Mond Jonathan M, Hay Phillipa J
School of Psychological Science, LaTrobe University, Bundoora, Victoria, Australia.
Int J Eat Disord. 2008 Jul;41(5):419-26. doi: 10.1002/eat.20512.
Attitudes and beliefs concerning a binge eating problem were examined in a community sample of men and women (n = 1031) aged 15 to 94 years.
A vignette describing a fictional 32-year-old female obese binge eater was presented, followed by a series of questions concerning the nature and treatment of the problem described.
Most participants believed that binge eating is primarily a problem of low self-esteem or depression. Behavioral weight loss treatment and self-help interventions were the treatments considered most helpful, whereas few participants believed that psychotherapy would be helpful. General practitioners and dieticians were the treatment providers considered most helpful. Most participants were ambivalent about prognosis given treatment and pessimistic about outcome in the absence of treatment.
The fact that binge eating is viewed primarily as a problem of negative affect, and that specific psychotherapy is not highly regarded as a treatment, may go some way to explaining why most individuals with binge eating-type disorders do not receive appropriate treatment. The benefits of specific psychotherapy in stabilizing eating behavior and improving quality of life for obese binge eaters need to be communicated to sufferers and to the health professionals they are likely to contact.
在一个年龄在15至94岁之间的男性和女性社区样本（n = 1031）中，研究对暴饮暴食问题的态度和信念。
呈现一个描述虚构的32岁肥胖女性暴饮暴食者的案例，随后是一系列关于所描述问题的性质和治疗的问题。
大多数参与者认为暴饮暴食主要是自尊低下或抑郁的问题。行为减肥治疗和自助干预被认为是最有帮助的治疗方法，而很少有参与者认为心理治疗会有帮助。全科医生和营养师被认为是最有帮助的治疗提供者。大多数参与者对治疗后的预后持矛盾态度，对未接受治疗的结果持悲观态度。
暴饮暴食主要被视为负面影响问题，且特定心理治疗未被高度视为一种治疗方法，这一事实可能在一定程度上解释了为什么大多数患有暴饮暴食型障碍的个体没有得到适当治疗。需要向患者及其可能接触的健康专业人员传达特定心理治疗在稳定肥胖暴饮暴食者饮食行为和改善生活质量方面的益处。
