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消极和积极的情绪性进食与情绪反应的易激活、强度和持续时间独特地相互作用,从而预测暴食的增加。

Negative and positive emotional eating uniquely interact with ease of activation, intensity, and duration of emotional reactivity to predict increased binge eating.

机构信息

Department of Psychology, Bowling Green State University, USA.

Department of Psychology, Bowling Green State University, USA.

出版信息

Appetite. 2020 Aug 1;151:104688. doi: 10.1016/j.appet.2020.104688. Epub 2020 Mar 30.

Abstract

Binge eating is present in obesity and clinical eating disorder populations and positively associated with poor health outcomes. Emotional eating may be related to binge eating, but relationships with emotional reactivity remain unexplored. The present study examined the relationships between negative and positive emotional eating and emotional reactivity in predicting binge eating. A cross-sectional study was employed using an online community sample in the United States. Participants (N = 258) completed surveys assessing negative (Emotional Eating Scale-Revised, depression subscale) and positive emotional eating (Emotional Appetite Questionnaire), negative and positive emotional reactivity (Perth Emotional Reactivity Scale), and binge eating (Binge Eating Scale). Six moderation analyses were calculated with negative and positive emotional reactivity (ease of activation, intensity, and duration) as moderators of the relationship between negative and positive emotional eating, respectively, and binge eating. Increased negative emotional eating was associated with increased binge eating when duration of negative emotional reactivity was 1 standard deviation above average (p < .001), but at 1 standard deviation below average (p < .001), increased negative emotional eating was associated with decreased binge eating. Increased positive emotional eating was associated with increased binge eating when intensity (p < .01) of positive emotional reactivity was 1 standard deviation above average and when activation (p < .05) of positive emotional reactivity was slightly above 1 standard deviation above average. Increased positive emotional eating was associated with decreased BE when intensity of positive emotional reactivity was 1 standard deviation below (p < .05) average. Emotional reactivity may uniquely impact the relationship between emotional eating and binge eating. Research and clinical implications for the contribution of negative and positive emotional eating and emotional reactivity on binge eating are discussed.

摘要

暴食症存在于肥胖和临床饮食失调人群中,并与不良健康结果呈正相关。情绪性进食可能与暴食症有关,但与情绪反应的关系仍未得到探索。本研究考察了消极和积极情绪性进食以及情绪反应在预测暴食症中的关系。采用横断面研究方法,在美国的一个在线社区样本中进行。参与者(N=258)完成了评估负性(修订后的情绪性进食量表,抑郁分量表)和正性情绪性进食(情绪食欲问卷)、负性和正性情绪反应(珀斯情绪反应量表)以及暴食症(暴食量表)的问卷。计算了 6 项调节分析,其中负性和正性情绪反应(易激活、强度和持续时间)分别作为负性和正性情绪进食与暴食之间关系的调节因素。当负性情绪反应持续时间比平均水平高出 1 个标准差时(p<.001),负性情绪进食增加与暴食增加有关,但当负性情绪进食持续时间比平均水平低 1 个标准差时(p<.001),负性情绪进食增加与暴食减少有关。当正性情绪反应的强度(p<.01)高于平均水平 1 个标准差,或当正性情绪反应的激活(p<.05)略高于平均水平 1 个标准差时,正性情绪进食增加与暴食增加有关。当正性情绪反应的强度比平均水平低 1 个标准差时(p<.05),正性情绪进食增加与暴食减少有关。情绪反应可能会对情绪进食和暴食症之间的关系产生独特的影响。讨论了负性和正性情绪进食以及情绪反应对暴食症的贡献的研究和临床意义。

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