Pavillon F-A.-Savard, Laval University, Quebec, Canada.
Appetite. 2010 Dec;55(3):742-5. doi: 10.1016/j.appet.2010.09.011. Epub 2010 Sep 17.
Previous clustering analysis performed among samples of bulimic or binge eating women have consistently yielded two subtypes (Dietary and Dietary-Depressive). The present study verifies whether this clustering solution could be replicated among weight-preoccupied overweight/obese women and compares the different clusters on personality-, eating- and weight-related variables. Cluster analysis was performed along dietary restraint and negative affect among a sample of 156 overweight/obese weight-preoccupied women. Results failed to replicate the original two-cluster solution, rather evidencing a three-cluster solution (Dietary, Depressive, Low-Dietary/Low-Depressive). Also, dietary restraint did not appear to be a core feature for all weight-preoccupied overweight/obese women as it is for eating-disordered women since only one group presented dietary restraint. The presence of a pure Depressive group and a pure Dietary group showed that dietary restraint and negative affect may act independently among our sample. In term of clinical severity, the Dietary group, even in the absence of high negative affect, occupied an intermediate position between the Low-Dietary/Low-Depressive and the Depressive group, the most impaired one, in accordance with previous studies. It thus suggests that other factors beside negative affect can contribute to eating and psychological impairment among overweight/obese women.
先前在暴食或贪食女性样本中进行的聚类分析一致产生了两种亚型(饮食型和饮食-抑郁型)。本研究验证了这种聚类解决方案是否可以在关注体重的超重/肥胖女性中复制,并比较了人格、饮食和体重相关变量上的不同聚类。在 156 名关注体重的超重/肥胖女性中,对饮食抑制和负性情绪进行了聚类分析。结果未能复制原始的两聚类解决方案,而是表明存在三聚类解决方案(饮食型、抑郁型、低饮食/低抑郁型)。此外,饮食抑制似乎不是所有关注体重的超重/肥胖女性的核心特征,因为只有一组存在饮食抑制。单纯的抑郁组和单纯的饮食组的存在表明,在我们的样本中,饮食抑制和负性情绪可能是独立作用的。就临床严重程度而言,即使没有高负性情绪,饮食组也处于低饮食/低抑郁组和抑郁组之间的中间位置,而抑郁组是最受影响的一组,这与先前的研究一致。这表明,除了负性情绪之外,其他因素也可能导致超重/肥胖女性的饮食和心理障碍。