暴食障碍肥胖患者的咬嚼和挑剔行为。
Nibbling and picking in obese patients with Binge Eating Disorder.
机构信息
Department of Psychiatry, Yale University School of Medicine, United States.
出版信息
Eat Behav. 2013 Dec;14(4):424-7. doi: 10.1016/j.eatbeh.2013.07.001. Epub 2013 Jul 21.
OBJECTIVE
The goal of this study was to examine the clinical utility of nibbling behavior, defined as eating in an unplanned and repetitious manner between meals and snacks without a sense of loss of control, in obese patients with Binge Eating Disorder (BED).
METHODS
Two-hundred seventeen (N = 217) consecutive, treatment-seeking, obese patients with BED were assessed with the Eating Disorder Examination (EDE). Nibbling frequency was examined in relation to current weight, eating disorder psychopathology and eating patterns.
RESULTS
Results found that nibbling/picking was not related to body mass index, objective bulimic, subjective bulimic, or overeating episodes, food avoidance, sensitivity to weight gain, or any subscales of the EDE. However, nibbling/picking was significantly related to frequency of morning and afternoon snacking (r = .21, p = .002; r = .27, p < .001).
DISCUSSION
The assessment of nibbling/picking behaviors among individuals with BED might not provide clinically significant information.
目的
本研究旨在探讨在暴食障碍（BED）患者中，定义为在两餐和零食之间无失控感地计划外且重复进食的“蚕食行为”的临床实用性。
方法
对 217 名连续就诊的肥胖 BED 患者进行饮食障碍检查（EDE）评估。研究了蚕食频率与当前体重、饮食障碍病理和饮食模式的关系。
结果
结果发现，蚕食/挑食与体重指数、客观暴食、主观暴食或暴饮暴食发作、食物回避、对体重增加的敏感性或 EDE 的任何分量表均无关。然而，蚕食/挑食与早晨和下午吃零食的频率显著相关（r =.21，p =.002；r =.27，p <.001）。
讨论
对 BED 个体进行蚕食/挑食行为的评估可能不会提供具有临床意义的信息。
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