Greeno C G, Wing R R, Marcus M D
Western Psychiatric Institute and Clinic, University of Pittsburgh Medical School, PA 15213, USA.
Addict Behav. 1999 Mar-Apr;24(2):299-303.
Theories of disordered eating suggest that binge eating may occur as a response to violations of unrealistically restrictive dietary standards, but there are few direct comparisons of the dietary standards of binge eaters and nonbinge eaters. In this study, we asked obese women with Binge Eating Disorder (BED) and weight- and age-matched women without BED to report the minimum amount of each of eight foods they considered a "binge" and "out of control" to determine whether binge eaters had stricter dietary standards than women without BED. Women with BED did not consider smaller amounts of food a "binge" or "out of control" than did women without BED; however, binge eaters did report that their "typical" and "largest-ever" servings of each of the eight foods were larger than those reported by nonbinge eaters. This suggests that for this group of eating- disordered women, eating behaviors may be a more important intervention target than overly restrictive dietary standards.
饮食失调理论表明,暴饮暴食可能是对违反不切实际的严格饮食标准的一种反应,但对暴饮暴食者和非暴饮暴食者的饮食标准进行直接比较的研究却很少。在本研究中,我们让患有暴饮暴食症(BED)的肥胖女性以及体重和年龄匹配的未患BED的女性报告她们认为属于“暴饮暴食”和“失控”的八种食物中每种食物的最小摄入量,以确定暴饮暴食者的饮食标准是否比未患BED的女性更严格。患有BED的女性并不比未患BED的女性认为较少的食物量属于“暴饮暴食”或“失控”;然而,暴饮暴食者确实报告称,她们八种食物中每种食物的“典型”和“有史以来最大”份量比非暴饮暴食者报告的要大。这表明,对于这群饮食失调的女性来说,饮食行为可能比过度严格的饮食标准更重要的干预目标。