Mooney J P, Burling T A, Hartman W M, Brenner-Liss D
Pacific Graduate School of Psychology, Los Altos, CA.
Addict Behav. 1992;17(4):319-24. doi: 10.1016/0306-4603(92)90038-w.
This study evaluated the relationship between Marlatt and Gordon's (1985) Abstinence Violation Effect (AVE) and fasting outcomes of patients enrolled in a Very Low Calorie Diet (VLCD) and behavior education program. Within the first 11 weeks of the VLCD, 41 of 76 patients reported a fasting lapse and rated this lapse on an attribution scale. Patients reporting greater characterological attributions for their first lapse (i.e., a higher AVE) lost a smaller percentage of their excess weight during active fasting than patients reporting more situational attributions r(39) = -.36, p less than .025. First lapse AVE ratings did not distinguish between program dropout versus completer status, but high AVE dropouts did spend fewer weeks in the VLCD program than low AVE dropouts, r(12) = -.54, p less than .05. Although a faster's initial level of obesity accounted for the largest portion of weight loss outcome variance, the AVE accounted for a significant additional portion of outcome.
本研究评估了马尔拉特和戈登（1985年）提出的“节欲违反效应”（AVE）与参加极低热量饮食（VLCD）及行为教育项目的患者禁食结果之间的关系。在VLCD的前11周内，76名患者中有41名报告出现禁食失误，并根据归因量表对此次失误进行评分。与那些将首次失误归因于更多情境因素的患者相比，那些将首次失误更多归因于性格因素（即较高的AVE）的患者在积极禁食期间超重体重减轻的百分比更小，r(39) = -0.36，p < 0.025。首次失误的AVE评分并不能区分项目退出者与完成者的状态，但高AVE退出者在VLCD项目中花费的周数比低AVE退出者少，r(12) = -0.54，p < 0.05。虽然禁食者最初的肥胖程度在体重减轻结果差异中占最大比例，但AVE也在结果中占显著的额外比例。
