Czaja Julia, Rief Winfried, Hilbert Anja
Department of Psychology, Philipps University of Marburg, Marburg, Germany.
Int J Eat Disord. 2009 May;42(4):356-62. doi: 10.1002/eat.20630.
To examine the ability to regulate emotions in children with binge eating.
A community sample of 60 children ages 8-13 with at least one episode of loss of control (LOC) eating during the past 3 months and a matched control group without LOC (n = 60) underwent a clinical interview (Eating Disorder Examination adapted for Children) and completed self-report questionnaires assessing emotion regulation strategies, eating pathology, and depressive symptoms.
Children with LOC eating made a significantly higher use of dysfunctional emotion regulation strategies (p < .01), especially for the regulation of anxiety (p < .01). Maladaptive strategies were associated with greater depressiveness (p < .001). Use of adaptive emotion regulation strategies did not differ between children with and without LOC eating.
Results document an association between LOC eating and difficulties in regulating negative emotions in children. Interventions targeting LOC eating in children should include training for coping with negative emotions.
研究暴饮暴食儿童调节情绪的能力。
选取60名8至13岁的社区儿童作为样本，这些儿童在过去3个月中至少有一次失控进食发作，同时选取一个无失控进食的匹配对照组（n = 60），两组儿童均接受了临床访谈（儿童版饮食失调检查），并完成了评估情绪调节策略、饮食病理学和抑郁症状的自我报告问卷。
失控进食儿童显著更多地使用功能失调的情绪调节策略（p < .01），尤其是在调节焦虑方面（p < .01）。适应不良策略与更高的抑郁程度相关（p < .001）。有无失控进食的儿童在使用适应性情绪调节策略方面没有差异。
结果表明失控进食与儿童调节负面情绪困难之间存在关联。针对儿童失控进食的干预措施应包括应对负面情绪的训练。
