School of Health Sciences, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, 2308, NSW, Australia.
School of Psychology, University of Queensland, Brisbane, NSW, Australia.
Appetite. 2021 Jan 1;156:104974. doi: 10.1016/j.appet.2020.104974. Epub 2020 Sep 28.
Recent reviews have identified potential treatment targets for addictive overeating. These include: motivational interviewing, development of specific coping strategies for emotional regulation and the use of harm minimisation strategies based on interventions for substance use disorders. However, there is very little experiential evidence. The aim of this study was to determine the feasibility of a personality-targeted motivational interviewing intervention in adults above the healthy-weight range with symptoms of addictive eating, to reduce symptoms of addictive overeating and improve dietary profiles. Individuals with overweight and obesity (BMI >25 kg/m) with addictive eating as defined by the modified Yale Food Addiction Scale (mYFAS) were recruited to a three-session intervention held over 3 months. Sessions were conducted by telehealth and facilitated by dietitians. Fifty-two individuals were randomised to either intervention or control (mean age 43.6 ± 12.2yrs, mean BMI 36.7 ± 6.8 kg/m, 96% female). At three month follow up, there were significant reductions from baseline (BL) for both groups in total YFAS 2.0 symptoms, however, these changes were not significantly different between groups (intervention BL 8.0 ± 2.7; 3-months 6.5 ± 3.8, control BL 8.1 ± 2.5; 3-months 6.9 ± 3.9, p > 0.05). At 3 months the intervention group significantly reduced their energy from non-core foods compared with control (intervention BL 48% energy/day; 3-months 38%, control BL 41% energy/day; 3-months 38%, p < 0.01). The FoodFix intervention provides insight to the development of future management interventions for addictive eating.
最近的评论已经确定了治疗暴饮暴食成瘾的潜在目标。这些目标包括：动机访谈、为情绪调节制定特定的应对策略，以及基于物质使用障碍干预措施采用危害最小化策略。然而，几乎没有经验证据。本研究旨在确定针对超重和肥胖人群（BMI＞25kg/m2）的以人格为目标的动机访谈干预的可行性，这些人存在与饮食相关的成瘾症状，目的是减少饮食成瘾症状和改善饮食结构。根据改良耶鲁食物成瘾量表（mYFAS）的定义，超重和肥胖（BMI＞25kg/m2）人群中具有饮食成瘾症状的个体被招募参加为期 3 个月的 3 次干预。通过远程医疗进行会议，并由营养师协助进行。52 名个体被随机分配到干预组或对照组（平均年龄 43.6±12.2 岁，平均 BMI 36.7±6.8kg/m2，96%为女性）。在 3 个月的随访中，两组的耶鲁饮食成瘾量表总分（YFAS 2.0）均有显著下降，但组间差异无统计学意义（干预组基线 8.0±2.7；3 个月 6.5±3.8，对照组基线 8.1±2.5；3 个月 6.9±3.9，p＞0.05）。在 3 个月时，干预组与对照组相比，非核心食物的能量显著减少（干预组基线 48%能量/天；3 个月 38%，对照组基线 41%能量/天；3 个月 38%，p＜0.01）。FoodFix 干预为未来针对饮食成瘾的管理干预措施提供了启示。
