Oliveira Jônatas de, Cordás Táki Athanássios
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2020;18:eAO5269. doi: 10.31744/einstein_journal/2020ao5269. Epub 2020 Jul 10.
Objective To evaluate aspects of eating behavior, presence of non-food substance consumption and negative urgency in women from an on-line support group for eating disorders. Methods Participants (n=147) completed questionnaires for binge eating assessment, Intuitive Eating, negative urgency, cognitive restraint and a question of non-food substance consumption. Participants were separated according to criteria for bulimic symptoms and compulsive symptoms. Results The consumption of non-food substances was 4.8% (n=7). The Bulimic Group (n=61) showed higher values for binge eating (p=0.01), cognitive restraint (p=0.01) and negative urgency (p=0.01) compared with the Compulsive Group (n=86). Only the Compulsive Group showed an inverse correlation between scores for binge eating and Intuitive Eating (p=0.01). In both groups, binge eating was inversely correlated with the subscale of body-food choice congruence of Intuitive Eating scale. As expected, the Bulimic Group reached higher values for measures of disordered behaviors such as cognitive restraint and binge eating, and lower scores for Intuitive Eating. Conclusion The aspects of Intuitive Eating are inversely associated with compulsive and bulimic symptoms and the correlation analyses for binge eating and negative urgency agreed with models reported in published literature about negative urgency.
目的 评估一个饮食失调在线支持小组中女性的饮食行为、非食物物质摄入情况及消极紧迫性。方法 参与者(n = 147)完成了用于评估暴饮暴食、直觉饮食、消极紧迫性、认知抑制以及非食物物质摄入问题的问卷。参与者根据暴食症状和强迫症状标准进行分组。结果 非食物物质的摄入量为4.8%(n = 7)。与强迫组(n = 86)相比,暴食组(n = 61)在暴饮暴食(p = 0.01)、认知抑制(p = 0.01)和消极紧迫性(p = 0.01)方面得分更高。只有强迫组在暴饮暴食得分与直觉饮食得分之间呈负相关(p = 0.01)。在两组中,暴饮暴食与直觉饮食量表中身体 - 食物选择一致性子量表呈负相关。正如预期的那样,暴食组在认知抑制和暴饮暴食等紊乱行为测量方面得分更高,而在直觉饮食方面得分更低。结论 直觉饮食的各个方面与强迫和暴食症状呈负相关,并且暴饮暴食和消极紧迫性的相关分析与已发表文献中关于消极紧迫性的模型一致。