Department of Educational Sciences (DISFOR), University of Genoa, Corso Andrea Podestà, 2, 16128, Genova, GE, Italy.
Department of Eating and Weight Disorders, Villa Garda Hospital, Via Monte Baldo, 89, 37016, Garda, Verona, Italy.
Eat Weight Disord. 2021 Mar;26(2):689-693. doi: 10.1007/s40519-020-00897-5. Epub 2020 Apr 10.
The aims of the current study were: (a) to compare community adolescent groups with and without binge eating (BE) on attachment representations and alexithymia, using an age-adapted interview to assess attachment; and (b) to explore the independent role of attachment and alexithymia as potentially related to BE in community adolescents.
Three hundred eighty-two community adolescents were screened with respect to BE symptoms through the Binge Eating Scale (BES). The 22 girls identified with BE (BE group) and 22 age- and gender-matched peers without BE (NBE group) were assessed with the Friends and Family Interview (FFI) and the Toronto Alexithymia Scale (TAS-20).
Binge eating group reported greater attachment preoccupation in comparison to NBE, while no difference emerged in alexithymia. More insecure attachment patterns, both preoccupied and dismissing, were significantly and independently associated with BES score in community girls.
Insecure attachment, assessed with semi-structured interview, is associated with BE among adolescents' community girls, while apparently alexithymia is not. Future prospective studies should assess the role of attachment in the development of BE in adolescents.
III, case-control analytic study.
本研究旨在：(a) 通过使用年龄适应的访谈评估依恋，比较有无暴食（BE）的社区青少年群体在依恋表现和述情障碍方面的差异；(b) 探讨依恋和述情障碍作为与社区青少年 BE 相关的潜在独立因素的作用。
通过暴食量表（BES）对 382 名社区青少年进行 BE 症状筛查。确定有 BE 的 22 名女孩（BE 组）和 22 名年龄和性别匹配的无 BE 青少年（NBE 组），采用朋友和家庭访谈（FFI）和多伦多述情障碍量表（TAS-20）进行评估。
与 NBE 组相比，暴食组报告了更多的依恋困扰，而在述情障碍方面没有差异。不安全感依恋模式，包括专注型和回避型，与社区女孩的 BES 评分显著且独立相关。
半结构化访谈评估的不安全感依恋与青少年社区女孩的 BE 相关，而述情障碍似乎没有关系。未来的前瞻性研究应评估依恋在青少年 BE 发展中的作用。
III 级，病例对照分析研究。
