Goode Rachel W, Kalarchian Melissa A, Craighead Linda, Conroy Molly B, Wallace John, Eack Shaun M, Burke Lora E
Schools of Social Work and Nursing, University of Pittsburgh, 2117 Cathedral of Learning, Pittsburgh, PA 15260, United States; School of Social Work, University of North Carolina at Chapel Hill, 325 Pittsboro Street, CB #3550, Chapel Hill, NC 27599-3550, United States.
School of Nursing, Duquesne University, Fisher Hall, 600 Forbes Avenue, Pittsburgh, PA 15282, United States.
Eat Behav. 2018 Apr;29:83-90. doi: 10.1016/j.eatbeh.2018.03.005. Epub 2018 Mar 9.
U.S. Black women have the highest rates of obesity and report frequent binge eating behaviors. To our knowledge, no intervention research has aimed to treat binge eating specifically among Black women. The purpose of this study was to investigate the feasibility and preliminary effect of Appetite Awareness Treatment (AAT), an 8-week cognitive-behavioral binge eating intervention, among Black women with obesity, and who report binge eating.
Participants (N = 31), had a mean (±SD) age of 48.8 ± 12.8 years, a body mass index of 33.7 ± 3.9 kg/m, and reported at least one binge eating episode monthly over the last three months. Using a randomized controlled trial design, Black women were randomized to AAT or a wait-list control group (WAIT) group. We examined recruitment, attendance, retention, and adherence. Linear mixed models explored preliminary differences between the AAT and WAIT on the primary outcome variables of binge eating and eating self-efficacy measured at baseline and 8-weeks.
Approximately one-third of screened participants were eligible and did enroll. Participants completed 55% of homework assignments, and attended 59% of intervention sessions. Retention to AAT was 87.5%. Compared to participants in the WAIT group, AAT participants had greater decreases in binge eating scores and greater improvements in eating self-efficacy scores at the end of Week 8.
Results suggest that AAT is feasible among Black women with binge eating behaviors, with evidence of preliminary efficacy, providing a rationale for a trial of AAT in a larger sample of Black women.
美国黑人女性肥胖率最高，且经常报告有暴饮暴食行为。据我们所知，尚无干预研究专门针对黑人女性的暴饮暴食进行治疗。本研究的目的是调查食欲意识疗法（AAT）（一种为期8周的针对暴饮暴食的认知行为干预疗法）在有暴饮暴食行为的肥胖黑人女性中的可行性和初步效果。
参与者（N = 31）的平均（±标准差）年龄为48.8±12.8岁，体重指数为33.7±3.9kg/m²，且报告在过去三个月中每月至少有一次暴饮暴食发作。采用随机对照试验设计，将黑人女性随机分为AAT组或等待列表对照组（WAIT组）。我们考察了招募、出勤、留存率和依从性。线性混合模型探讨了AAT组和WAIT组在基线和8周时测量的暴饮暴食和饮食自我效能这两个主要结局变量上的初步差异。
约三分之一经过筛选的参与者符合条件并实际入组。参与者完成了55%的家庭作业任务，参加了59%的干预课程。AAT组的留存率为87.5%。与WAIT组的参与者相比，AAT组的参与者在第8周结束时暴饮暴食得分下降幅度更大，饮食自我效能得分改善更大。
结果表明，AAT在有暴饮暴食行为的黑人女性中是可行的，并有初步疗效的证据，这为在更大样本的黑人女性中进行AAT试验提供了理论依据。
