Department of Psychiatry, Istanbul Bakırköy Mental Health Training and Research Hospital, Psychiatry Department, Istanbul, Turkey,
Psychiatr Danub. 2020 Spring;32(1):105-114. doi: 10.24869/psyd.2020.105.
Although there have been studies investigating emotional eating, impulsivity and anger, the relationship between differentiated eating attitudes, impulsivity and anger in atypical depression has not yet been studied. Therefore, the aim of this study was to evaluate eating attitudes, impulsivity and anger in participants with atypical and non-atypical depression and to compare their behaviours with those of the control group. Binge eating comorbidity was also investigated. The relationship between eating attitudes, impulsivity and anger was explored and the factors contributing to disordered eating attitudes were analysed.
The participants were divided into three groups; 56 with atypical depression, 36 with non-atypical depression and 32 healthy controls for comparison. Clinical assessment was carried out using the Structured Clinical Interview for DSM-IV Axis I Disorders, Barratt Impulsiveness Scale, Multidimensional Anger Scale, Eating Attitude Test, and Hamilton Depression Scale.
Deteriorated eating attitudes, increased anger symptoms and motor impulsivity were observed more in participants with atypical depression compared with participants with non-atypical depression. The frequency of binge eating was statistically significantly higher in participants with atypical depression (50%) than in participants with non-atypical depression (8%). A positive relationship was identified between deteriorated eating attitude, anger, and impulsivity. Behaving anxiously as a reaction to anger was found to be the significant predictor of disordered eating attitudes in participants with depression. The percentage of the variance explained by anxious behavior in disordered eating attitudes was 7%.
Participants in the atypical and non-atypical depression groups can be differentiated from each other based on their eating attitudes, anger symptoms, motor impulsivity and binge eating frequency.
尽管已有研究调查了情绪性进食、冲动和愤怒，但尚未研究非典型抑郁症患者的分化饮食态度、冲动和愤怒之间的关系。因此，本研究旨在评估非典型和非非典型抑郁症患者的饮食态度、冲动和愤怒，并将其行为与对照组进行比较。还研究了暴食症的共病。探讨了饮食态度、冲动和愤怒之间的关系，并分析了导致饮食障碍态度的因素。
将受试者分为三组：56 名非典型抑郁症患者、36 名非典型抑郁症患者和 32 名健康对照组进行比较。采用 DSM-IV 轴 I 障碍结构临床访谈、巴雷特冲动量表、多维愤怒量表、饮食态度测试和汉密尔顿抑郁量表进行临床评估。
与非典型抑郁症患者相比，非典型抑郁症患者的饮食态度恶化、愤怒症状和运动冲动增加。非典型抑郁症患者的暴食频率明显高于非典型抑郁症患者（50%比 8%）。饮食态度恶化、愤怒和冲动之间存在正相关。将愤怒作为焦虑行为的反应被发现是抑郁症患者饮食障碍态度的显著预测因子。焦虑行为对饮食障碍态度的解释百分比为 7%。
非典型和非非典型抑郁症患者可以根据其饮食态度、愤怒症状、运动冲动和暴食频率来区分。
