Halmi K A, Sunday S R
Cornell University Medical College.
Appetite. 1991 Jun;16(3):219-37. doi: 10.1016/0195-6663(91)90060-6.
Hunger and fullness during an experimental liquid meal were evaluated by ratings in 84 eating-disordered patients, including three diagnostic subgroups, and in 19 controls who were normal in weight and eating healthily. Anorectic-restrictors had lower hunger ratings and higher fullness ratings than controls. The same tendency was present in anorectic-bulimics. These ratings were relatively unaffected by treatment. Anorectic-restrictors had longer meals than the anorectic-bulimics and normal-weight bulimics. The anorectic-restrictors also tended to eat more slowly than did the bulimic patients. These groups did not, however, differ in amount consumed. At the end of the experimental meal, the anorectic-bulimics were more preoccupied with thoughts of food and anorectic-restrictors had a lower urge to eat, as compared with the controls. Hunger and fullness ratings were negatively correlated for all diagnostic groups; however, these correlations were less pronounced for the eating disorder groups. The eating-disordered patients had predominantly "abnormal" patterns of hunger and fullness curves, indicating a confusion of these concepts.
通过对84名饮食失调患者（包括三个诊断亚组）以及19名体重正常且饮食健康的对照组进行评分，来评估实验性流食期间的饥饿感和饱腹感。节食型厌食症患者的饥饿评分低于对照组，饱腹感评分高于对照组。暴食型厌食症患者也存在同样的趋势。这些评分相对不受治疗影响。节食型厌食症患者的用餐时间比暴食型厌食症患者和体重正常的暴食症患者更长。节食型厌食症患者进食速度也往往比暴食症患者慢。然而，这些组在进食量上没有差异。与对照组相比，在实验性用餐结束时，暴食型厌食症患者对食物的想法更为关注，而节食型厌食症患者的进食欲望较低。所有诊断组的饥饿感和饱腹感评分呈负相关；然而，这些相关性在饮食失调组中不太明显。饮食失调患者的饥饿感和饱腹感曲线主要呈现“异常”模式，表明这些概念存在混淆。
