Sainsbury Kirby, Evans Elizabeth H, Pedersen Susanne, Marques Marta M, Teixeira Pedro J, Lähteenmäki Liisa, Stubbs R James, Heitmann Berit L, Sniehotta Falko F
Institute of Health and Society, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4AX, UK.
MAPP Centre, Aarhus BSS, Aarhus University, Bartholins Alle 10, 8000, Aarhus C, Denmark.
Eat Weight Disord. 2019 Apr;24(2):351-361. doi: 10.1007/s40519-018-0487-0. Epub 2018 Feb 16.
Despite the wide availability of effective weight loss programmes, maintenance of weight loss remains challenging. Difficulties in emotion regulation are associated with binge eating and may represent one barrier to long-term intervention effectiveness in obesity. The purpose of this study was to determine the relationship between emotion regulation difficulties and the extent of weight regain in a sample of adults who had lost, and then regained, weight, and to examine the characteristics associated with emotional difficulties.
2000 adults from three European countries (UK, Portugal, and Denmark) completed an online survey assessing self-reported weight loss and regain following their most recent weight loss attempt. They also completed a binge eating disorder screening questionnaire and, if they had regained weight, were asked if they attributed it to any emotional factors (a proxy for emotion regulation difficulties). Spearman's correlations and logistic regression were used to assess the associations between emotion regulation, weight regain, and strategy use.
Emotion regulation difficulties were associated with greater weight regain (N = 1594 who lost and regained weight). Attribution to emotional reasons was associated with younger age, female gender, loss of control and binge eating, lower perceptions of success at maintenance, using more dietary and self-regulatory strategies in weight loss, and fewer dietary strategies in maintenance.
Weight-related emotion regulation difficulties are common amongst regainers and are associated with regaining more weight. Affected individuals are already making frequent use of behavioural strategies during weight loss, but do not apply these consistently beyond active attempts. Simply encouraging the use of more numerous strategies, without concurrently teaching emotion regulation skills, may not be an effective means to improving weight outcomes in this group.
Level V, descriptive (cross-sectional) study.
尽管有效的减肥计划广泛可得，但维持体重减轻仍具有挑战性。情绪调节困难与暴饮暴食有关，可能是肥胖症长期干预效果的一个障碍。本研究的目的是确定情绪调节困难与体重减轻后又恢复体重的成年人样本中体重反弹程度之间的关系，并检查与情绪困难相关的特征。
来自三个欧洲国家（英国、葡萄牙和丹麦）的2000名成年人完成了一项在线调查，评估他们在最近一次减肥尝试后的自我报告的体重减轻和反弹情况。他们还完成了一份暴饮暴食障碍筛查问卷，如果他们体重反弹，会被问及是否将其归因于任何情绪因素（情绪调节困难的一个替代指标）。使用斯皮尔曼相关性分析和逻辑回归来评估情绪调节、体重反弹和策略使用之间的关联。
情绪调节困难与更大程度的体重反弹有关（N = 1594名体重减轻后又恢复体重的人）。将体重反弹归因于情绪原因与年龄较小、女性、失控和暴饮暴食、对维持体重成功的认知较低、在减肥中使用更多饮食和自我调节策略以及在维持体重时使用较少饮食策略有关。
与体重相关的情绪调节困难在体重反弹者中很常见，并且与更多的体重反弹有关。受影响的个体在减肥期间已经频繁使用行为策略，但在积极尝试之外并没有持续应用这些策略。仅仅鼓励使用更多的策略，而不同时教授情绪调节技能，可能不是改善该群体体重结果的有效方法。
V级，描述性（横断面）研究。
