与肥胖男性和女性暴饮暴食相关的社会心理变量。
Psychosocial variables associated with binge eating in obese males and females.
作者信息
Womble L G, Williamson D A, Martin C K, Zucker N L, Thaw J M, Netemeyer R, Lovejoy J C, Greenway F L
机构信息
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA.
出版信息
Int J Eat Disord. 2001 Sep;30(2):217-21. doi: 10.1002/eat.1076.
OBJECTIVE
This study tested a psychosocial model of binge eating symptoms in obese men and women. Predictor variables included depression, dietary restraint, self-esteem, weight cycling, history of teasing, body dissatisfaction, and neuroticism.
METHOD
Participants (N = 808) completed a packet of self-report questionnaires.
RESULTS
Weight cycling, teasing about weight and shape, body dissatisfaction, negative affect, and dietary restraint comprised the best fitting models (original and cross-validation) for binge eating in women and men. These variables explained 61-72% of the variance in symptoms of binge eating in the samples of men and 70% of the variance in the samples of women. Although the male and female models were mostly similar, notable differences between them were found.
DISCUSSION
The variables that comprise these etiological models should be considered in the development of prevention programs for obese binge eaters. Longitudinal studies, however, are needed to examine these etiological paths and to test for causal relationships.
目的
本研究对肥胖男性和女性暴饮暴食症状的社会心理模型进行了测试。预测变量包括抑郁、饮食限制、自尊、体重波动、被嘲笑史、身体不满和神经质。
方法
参与者（N = 808）完成了一组自我报告问卷。
结果
体重波动、因体重和体型被嘲笑、身体不满、消极情绪和饮食限制构成了男性和女性暴饮暴食的最佳拟合模型（原始模型和交叉验证模型）。这些变量解释了男性样本中暴饮暴食症状变异的61 - 72%，以及女性样本中70%的变异。尽管男性和女性模型大多相似，但也发现了它们之间的显著差异。
讨论
在为肥胖暴饮暴食者制定预防计划时，应考虑构成这些病因模型的变量。然而，需要进行纵向研究来检验这些病因路径并测试因果关系。
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