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消极情绪诱导和不均衡的营养方式可能是暴食症(BED)中暴饮暴食的触发因素。

Negative mood induction and unbalanced nutrition style as possible triggers of binges in binge eating disorder (BED).

作者信息

Munsch S, Michael T, Biedert E, Meyer A H, Margraf J

机构信息

Department of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, 4055 Basel, Switzerland.

出版信息

Eat Weight Disord. 2008 Mar;13(1):22-9. doi: 10.1007/BF03327781.

Abstract

OBJECTIVE

To investigate whether negative mood and unbalanced nutrition style (fat rich/carbohydrate low) synergistically trigger binge eating in overweight and obese binge eating disorder (BED) patients.

METHODS

Subsequently to following an unbalanced or a balanced nutrition plan for three days, participants' food intake in a taste test was measured. During the taste test, participants were either in a negative or a neutral mood that was induced through a guided imagery task.

PARTICIPANTS

Sixty-nine overweight and obese women with BED (mean age: 36.7 years, mean body mass index: 32.8 kg/m2).

MEASUREMENTS

Eating behavior was assessed by measuring the amount of eaten food during the taste test. Visual analog scales were used to assess negative affect, tension, urge to eat, and hunger before and after the mood induction and after the taste test.

RESULTS

Negative mood and unbalanced nutrition had neither a combined synergistic effect nor separate additive effects on the amount of food intake. Negative affect and tension decreased after the taste test in the negative mood group.

CONCLUSIONS

Negative mood does not invariably enhance the risk of binge-eating behavior. Fat-rich, carbohydrate-low nutrition style did not influence food intake during a taste test. This finding questions the role of this specific nutrition style as a crucial factor in promoting binge eating. If replicated, these findings are important, since they could guide development of treatment protocols.

摘要

目的

探讨负面情绪与不均衡营养方式(高脂肪/低碳水化合物)是否会协同引发超重和肥胖的暴饮暴食症(BED)患者的暴饮暴食行为。

方法

在遵循不均衡或均衡营养计划三天后,测量参与者在味觉测试中的食物摄入量。在味觉测试期间,参与者通过引导性意象任务被诱导处于负面或中性情绪中。

参与者

69名患有BED的超重和肥胖女性(平均年龄:36.7岁,平均体重指数:32.8kg/m²)。

测量

通过测量味觉测试期间摄入的食物量来评估饮食行为。使用视觉模拟量表在情绪诱导前后和味觉测试后评估负面情绪、紧张感、进食冲动和饥饿感。

结果

负面情绪和不均衡营养对食物摄入量既没有联合协同作用,也没有单独的相加作用。负面情绪组在味觉测试后负面情绪和紧张感有所降低。

结论

负面情绪并非总是会增加暴饮暴食行为的风险。高脂肪、低碳水化合物的营养方式在味觉测试期间并未影响食物摄入量。这一发现对这种特定营养方式作为促进暴饮暴食的关键因素的作用提出了质疑。如果得到重复验证,这些发现很重要,因为它们可以指导治疗方案的制定。

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