Unit on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, USA.
Behav Res Ther. 2010 May;48(5):424-8. doi: 10.1016/j.brat.2009.12.012. Epub 2010 Jan 4.
The interpersonal model of binge eating disorder proposes that social problems lead to negative affect which, in turn, precipitates binge eating episodes. However, no study to date has examined this model among youth who report loss of control (LOC) eating. Participants were 219 non-treatment-seeking children and adolescent volunteers, age 8-17 years (13.1 +/- 2.8 y; 50% female). Children's social problems were assessed by parent report. Youth completed self-report questionnaires of negative affect that assessed depressive symptoms and anxiety. Participants were interviewed to determine the presence or absence of LOC eating in the month prior to assessment. Structural equation modeling analyses found that social problems were positively related to LOC eating presence (p = .02). Negative affect mediated the relationship between social problems and LOC eating (95% CI Product = .00247, .01336). These preliminary results suggest that the interpersonal model of binge eating may describe one possible pathway for the development of LOC eating among non-treatment-seeking youth.
暴食障碍的人际模型提出，社会问题会导致负面情绪，进而引发暴食发作。然而，迄今为止，尚无研究在报告失去控制（LOC）进食的青少年中检验这一模型。参与者为 219 名非治疗寻求的儿童和青少年志愿者，年龄 8-17 岁（50%为女性）。通过家长报告评估儿童的社会问题。青少年完成了自我报告的负面情绪问卷，评估抑郁症状和焦虑。通过访谈确定评估前一个月是否存在 LOC 进食。结构方程模型分析发现，社会问题与 LOC 进食的存在呈正相关（p =.02）。负面情绪在社会问题与 LOC 进食之间起中介作用（95%置信区间乘积 =.00247，.01336）。这些初步结果表明，暴食障碍的人际模型可能描述了非治疗寻求的青少年中 LOC 进食发展的一种可能途径。
