Department of Human Science, European University of Rome, Via degli Aldobrandeschi 190, 00163 Roma, Italy.
Stockton University, 101 Vera King Farris Drive, Galloway, NJ 08205-9441, USA.
Nutrients. 2017 Nov 17;9(11):1259. doi: 10.3390/nu9111259.
In recent years, there has been a growing focus on early maladaptive schemas (EMSs) as core features associated with eating psychopathology. The aims of the present study were to assess in overweight and obese women: (i) the association between dysfunctional eating patterns (i.e., food addiction and binge eating) and EMSs, and (ii) the association between food addiction and EMSs after controlling for potential confounding variables (i.e., binge eating severity and psychopathology). Participants were 70 overweight and obese women seeking low-energy-diet therapy. The patients were administered self-report measures investigating food addiction, binge eating, EMSs, anxiety symptoms, and depressive symptoms. Food addiction severity was strongly associated with all main schema domains. Binge eating severity was positively related to disconnection/rejection ( = 0.41; < 0.01), impaired limits ( = 0.26; < 0.05), and other-directedness domains ( = 0.27; < 0.05). The disconnection/rejection schema was independently associated with food addiction severity, after controlling for the presence of other potential confounding variables (i.e., binge eating severity and psychopathology) suggesting that this domain may be a crucial factor for the development of food addiction.
近年来，人们越来越关注早期适应不良模式（EMS），认为其是与饮食病理学相关的核心特征。本研究的目的是评估超重和肥胖女性：（i）饮食功能障碍（即食物成瘾和暴食）与 EMS 之间的关系；（ii）在控制潜在混杂变量（即暴食严重程度和精神病理学）后，食物成瘾与 EMS 之间的关系。参与者为 70 名寻求低能量饮食治疗的超重和肥胖女性。这些患者接受了自我报告测量，包括食物成瘾、暴食、EMS、焦虑症状和抑郁症状。食物成瘾严重程度与所有主要模式领域密切相关。暴食严重程度与脱节/拒绝（ = 0.41； < 0.01）、限制受损（ = 0.26； < 0.05）和指向他人的模式领域（ = 0.27； < 0.05）呈正相关。在控制其他潜在混杂变量（即暴食严重程度和精神病理学）后，脱节/拒绝模式与食物成瘾严重程度独立相关，表明该模式可能是食物成瘾发展的关键因素。
