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患有暴饮暴食症的超重个体的自我效能感

Self-efficacy in overweight individuals with binge eating disorder.

作者信息

Miller P M, Watkins J A, Sargent R G, Rickert E J

机构信息

Hilton Head Health Institute, Hilton Head Island, South Carolina 29928, USA.

出版信息

Obes Res. 1999 Nov;7(6):552-5. doi: 10.1002/j.1550-8528.1999.tb00713.x.

Abstract

OBJECTIVE

To evaluate the relationship between self-efficacy judgments in obese individuals with binge eating disorder, "borderline" binge eating disorder, and no binge eating problems.

RESEARCH METHODS AND PROCEDURES

Before participation in a residential weight management program, 79 male and female subjects were administered the Weight Efficacy Lifestyle Questionnaire (WEL) and the Binge Eating Scale (BES). Based on DSM-IV diagnostic questions, subjects were categorized as BED, Borderline BED, or non-BED.

RESULTS

Krusal-Wallace Rank-Order analysis of variance revealed significant negative associations between binge eating and total WEL scores as well as the subscales of Negative Emotions, Social Pressure, Physical Discomfort, and Positive Activities. Differences were significant between the BED and the Borderline BED groups with the exception of the Social Pressure scale and the Total WEL scores. BED diagnosis as well as severity of binge eating were strongly associated with low self-efficacy ratings.

DISCUSSION

These results indicate that obese individuals with binge eating disorder demonstrate lower self-efficacy than those without this condition and that self-efficacy is related to the severity of binge eating.

摘要

目的

评估患有暴饮暴食症、“边缘性”暴饮暴食症以及无暴饮暴食问题的肥胖个体的自我效能判断之间的关系。

研究方法与步骤

在参与一项住院体重管理项目之前,对79名男性和女性受试者进行了体重效能生活方式问卷(WEL)和暴饮暴食量表(BES)的测试。根据《精神疾病诊断与统计手册》第四版(DSM-IV)的诊断问题,将受试者分为暴饮暴食症组(BED)、边缘性暴饮暴食症组(Borderline BED)或非暴饮暴食症组(non-BED)。

结果

克鲁斯卡尔-华莱士秩和检验方差分析显示,暴饮暴食与WEL总分以及负面情绪、社会压力、身体不适和积极活动等子量表之间存在显著的负相关。除社会压力量表和WEL总分外,BED组和边缘性BED组之间存在显著差异。BED诊断以及暴饮暴食的严重程度与低自我效能评分密切相关。

讨论

这些结果表明,患有暴饮暴食症的肥胖个体的自我效能低于没有这种情况的个体,并且自我效能与暴饮暴食的严重程度相关。

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