We examined differences in demographics, psychological variables, and ED pathology between men and women with binge-spectrum EDs presenting for treatment through a clinical trial. We used T-tests and Chi-square tests to explore differences for continuous and categorical variables, respectively. We corrected for multiple comparisons.

Results

Of 240 participants, 34 (14.2 %) identified as men. Men and women showed clinically significant differences on only one demographic variable and two psychological variables. Men had higher BMI and more impulsivity, and they also reported higher levels of intuitive eating.

Conclusions

Men and women who sought treatment for their binge-spectrum EDs in this study presented similarly overall, which might explain their similar ED treatment outcomes. Nonetheless, addressing men's higher impulsivity more directly in treatment could improve their treatment outcomes.

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.