Department of Psychology, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Victoria, 3122, Australia.
Department of Psychology, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Victoria, 3122, Australia; Department of Gastroenterology, The Royal Melbourne Hospital, Parkville, Victoria, 3052, Australia; Department of Psychiatry, University of Melbourne, Parkville, Victoria, 3052, Australia.
Appetite. 2022 Jan 1;168:105744. doi: 10.1016/j.appet.2021.105744. Epub 2021 Oct 8.
An adverse relationship between coeliac disease and the development of disordered eating patterns is well established. The aim of this study was to replicate and extend Satherley et al.'s (2016) study exploring coeliac-specific and non-specific factors predicting disordered eating. An online survey was completed by 187 adults with coeliac disease (90.4% female; Mean age = 48.92; Mean years living with coeliac disease = 11.86). Results indicated that greater disordered eating correlated with being female, poorer dietary adherence, greater gastrointestinal and psychological symptoms, and more coeliac-related food concerns. Hierarchical regression analyses found that psychological distress remained the only predictor of disordered eating when both coeliac-specific and non-specific factors were considered. Age, body mass index, psychological distress, years with coeliac disease and dietary nonadherence were found to significantly predict binge eating severity. The findings suggest that psychological distress is a risk factor for disordered eating in coeliac disease and that binge eating behaviours may be a particularly relevant factor for dietary nonadherence in those living with coeliac disease.
乳糜泻与饮食失调模式的发展之间存在不良关系，这一点已得到充分证实。本研究旨在复制和扩展 Satherley 等人（2016 年）的研究，探索预测饮食失调的乳糜泻特异性和非特异性因素。一项在线调查由 187 名乳糜泻患者（90.4%为女性；平均年龄 48.92 岁；平均患乳糜泻 11.86 年）完成。结果表明，饮食失调程度越严重，与女性、较差的饮食依从性、更严重的胃肠道和心理症状以及更多的乳糜泻相关食物担忧相关。分层回归分析发现，当考虑乳糜泻特异性和非特异性因素时，心理困扰仍然是饮食失调的唯一预测因素。年龄、体重指数、心理困扰、患乳糜泻时间和饮食不依从与暴食严重程度显著相关。研究结果表明，心理困扰是乳糜泻患者饮食失调的一个风险因素，暴食行为可能是乳糜泻患者饮食不依从的一个特别相关因素。
