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注意偏向食物和身体刺激在饮食失调个体与食物过敏个体中的差异。

Attentional biases towards food and body stimuli among individuals with disordered eating versus food allergies.

机构信息

Department of Psychology, Harvard University, Cambridge, MA, USA; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA.

Department of Psychology, Harvard University, Cambridge, MA, USA.

出版信息

J Behav Ther Exp Psychiatry. 2021 Dec;73:101657. doi: 10.1016/j.jbtep.2021.101657. Epub 2021 May 6.

Abstract

BACKGROUND AND OBJECTIVES

Individuals with disordered eating display heightened attentional biases towards food- and body-related stimuli. However, it is unknown whether these attentional biases reflect maladaptive thinking/eating pathology. We investigated the differences between maladaptive and adaptive ways of thinking about food by assessing food- and body-related attentional biases among individuals with disordered eating, participants with peanut allergies (i.e., individuals who think frequently about food in an adaptive manner), and healthy controls. We also examined the extent to which negative mood and rumination exacerbated attentional biases among those in these groups.

METHOD

Three hundred and twenty-one individuals with disordered eating (n = 139), peanut allergies (n = 60), and healthy controls (n = 122) completed food- and body-based Stroop tasks prior to and following a cognitive rumination task designed to increase negative mood.

RESULTS

Individuals with disordered eating and individuals with peanut allergies had significantly worse performance on the food and body Stroop tasks relative to healthy controls at baseline (ps < .001). However, there were no perceived differences in performance by group following rumination.

LIMITATIONS

The cognitive rumination task heightened negative mood for those in the disordered eating group but not for those in the peanut allergy or healthy control groups.

CONCLUSIONS

Findings suggest that frequent thoughts involving food are associated with attentional biases towards food and body stimuli. This appears to be the case regardless of whether these frequent thoughts are due to disordered eating or to fear of an allergic reaction.

摘要

背景与目的

饮食失调个体对食物和身体相关刺激表现出增强的注意力偏差。然而,这些注意力偏差是否反映出适应不良的思维/进食模式尚不清楚。我们通过评估饮食失调个体、花生过敏参与者(即频繁以适应方式思考食物的个体)和健康对照者的食物和身体相关注意力偏差,研究了对食物的适应和不适应思维方式之间的差异。我们还检查了在这些群体中,消极情绪和反刍是否加剧了注意力偏差的程度。

方法

321 名饮食失调个体(n=139)、花生过敏个体(n=60)和健康对照者(n=122)在进行旨在增加消极情绪的认知反刍任务之前和之后,完成了基于食物和身体的 Stroop 任务。

结果

与健康对照组相比,饮食失调个体和花生过敏个体在基线时在食物和身体 Stroop 任务上的表现明显更差(p<0.001)。然而,在反刍后,各组的表现没有差异。

局限性

认知反刍任务增加了饮食失调组的消极情绪,但对花生过敏组和健康对照组没有影响。

结论

研究结果表明,频繁涉及食物的想法与对食物和身体刺激的注意力偏差有关。无论这些频繁的想法是由于饮食失调还是对过敏反应的恐惧,似乎都是如此。

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