Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; Radboud University Nijmegen, Behavioural Science Institute, Nijmegen, the Netherlands.
Appetite. 2019 Feb 1;133:204-211. doi: 10.1016/j.appet.2018.11.009. Epub 2018 Nov 13.
Earlier cross-sectional research showed that a higher level of mindful eating is associated with less depression. This study investigated associations of attentive mindful eating with change in depressive symptoms, as well as mediation by psychological eating styles, in the Longitudinal Aging Study Amsterdam (n = 946). The mindful eating domains Focused Eating, Eating in response to Hunger and Satiety Cues, Eating with Awareness and Eating without Distraction were measured by the Mindful Eating Behavior Scale. Three-year change in depressive symptoms was measured with the Center for Epidemiologic Studies Depression Scale. Emotional, external and restrained eating were measured by the 20-item version of the Dutch Eating Behaviour Questionnaire. Higher baseline scores on Focused Eating, Eating with Awareness and Eating without Distraction were associated with a 3-year decrease in depressive symptoms. Eating in response to Hunger and Satiety Cues was not associated with a change in depressive symptoms. Multiple mediation models showed mediation by external eating for the domains Eating with Awareness, Eating without Distraction, and Eating in response to Hunger and Satiety Cues, but no mediation by emotional and restrained eating. No mediation by the eating styles was found for Focused Eating. In this study, higher scores on three mindful eating domains were associated with a decrease in depressive symptoms. Mediation analyses suggest that three domains are associated with depression through external eating.
先前的横断面研究表明，更高水平的正念饮食与抑郁程度降低有关。本研究在阿姆斯特丹纵向老龄化研究（n=946）中，调查了专注于正念饮食、注意饮食与抑郁症状变化的关系，以及心理饮食方式的中介作用。正念饮食的领域包括专注进食、对饥饿和饱腹感信号的进食、有意识进食和不分散注意力进食，通过正念饮食行为量表进行测量。使用流行病学研究抑郁量表测量了三年的抑郁症状变化。情绪性、外显性和约束性进食通过荷兰饮食行为问卷的 20 项版本进行测量。在基线时，专注进食、有意识进食和不分散注意力进食的得分较高与抑郁症状的三年下降有关。对饥饿和饱腹感信号的进食与抑郁症状的变化无关。多中介模型表明，外显性进食对感知进食、不分散注意力进食以及对饥饿和饱腹感信号的进食这三个领域有中介作用，但对情绪性和约束性进食没有中介作用。对专注进食没有发现饮食方式的中介作用。在这项研究中，三个正念饮食领域的得分较高与抑郁症状的减少有关。中介分析表明，三个领域通过外显性进食与抑郁相关。
