Program for Obesity, Weight, and Eating Research, Yale University School of Medicine, New Haven, CT 06520, USA.
Compr Psychiatry. 2012 May;53(4):403-7. doi: 10.1016/j.comppsych.2011.05.007. Epub 2011 Jul 7.
This study examined interrelationships between cigarette smoking for weight control and eating disorder symptoms in a community sample of adult female smokers.
Participants were 107 female smokers who completed a battery of questionnaires, including the Eating Disorder Examination-Questionnaire (EDE-Q). Key items measured weight-control smoking, including smoking to prevent overeating, smoking to undo the effects of overeating, and smoking to feel less hungry. Smokers who endorsed smoking in an attempt to control weight were compared with those who denied such behaviors on EDE-Q scores and frequency of binge eating and purging.
A substantial proportion of participants reported weight-control smoking. Participants who endorsed weight-control smoking reported elevations on eating disorder symptoms as measured by the EDE-Q. Compensatory smoking was related to the frequency of binge eating.
The findings have implications for clinicians working with eating disorder patients; for some individuals, cigarette smoking may be used as an attempt to compensate for overeating.
本研究调查了社区成年女性吸烟者中，为控制体重而吸烟与饮食失调症状之间的相互关系。
参与者为 107 名女性吸烟者，她们完成了一系列问卷，包括饮食失调检查问卷（EDE-Q）。关键项目测量了为控制体重而吸烟的情况，包括吸烟以防止暴饮暴食、吸烟以消除暴饮暴食的影响以及吸烟以减少饥饿感。在 EDE-Q 评分、暴食和催吐频率方面，那些承认通过吸烟来控制体重的吸烟者与那些否认有此类行为的吸烟者进行了比较。
相当一部分参与者报告了为控制体重而吸烟。承认有控制体重吸烟行为的参与者报告了 EDE-Q 测量的饮食失调症状的升高。补偿性吸烟与暴食的频率有关。
研究结果对与饮食失调患者合作的临床医生具有重要意义；对于某些人来说，吸烟可能被用作对暴饮暴食的补偿。
