Decaluwé Veerle, Braet Caroline, Fairburn Christopher G
Department of Developmental and Personality Psychology, Ghent University, Ghent, Belgium.
Int J Eat Disord. 2003 Jan;33(1):78-84. doi: 10.1002/eat.10110.
The first goal of the current study was to examine the extent to which a population of obese children and adolescents have developed binge eating problems. The second goal was to generate variables that would distinguish obese binge eaters from obese non-binge eaters.
A group of 126 children and adolescents seeking residential care because of their obesity was selected. A self-report version of the Eating Disorder Examination was administered.
Binge eating episodes were reported by 36.5% of the obese youngsters. Six percent reported two or more episodes of binge eating a week. Obese binge eaters differed significantly from obese non-binge eaters in self-esteem and in a broad range of eating-related characteristics. Compared with obese non-binge eaters, the obese binge eaters were slightly younger. Obese binge eaters did not differ from obese non-binge eaters in degree of overweight or depression.
Results suggest that binge eating is a prevalent problem among obese children and adolescents seeking help for their obesity. The marked difference between obese children with and without binge eating suggests the need for special treatment to focus on the problems of obese binge eaters.
本研究的首要目标是调查肥胖儿童及青少年群体中出现暴饮暴食问题的程度。第二个目标是生成能够区分肥胖暴饮暴食者和肥胖非暴饮暴食者的变量。
选取了一组因肥胖而寻求住院治疗的126名儿童及青少年。采用了《饮食失调检查》的自我报告版本。
36.5%的肥胖青少年报告有暴饮暴食发作情况。6%的人报告每周有两次或更多次暴饮暴食发作。肥胖暴饮暴食者在自尊以及广泛的饮食相关特征方面与肥胖非暴饮暴食者有显著差异。与肥胖非暴饮暴食者相比，肥胖暴饮暴食者年龄稍小。肥胖暴饮暴食者与肥胖非暴饮暴食者在超重程度或抑郁方面没有差异。
结果表明，暴饮暴食在因肥胖寻求帮助的儿童及青少年中是一个普遍问题。有暴饮暴食和没有暴饮暴食的肥胖儿童之间的显著差异表明，需要针对肥胖暴饮暴食者的问题进行特殊治疗。
