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饮食行为与心理特征:不同饮食失调症女儿与其母亲之间的关联

Eating behavior and psychological profile: associations between daughters with distinct eating disorders and their mothers.

作者信息

Vázquez-Velázquez Verónica, Kaufer-Horwitz Martha, Méndez Juan Pablo, García-García Eduardo, Reidl-Martínez Lucy María

机构信息

Obesity and Eating Disorders Clinic, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Colonia Belisario Domínguez Sección XVI, Tlalpan, 14080, Mexico City, Mexico.

Research Unit in Obesity, School of Medicine, Universidad Nacional Autónoma de México, Mexico City, Mexico.

出版信息

BMC Womens Health. 2017 Sep 6;17(1):74. doi: 10.1186/s12905-017-0430-y.

Abstract

BACKGROUND

Associations of eating behaviors and psychological profile between mothers and daughters with eating disorders exist, but it is important to dissect the influence of the mother in each specific disorder since all eating disorders must be seen or treated not as one entity. The aim of the present study was to evaluate the association of eating behavior and psychological profile between mothers and daughters with different eating disorders and a control group.

METHODS

The study group included young girls with anorexia nervosa (AN, n = 30), bulimia nervosa (BN, n = 30), binge eating disorder (BED, n = 19), and a control group of women (Non-ED, n = 54) together with their mothers. BMI was calculated for dyads and Eating Disorder Inventory, Beck Depression Inventory, Beck Anxiety Inventory, Toronto Alexithymia Scale and Three-Factor Eating Questionnaire were applied. The differences between dyads were tested by Student's t test and Pearson's correlation was used to study the association between BMI, variables of eating behavior and psychological profile in each dyad.

RESULTS

The study found significant inverse correlations between the AN dyad; some correlations between the BN dyad, and the highest positive correlations exist in BED dyad, especially in eating behavior. Finally, between the control dyads, low but significant correlations were found in the majority of cases.

CONCLUSIONS

The study concluded that the associations between mothers and daughters with distinct eating disorders varied depending on the specific diagnosis of the daughter, indicating it is necessary to analyze them individually, given that there may be different implications for treatment.

摘要

背景

患有饮食失调症的母女之间存在饮食行为与心理特征的关联,但由于所有饮食失调症不能被视为一个整体,剖析母亲在每种特定失调症中的影响很重要。本研究的目的是评估患有不同饮食失调症的母女与一个对照组之间的饮食行为和心理特征的关联。

方法

研究组包括患有神经性厌食症(AN,n = 30)、神经性贪食症(BN,n = 30)、暴饮暴食症(BED,n = 19)的年轻女孩以及一个女性对照组(非饮食失调组,n = 54)及其母亲。计算二元组的体重指数,并应用饮食失调量表、贝克抑郁量表、贝克焦虑量表、多伦多述情障碍量表和三因素饮食问卷。通过学生t检验检验二元组之间的差异,并使用皮尔逊相关性研究每个二元组中体重指数、饮食行为变量和心理特征之间的关联。

结果

研究发现AN二元组之间存在显著的负相关;BN二元组之间存在一些相关性,而BED二元组中存在最高的正相关,尤其是在饮食行为方面。最后,在对照组二元组之间,大多数情况下发现了低但显著的相关性。

结论

该研究得出结论,患有不同饮食失调症的母女之间的关联因女儿的具体诊断而异,这表明有必要对其进行单独分析,因为这可能对治疗有不同的影响。

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本文引用的文献

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A clinical study of the intergenerational transmission of eating disorders from mothers to daughters.
Psychoanal Study Child. 2009;64:153-89. doi: 10.1080/00797308.2009.11800819.
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