Escandón-Nagel Neli, Peró Maribel, Grau Antoni, Soriano José, Feixas Guillem
Universidad Católica de Temuco, Chile.
Universitat de Barcelona, Spain.
Int J Clin Health Psychol. 2018 Jan-Apr;18(1):52-59. doi: 10.1016/j.ijchp.2017.09.003. Epub 2017 Oct 16.
Binge Eating Disorder (BED) is often associated with obesity. In order to identify the variables that allow to better detect the presence of BED, people with overnutrition were compared with and without BED in the presence of cognitive conflicts, eating symptoms and anxious-depressive symptoms. The inclusion of cognitive conflicts had been relevant in bulimia studies but had not been investigated with respect to BED. Two groups with obesity were evaluated, one without BED (OB, = 54) and the other with BED (OB-BED, = 48), using a social-demographic questionnaire as well as a semi-structured interview to assess BED, questionnaires (DASS-21, EDE-Q, EEQ) and the Repertory Grid Technique. Overall, the OB-BED group presented more conflicts and more symptoms. The model that best differentiated between the groups included emotional eating and level of cognitive conflicts, correctly classifying 91.4% of the sample. These results highlight the role played by cognitive conflicts and emotional eating as differentiating elements between OB and OB-BED, with a high level of predictive accuracy.
暴饮暴食症（BED）常与肥胖相关。为了确定哪些变量能够更好地检测出BED的存在，研究人员在存在认知冲突、饮食症状和焦虑抑郁症状的情况下，对有营养过剩问题且患有或未患有BED的人群进行了比较。认知冲突在贪食症研究中具有相关性，但尚未针对BED进行过研究。研究人员使用社会人口学问卷以及半结构化访谈来评估BED，同时使用问卷（DASS - 21、EDE - Q、EEQ）和 repertory grid 技术，对两组肥胖人群进行了评估，一组无BED（OB，n = 54），另一组有BED（OB - BED，n = 48）。总体而言，OB - BED组表现出更多的冲突和更多的症状。最能区分两组的模型包括情绪化饮食和认知冲突水平，正确分类了91.4%的样本。这些结果突出了认知冲突和情绪化饮食作为区分OB和OB - BED的因素所起的作用，具有较高的预测准确性。
