Abraham Suzanne F, Boyd Catherine, Luscombe Georgina, Hart Susan, Russell Janice
Department of Psychological Medicine, University of Sydney, The Northside Clinic, NSW 2006, Australia.
Eat Behav. 2007 Aug;8(3):350-6. doi: 10.1016/j.eatbeh.2006.11.010. Epub 2006 Dec 8.
To explore women's fear of loss of control and excessive inappropriate control of eating, exercise or their body in relation to patient/nonpatient status. To examine the utility of a concept of Disordered Energy Control (DEC).
Comparison of the features of DEC of 169 female eating disorder, first admission inpatients, 61 previous inpatients ('recovering') and 225 female students who completed computer questions including the Quality of Life Eating Disorder (QOL ED).
Fear of loss of control was reported by 89% of inpatients, 36% of 'recovering' patients and 34% of students. Fear of loss of control or excessive controlling behaviour (defined as BMI <15.5, vomiting >7 days/month) was reported by 96% of inpatients (97% anorexia nervosa, 100% bulimia nervosa, 89% EDNOS), 51% of 'recovering' patients and 35% of students. There was significantly more impact on QOL ED psychological aspects, daily living, and acute medical health for student and patient groups reporting control issues compared to those who did not. DEC was present in 13% of students, 94% of inpatients and 28% of recovering patients.
The concept of disordered energy control warrants further investigation particularly in overweight and obese groups. A biological measure of inappropriate energy control associated with medical and psychological problems would be useful.
探讨女性对饮食、运动或身体失去控制的恐惧以及过度不适当控制与患者/非患者状态的关系。研究无序能量控制（DEC）概念的实用性。
比较169名首次入院的女性饮食失调患者、61名曾住院患者（“康复中”）和225名完成包括饮食失调生活质量（QOL ED）计算机问题的女学生的DEC特征。
89%的住院患者、36%的“康复中”患者和34%的学生报告有失去控制的恐惧。96%的住院患者（97%神经性厌食症、100%神经性贪食症、89%未特定的进食障碍）、51%的“康复中”患者和35%的学生报告有失去控制或过度控制行为（定义为体重指数<15.5、每月呕吐>7天）。与未报告控制问题的学生和患者组相比，报告控制问题的学生和患者组对QOL ED心理方面、日常生活和急性医疗健康的影响明显更大。13%的学生、94%的住院患者和28%的康复患者存在DEC。
无序能量控制的概念值得进一步研究，特别是在超重和肥胖群体中。与医学和心理问题相关的不适当能量控制的生物学测量方法将很有用。
