Department of Clinical Psychology and Psychotherapy, University of Freiburg, Germany.
Eur Eat Disord Rev. 2011 Jul-Aug;19(4):331-41. doi: 10.1002/erv.1050. Epub 2010 Oct 19.
Therapeutic programs for binge eating disorder (BED) often include the mediation of problem-solving skills to deal with the desire to binge. In women with BED, problem-solving abilities have not been studied yet. Knowing that reasons for binge episodes are often linked to interpersonal topics, we expected women with BED to have poorer problem-solving abilities than healthy controls (HC).
Twenty-five women with BED and 30 overweight HC were given a shortened version of the Means-Ends Problem-Solving Procedure (MEPS). Dependent variables were the number of relevant means, the effectiveness and the specificity of the generated solution.
Generated solutions in the group of women with BED were significantly less effective and less specific compared to HC. Moreover, reduced effectiveness of interpersonal problem-solving was related to increased binge frequency.
The results support the importance of teaching problem-solving ability in individuals with BED to promote behaviour change.
暴食障碍（BED）的治疗方案通常包括解决问题技能的干预，以应对暴食的欲望。然而，目前尚未研究过患有 BED 的女性的解决问题的能力。鉴于暴食发作的原因通常与人际话题有关，我们预计患有 BED 的女性的解决问题的能力比健康对照组（HC）差。
对 25 名患有 BED 的女性和 30 名超重的 HC 进行了缩短版的手段-目的问题解决程序（MEPS）。因变量是相关手段的数量、生成的解决方案的有效性和特异性。
与 HC 相比，患有 BED 的女性组生成的解决方案的有效性和特异性显著降低。此外，人际问题解决能力的降低与暴食频率的增加有关。
这些结果支持在 BED 个体中教授解决问题的能力以促进行为改变的重要性。
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