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成人注意缺陷多动障碍与食物成瘾的关系:中介分析。

The association between adult ADHD and food addiction: A mediation analysis.

机构信息

Department of Human Sciences, Università Europea di Roma, 00163, Rome, Italy.

Department of Human Sciences, Università Europea di Roma, 00163, Rome, Italy.

出版信息

Appetite. 2021 Dec 1;167:105613. doi: 10.1016/j.appet.2021.105613. Epub 2021 Jul 28.

DOI:10.1016/j.appet.2021.105613
PMID:34332003
Abstract

OBJECTIVES

The aim of this study was to investigate the association between food addiction severity (FA) and ADHD symptomatology. Furthermore, we investigated whether emotional distress, and the mentalization deficits could mediate this relationship.

METHODS

Three hundred eighty-five Italian adults (307 women and 78 men) participated in the study and completed the Italian versions of the Modified Yale Food Addiction Scale version 2.0, the Adult ADHD Self-Report Scale, the Depression Anxiety Stress Scales 21 and the Mentalization Questionnaire.

RESULTS

ADHD symptoms severity and general distress were significantly and independently associated with FA. Emotional distress partly mediated the relationship between FA and ADHD symptoms severity. In addition, mentalization deficits partly mediated this relationship only when evaluating the influence of FA on ADHD symptoms severity.

LIMITATIONS

This is a cross-sectional study and causal interpretations of the relationships among the variables are speculative.

CONCLUSIONS

It is important to assess emotional distress and mentalization deficits in individuals at risk of ADHD and FA because these conditions could increase the risk for the presence of disordered eating patterns.

摘要

目的

本研究旨在探讨食物成瘾严重程度(FA)与 ADHD 症状之间的关系。此外,我们还研究了情绪困扰和心理化缺陷是否可以作为这种关系的中介。

方法

385 名意大利成年人(307 名女性和 78 名男性)参与了这项研究,并完成了意大利版的改良耶鲁食物成瘾量表 2.0、成人 ADHD 自评量表、抑郁焦虑压力量表 21 和心理化问卷。

结果

ADHD 症状严重程度和一般困扰与 FA 显著且独立相关。情绪困扰部分中介了 FA 和 ADHD 症状严重程度之间的关系。此外,只有在评估 FA 对 ADHD 症状严重程度的影响时,心理化缺陷才部分中介了这种关系。

局限性

这是一项横断面研究,因此对变量之间关系的因果解释是推测性的。

结论

评估有 ADHD 和 FA 风险的个体的情绪困扰和心理化缺陷很重要,因为这些情况可能会增加出现饮食失调模式的风险。

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