Watkins J A, Sargent R G, Miller P M, Ureda J R, Drane W J, Richler D L
School of Public Health, University of South Carolina, Columbia 29208, USA.
Eat Weight Disord. 2001 Dec;6(4):188-96. doi: 10.1007/BF03339742.
The purpose of this study was to identify the role that attribution style and self-efficacy expectations have in overweight binge and non-binge eaters. The subjects were women (n=210) enrolled for weight control treatment, who completed a questionnaire to assess attribution style and self efficacy expectations. They were categorized into three binge eating disorder (BED) groups: non-BED, borderline BED and BED. The results of the ANOVA analysis indicated that the borderline and BED groups were significantly similar in terms of all measures of attribution and self-efficacy; and logistic regression analysis that the odds of being borderline BED or BED were greater if an individual had internal attributions, and more likely in the presence of diminished self-efficacy expectations. The subjects with low levels of eating self-efficacy and internal, global, and uncontrollable attributions were also more likely to have borderline BED and BED. The implications of the borderline BED category are discussed in relationship to the DSM-IV BED diagnosis.
本研究的目的是确定归因方式和自我效能期望在超重的暴饮暴食者和非暴饮暴食者中所起的作用。研究对象为报名参加体重控制治疗的女性(n = 210),她们完成了一份问卷,以评估归因方式和自我效能期望。她们被分为三个暴饮暴食障碍(BED)组:非BED组、边缘性BED组和BED组。方差分析结果表明,边缘性BED组和BED组在归因和自我效能的所有测量指标方面显著相似;逻辑回归分析表明,如果个体具有内归因,那么处于边缘性BED或BED状态的几率更大,并且在自我效能期望降低的情况下更有可能。饮食自我效能水平低且具有内、整体和不可控归因的受试者也更有可能患有边缘性BED和BED。结合《精神疾病诊断与统计手册》第四版(DSM-IV)中BED的诊断,讨论了边缘性BED类别的意义。