Universidade de Blumenau, Centro de Ciência da Saúde, Programa de Pós-graduação em Saúde Coletiva, Blumenau, SC, Brazil.
Universidade de Blumenau, Centro de Ciência da Saúde, Programa de Pós-graduação em Saúde Coletiva, Blumenau, SC, Brazil.
J Pediatr (Rio J). 2022 May-Jun;98(3):264-269. doi: 10.1016/j.jped.2021.06.003. Epub 2021 Jul 14.
To study the occurrence of alexithymia in obese adolescents.
Cross-sectional study with 102 obese adolescents. Sociodemographic, clinical, and psychometric data (alexithymia and binge eating) were analyzed The Brazilian version of the Toronto Alexithymia Scale and Binge Eating Scale were used for psychometric data collection. Statistical analysis was performed using the Kolmogorov-Smirnov test, Student's t-test, ANOVA, chi-square, linear regression, and logistic regression. The study was approved by Research Ethics Committee.
A 22% occurrence of alexithymia was observed. Considering the category "possible alexithymia", half of the participants presented some alexithymic behavior. Adolescents with alexithymia had higher binge eating scores (alexithymia 16,2 versus possible alexithymia 11,7 versus no alexithymia 8,5; ANOVA p < 0,0005) and three times more binge eating behavior than adolescents with no alexithymia or possible alexithymia (alexithymia 36.4% versus 17.2% possible alexithymia versus 11.8% no alexithymia; chi-square = 6,2, p = 0.04). In simple linear regression, alexithymia scores were positively associated with binge eating scores (r = 0,4; p = 0,002). Binary logistic regression showed a three times higher probability of an adolescent with severe obesity to meet the criteria for alexithymia.
There was a 22% occurrence of alexithymia in obese adolescents. It was positively associated with obesity severity and higher binge eating scores, suggesting a relationship between severe obesity, alexithymia, and binge eating behavior.
研究肥胖青少年发生述情障碍的情况。
这是一项横断面研究，共纳入 102 名肥胖青少年。分析了社会人口学、临床和心理测量数据（述情障碍和暴食）。使用巴西版多伦多述情障碍量表和暴食量表进行心理测量数据收集。使用 Kolmogorov-Smirnov 检验、学生 t 检验、方差分析、卡方检验、线性回归和逻辑回归进行统计分析。本研究获得了伦理委员会的批准。
观察到述情障碍的发生率为 22%。考虑到“可能的述情障碍”类别，一半的参与者表现出一些述情障碍行为。有述情障碍的青少年暴食得分较高（述情障碍 16.2 分，可能的述情障碍 11.7 分，无述情障碍 8.5 分；方差分析 p<0.0005），且暴食行为是无述情障碍或可能的述情障碍青少年的三倍（述情障碍 36.4%，可能的述情障碍 17.2%，无述情障碍 11.8%；卡方检验=6.2，p=0.04）。简单线性回归显示，述情障碍评分与暴食评分呈正相关（r=0.4；p=0.002）。二项逻辑回归显示，严重肥胖的青少年更有可能符合述情障碍的标准，其概率是无述情障碍青少年的三倍。
肥胖青少年述情障碍的发生率为 22%。它与肥胖严重程度和暴食评分升高呈正相关，提示严重肥胖、述情障碍和暴食行为之间存在关联。
