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2型糖尿病患者中食物成瘾与心理困扰的关联

Food addiction associations with psychological distress among people with type 2 diabetes.

作者信息

Raymond Karren-Lee, Lovell Geoff P

机构信息

Faculty of Arts and Social Sciences, University of the Sunshine Coast, Maroochydore, Australia.

出版信息

J Diabetes Complications. 2016 May-Jun;30(4):651-6. doi: 10.1016/j.jdiacomp.2016.01.020. Epub 2016 Jan 29.

Abstract

AIMS

To assess the relationship between a food addiction (FA) model and psychological distress among a type 2 diabetes (t2d) sample.

METHODS

A cross-sectional study of 334 participants with t2d diagnoses were invited to complete a web-based questionnaire. We measured variables of psychological distress implementing the Depression Anxiety and Stress Scale (DASS-21), the Yale Food Addiction Scale (YFAS), and other factors associated with t2d.

RESULTS

In our study a novel finding highlighted people with t2d meeting the FA criterion had significantly higher depression, anxiety, and stress scores as compared to participants who did not meet the FA criterion. Moreover, FA symptomology explained 35% of the unique variance in depression scores, 34% of the unique variance in anxiety scores, and 34% of the unique variance in stress scores, while surprisingly, BMI explained less than 1% of the unique variance in scores.

CONCLUSION

We identified that psychological distress among people with t2d was associated with the FA model, apparently more so than BMI, thereby indicating further research being necessary lending support for future research in this realm. Moreover the FA model may be beneficial when addressing treatment approaches for psychological distress among people with t2d.

摘要

目的

评估2型糖尿病(t2d)样本中食物成瘾(FA)模型与心理困扰之间的关系。

方法

对334名被诊断为t2d的参与者进行横断面研究,邀请他们完成一份基于网络的问卷。我们使用抑郁焦虑压力量表(DASS - 21)、耶鲁食物成瘾量表(YFAS)以及其他与t2d相关的因素来测量心理困扰变量。

结果

在我们的研究中,一个新发现突出显示,符合FA标准的t2d患者与不符合FA标准的参与者相比,其抑郁、焦虑和压力得分显著更高。此外,FA症状学解释了抑郁得分中35%的独特方差、焦虑得分中34%的独特方差以及压力得分中34%的独特方差,而令人惊讶的是,体重指数(BMI)在得分的独特方差中解释的比例不到1%。

结论

我们发现t2d患者的心理困扰与FA模型相关,显然比BMI更相关,从而表明有必要进行进一步研究以支持该领域的未来研究。此外,FA模型在处理t2d患者心理困扰的治疗方法时可能有益。

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