Downe Kristina A, Goldfein Juli A, Devlin Michael J
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, USA.
Int J Eat Disord. 2009 Sep;42(6):498-504. doi: 10.1002/eat.20639.
To examine changes in total, flexible and rigid restraint, hunger, and disinhibition in obese individuals with Binge-Eating Disorder (BED), and assess whether these variables are associated with binge abstinence at post-treatment and during two-year follow-up.
A total of 116 obese individuals with BED were randomized to a 20-week treatment trial plus two-year follow-up. Using the Eating Inventory (EI), we assessed these factors at pretreatment, post-treatment, and follow-up time-points and examined their relationship to binge abstinence at post-treatment, 12- and 24-month follow-up.
Low disinhibition and high-total restraint are associated with post-treatment binge abstinence. There are no significant relationships between post-treatment EI variables and binge abstinence at 12- and 24-month follow-up.
Reducing disinhibition as well as increasing EI dietary restraint during BED treatment may be important for short-term success.
研究患有暴饮暴食症（BED）的肥胖个体在总体、灵活和刚性抑制、饥饿及去抑制方面的变化，并评估这些变量是否与治疗后及两年随访期间的暴饮暴食戒除情况相关。
总共116名患有BED的肥胖个体被随机分配到一个为期20周的治疗试验及两年随访中。使用饮食量表（EI），我们在治疗前、治疗后及随访时间点评估了这些因素，并研究了它们与治疗后、12个月及24个月随访时暴饮暴食戒除情况的关系。
低去抑制和高总体抑制与治疗后的暴饮暴食戒除相关。治疗后EI变量与12个月及24个月随访时的暴饮暴食戒除之间无显著关系。
在BED治疗期间减少去抑制以及增加EI饮食抑制可能对短期成功很重要。
