超重青少年饮食失控的临床意义。
The clinical significance of loss of control over eating in overweight adolescents.
作者信息
Goldschmidt Andrea B, Jones Megan, Manwaring Jamie L, Luce Kristine H, Osborne Megan I, Cunning Darby, Taylor Katie L, Doyle Angela Celio, Wilfley Denise E, Taylor C Barr
机构信息
Department of Psychology, Washington University, St. Louis, Missouri 63110, USA.
出版信息
Int J Eat Disord. 2008 Mar;41(2):153-8. doi: 10.1002/eat.20481.
OBJECTIVE
Given limited data on the diagnostic validity of binge eating disorder (BED) in adolescents, this study sought to characterize overweight adolescents according to types of overeating episodes.
METHOD
Ninety-six adolescents (ages 13-17 years) with recurrent binge eating (BE), loss of control with or without overeating (subclinical BE; SUB), overeating without loss of control (OE), and no overeating or loss of control episodes (CONTROL) were compared on weight/shape concerns and depressive symptoms using ANCOVA and post-hoc least squares difference tests.
RESULTS
BE and SUB adolescents had higher weight/shape concern scores than OEs and CONTROLs (ps < .01). BE and SUB adolescents had higher depression scores than CONTROL adolescents (ps < .05). BE adolescents had greater depression scores than OE (p < .01) but not SUB adolescents.
CONCLUSION
Loss of control over eating signals increased impairment independent of overeating in adolescents. Results support refining BED criteria for youth to reflect this distinction.
目的
鉴于青少年暴食症（BED）诊断有效性的数据有限，本研究旨在根据暴饮暴食发作类型对超重青少年进行特征描述。
方法
对96名青少年（年龄13 - 17岁）进行比较，这些青少年分别有反复暴食（BE）、有或无暴饮暴食的失控情况（亚临床BE；SUB）、无失控的暴饮暴食（OE）以及无暴饮暴食或失控发作（对照），使用协方差分析和事后最小二乘差异检验对体重/体型担忧和抑郁症状进行比较。
结果
BE和SUB青少年的体重/体型担忧得分高于OE和对照组（p值 <.01）。BE和SUB青少年的抑郁得分高于对照青少年（p值 <.05）。BE青少年的抑郁得分高于OE青少年（p < .01），但高于SUB青少年。
结论
饮食失控信号表明青少年的损伤增加，与暴饮暴食无关。结果支持完善青少年BED标准以反映这一区别。
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