Department of Psychiatry, Yale University School of Medicine, PO Box 208098, New Haven, CT 06520, USA.
Nicotine Tob Res. 2010 Nov;12(11):1172-5. doi: 10.1093/ntr/ntq163. Epub 2010 Oct 1.
This study investigated the effect of binge eating on smoking cessation outcomes.
Participants (n = 186) reported binge eating status at baseline and at a 6-week postquit evaluation during a larger clinical trial for smoking cessation. Binge eating was defined with a single self-report questionnaire item from the Dieting and Bingeing Severity Scale. Participant groups defined by binge eating status were compared on abstinence rates.
Among participants, 22% reported binge eating at baseline, 17% denied binge eating at baseline but endorsed binge eating by 6 weeks, and 61% denied binge eating at both timepoints. Participants who reported binge eating prior to or during treatment had lower quit rates at 6-week postquit and at the 24-week follow-up point than those without binge eating; the groups did not differ at the 12-week follow-up point. The group that experienced an emergence of binge eating reported significantly more weight gain than the other groups.
These results suggest that treatments addressing problematic eating behaviors during smoking cessation are warranted.
本研究探讨了暴食对戒烟效果的影响。
在一项较大的戒烟临床研究中，参与者（n=186）在基线时和戒烟后 6 周的评估时报告暴食状况。暴食通过饮食和暴食严重程度量表中的一个单项自我报告问卷项目来定义。根据暴食状况将参与者分为不同组别，比较各组的戒烟率。
在参与者中，22%的人在基线时报告暴食，17%的人在基线时否认暴食，但在 6 周时报告暴食，61%的人在两个时间点都否认暴食。与没有暴食的参与者相比，在治疗前或治疗期间报告暴食的参与者在戒烟后 6 周和 24 周随访时的戒烟率较低；在 12 周随访时，两组没有差异。出现暴食的组报告的体重增加明显多于其他组。
这些结果表明，戒烟期间针对不良饮食行为的治疗是必要的。
