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成年人的食物成瘾寻求减肥治疗。对心理健康和减肥的影响。

Food addiction in adults seeking weight loss treatment. Implications for psychosocial health and weight loss.

机构信息

Psychology Department, Bowling Green State University, Bowling Green, OH 43403, United States.

Psychology Department, Bowling Green State University, Bowling Green, OH 43403, United States.

出版信息

Appetite. 2013 Jan;60(1):103-110. doi: 10.1016/j.appet.2012.09.013. Epub 2012 Sep 24.

DOI:10.1016/j.appet.2012.09.013
PMID:23017467
Abstract

The present study examined food addiction symptomology and its relationship to eating pathology and psychological distress among adults seeking weight loss treatment. A primary interest was an examination of the relationship between food addiction symptoms and short-term weight loss. Adults beginning a behavioral weight loss program (N=57) were given the Yale Food Addiction Scale (YFAS) as well as measures of psychological distress, disordered eating, weight bias, and weight-focused attitudes. Weight loss was measured after 7 weeks. Severity of food addiction was related to increased depression, emotional eating, binge eating, anti-fat attitudes, internalized weight bias, body shame, and low eating self-efficacy, but not body satisfaction. Increased food addiction symptomology was also related to less weight lost at 7 weeks. Findings suggest that individuals attempting to lose weight while combating symptoms of food addiction may be especially prone to eating-related pathologies, internalized weight bias, and body shame. Importantly, findings provide evidence that food addiction may undermine efforts to lose weight. The pathology associated with addiction (e.g., tolerance, withdrawal) could make the adoption of more healthful eating habits especially difficult.

摘要

本研究考察了寻求减肥治疗的成年人的食物成瘾症状及其与饮食病理学和心理困扰的关系。一个主要的兴趣点是检查食物成瘾症状与短期减肥之间的关系。开始行为减肥计划的成年人(N=57)接受了耶鲁食物成瘾量表(YFAS)以及心理困扰、饮食失调、体重偏见和体重关注态度的测量。7 周后测量体重减轻情况。食物成瘾的严重程度与抑郁、情绪化进食、暴食、反脂肪态度、内化的体重偏见、身体羞耻感和低饮食自我效能感有关,但与身体满意度无关。食物成瘾症状的增加也与 7 周时体重减轻较少有关。研究结果表明,试图在对抗食物成瘾症状的同时减肥的人可能更容易出现与饮食相关的病理学、内化的体重偏见和身体羞耻感。重要的是,研究结果提供了证据表明,食物成瘾可能会破坏减肥的努力。与成瘾相关的病理学(例如,耐受、戒断)可能会使采用更健康的饮食习惯变得特别困难。

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