Allen Karina L, Byrne Susan M, La Puma Michelle, McLean Neil, Davis Elizabeth A
School of Psychology, The University of Western Australia, Western Australia, Australia.
Eat Behav. 2008 Dec;9(4):438-46. doi: 10.1016/j.eatbeh.2008.07.008. Epub 2008 Aug 15.
This study aimed to (1) determine the prevalence of binge eating and overeating in 8- to 13-year-old children; (2) identify factors that cross-sectionally predict binge eating and overeating; and (3) identify factors that prospectively predict onset of binge eating and overeating.
Participants were 259 boys and girls who were assessed at baseline and one-year follow-up, using a range of semi-structured interviews that included the Child Eating Disorder Examination.
At baseline, 9% of children reported binge eating and 6% reported overeating. Obese children were most at risk for these behaviours. Dietary restraint and the tendency to use food to regulate emotions were significant in predicting binge eating onset prospectively, and eating concern was significant in predicting binge eating cross-sectionally.
Results provide support for current cognitive-behavioural models of binge eating, and have implications for guiding binge eating prevention and intervention efforts with children.
本研究旨在(1)确定8至13岁儿童中暴饮暴食的患病率;(2)找出横断面预测暴饮暴食的因素;(3)找出前瞻性预测暴饮暴食发作的因素。
参与者为259名男孩和女孩,在基线和一年随访时接受评估,采用一系列半结构化访谈,包括儿童饮食失调检查。
在基线时,9%的儿童报告有暴饮暴食,6%的儿童报告有过度进食。肥胖儿童出现这些行为的风险最高。饮食节制和用食物调节情绪的倾向在预测暴饮暴食发作方面具有显著的前瞻性,而饮食担忧在横断面预测暴饮暴食方面具有显著意义。
研究结果为当前暴饮暴食的认知行为模型提供了支持,并对指导儿童暴饮暴食的预防和干预工作具有启示意义。