情绪调节方面的前瞻性区分暴饮暴食，赌博或两者行为的妇女食物成瘾和物质滥用。

IF 3.8 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2025-08-12 DOI:10.1016/j.appet.2025.108266

Sarah M. Farstad, Deepika Bajaj, Kristin M. von Ranson

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引用次数: 0

摘要

目的：为了确定食物成瘾（FA）和物质成瘾（SA）之间的相似程度，我们前瞻性地比较了暴饮暴食、赌博或两者都有行为的女性中与FA和酒精或药物滥用相关的情绪调节缺陷。方法：参与者是202名社区招募的女性，她们从事高危暴饮暴食（39%）、高危赌博（18%）或两者兼而有之（43%）。参与者每两个月完成一次在线评估，持续六个月。基线调查和为期六个月的调查使用情绪调节困难量表（DERS）和UPPS-P冲动性量表评估自我报告的情绪调节，使用耶鲁食物成瘾量表评估FA，使用每日饮酒问卷、酒精使用障碍识别测试、药物使用频率和药物滥用筛选测试评估酒精和物质滥用。两个月和四个月的调查只评估了暴饮暴食和赌博。结果：我们确定了横截面和纵向与FA和药物滥用相关的情绪调节方面。消极急迫性作为FA和药物滥用的常见横截面相关性出现，而积极急迫性和不接受一个人的负面情绪与FA和药物滥用有不同的关联。积极急迫性预测未来药物滥用问题的几率增加100%，130%和200%，未来FA的几率减少50%，而不接受一个人的负面情绪与更严重的FA症状（DERS亚量表）和不太严重的酒精相关问题相关。结论：这些发现表明FA与SA在情绪调节方面的关键缺陷并不相关。

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Emotion regulation facets prospectively distinguish food addiction from substance misuse in women with binge eating, gambling, or both behaviours

Objective

To determine the degree of similarity between food addiction (FA) and substance addictions (SA), we prospectively compared emotion regulation deficits associated with FA and alcohol or drug misuse in women with binge eating, gambling, or both behaviours.

Method

Participants were 202 community-recruited women who engaged in at-risk binge eating (39 %), at-risk gambling (18 %), or both (43 %). Participants completed online assessments every two months for six months. The baseline and six-month surveys assessed self-reported emotion regulation using the Difficulties in Emotion Regulation Scale (DERS) and the UPPS-P Impulsivity Scale, FA using the Yale Food Addiction Scale, and alcohol and substance misuse using the Daily Drinking Questionnaire, Alcohol Use Disorders Identification Test, Drug Use Frequency, and Drug Abuse Screening Test. Two- and four-month surveys assessed only binge eating and gambling.

Results

We identified facets of emotion regulation that were cross-sectionally and longitudinally associated with FA and substance misuse. Negative urgency emerged as a common cross-sectional correlate of FA and substance misuse, whereas positive urgency and non-acceptance of one's negative emotions had different associations to FA versus substance misuse. Positive urgency prospectively predicted 100 %, 130 %, and 200 % increases in odds of future substance misuse problems and a 50 % decrease in odds of future FA, whereas being unaccepting of one's negative emotions was associated with more severe FA symptoms (a DERS subscale) and less severe alcohol-related problems.

Conclusions

These findings suggest that FA is not associated with the same key deficits in emotion regulation as SA.

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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.