情绪性进食的原因及肥胖的匹配治疗。
Causes of Emotional Eating and Matched Treatment of Obesity.
机构信息
Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands.
Department of Health Sciences, Faculty of Science, Amsterdam Public Health research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
出版信息
Curr Diab Rep. 2018 Apr 25;18(6):35. doi: 10.1007/s11892-018-1000-x.
Abstract
PURPOSE OF THE REVIEW
Eating in response to negative emotions (EE) may be an explanatory factor of the weight regain of many dieters. This narrative review presents evidence on possible causes of EE and the association of EE with depression and obesity and discusses implications of these findings for the treatment of obesity.
RECENT FINDINGS
Possible causes of EE are high dietary restraint, poor interoceptive awareness, alexithymia, emotion dysregulation and a reversed hypothalamic pituitary adrenal (HPA) stress axis. EE may be the outcome of inadequate parenting or depressive feelings in interaction with genetic susceptibility. There is also robust evidence that EE is a mediator between depression and obesity. The association of EE with depression and poor emotion regulation skills suggests that the treatment of obese people with high EE should not focus on calorie-restricted diets but on emotion regulation skills. The DEBQ (Dutch Eating Behavior Questionnaire) enables such a matched treatment of obesity.
摘要
综述目的
进食以应对负面情绪（EE）可能是许多节食者体重反弹的一个解释因素。本叙述性综述介绍了 EE 的可能原因，以及 EE 与抑郁和肥胖之间的关联，并讨论了这些发现对肥胖治疗的意义。
最近的发现
EE 的可能原因包括高饮食克制、较差的内感受意识、述情障碍、情绪调节障碍和反向下丘脑-垂体-肾上腺（HPA）应激轴。EE 可能是不良养育或抑郁情绪与遗传易感性相互作用的结果。还有强有力的证据表明，EE 是抑郁和肥胖之间的中介。EE 与抑郁和情绪调节技能差之间的关联表明，对 EE 较高的肥胖患者的治疗不应侧重于限制热量的饮食，而应侧重于情绪调节技能。DEBQ（荷兰饮食行为问卷）可以实现这种针对肥胖的匹配治疗。
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本文引用的文献
1
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J Psychiatr Res. 2018 Feb;97:38-46. doi: 10.1016/j.jpsychires.2017.11.003. Epub 2017 Nov 7.
2
Emotional processing in obesity: a systematic review and exploratory meta-analysis.肥胖中的情绪处理：系统评价和探索性元分析。
Obes Rev. 2018 Jan;19(1):111-120. doi: 10.1111/obr.12607. Epub 2017 Oct 10.
3
A structured literature review on the role of mindfulness, mindful eating and intuitive eating in changing eating behaviours: effectiveness and associated potential mechanisms.一项关于正念、正念饮食和直觉饮食在改变饮食行为方面的作用的结构化文献综述：有效性及相关潜在机制。
Nutr Res Rev. 2017 Dec;30(2):272-283. doi: 10.1017/S0954422417000154. Epub 2017 Jul 18.
4
Do impulsive individuals benefit more from food go/no-go training? Testing the role of inhibition capacity in the no-go devaluation effect.冲动个体是否从食物 Go/No-Go 训练中获益更多？抑制能力在 No-Go 贬抑效应中的作用检验。
Appetite. 2018 May 1;124:99-110. doi: 10.1016/j.appet.2017.04.024. Epub 2017 Apr 23.
5
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Psychoneuroendocrinology. 2017 Jun;80:122-130. doi: 10.1016/j.psyneuen.2017.03.014. Epub 2017 Mar 12.
6
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Neurosci Biobehav Rev. 2017 Feb;73:326-339. doi: 10.1016/j.neubiorev.2016.12.028. Epub 2016 Dec 23.
7
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8
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PLoS One. 2016 Sep 22;11(9):e0162510. doi: 10.1371/journal.pone.0162510. eCollection 2016.
9
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Appetite. 2016 Oct 1;105:500-8. doi: 10.1016/j.appet.2016.06.025. Epub 2016 Jun 18.
10
Validation of the Dutch Eating Behavior Questionnaire (DEBQ) in a sample of Chinese adolescents.验证荷兰饮食行为问卷（DEBQ）在中国青少年样本中的适用性。
Psychol Health Med. 2017 Mar;22(3):282-288. doi: 10.1080/13548506.2016.1173712. Epub 2016 Apr 15.
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