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拔皮障碍和拔毛癖中的营养

Nutrition in Skin Picking Disorder and Trichotillomania.

作者信息

Grant Jon E, Valle Stephanie, Chamberlain Samuel R

机构信息

Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, United States.

Department of Psychiatry, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

出版信息

Front Psychiatry. 2021 Nov 23;12:761321. doi: 10.3389/fpsyt.2021.761321. eCollection 2021.

Abstract

Excessive calorie intake constitutes a global public health concern, due to its associated range of untoward outcomes. Impulsivity and compulsivity have been linked to dietary intake. However, nothing is known about dietary intake and body-focused repetitive behaviors, despite their classification as obsessive-compulsive related conditions, and high co-morbidity with impulsive and compulsive conditions. One hundred and ninety six adults with trichotillomania or skin picking disorder were recruited. Dietary intake over the preceding year was quantified using the Dietary Fat and Free Sugar Short questionnaire. Relationships between dietary fat/sugar intake and behaviors were evaluated using regression modeling. Sugar intake was significantly related to higher trans-diagnostic compulsivity ( = 0.011) and higher non-planning impulsivity ( = 0.013) In terms of saturated fat intake, there was no significant relationship to the explanatory variables. A combination high fat/high sugar diet was significantly associated with higher motor impulsivity ( = 0.005). Past-year nutrition appears to be significantly associated with trans-diagnostic impulsivity and compulsivity. The role of poor nutrition in these disorders and related conditions, and its link with impulsivity and compulsivity, requires longitudinal research attention; and clinical work should address not only psychiatric symptoms but also impact of lifestyle of overall health.

摘要

由于过量卡路里摄入会带来一系列不良后果,它已成为一个全球公共卫生问题。冲动性和强迫性与饮食摄入有关。然而,尽管以身体为中心的重复行为被归类为与强迫症相关的病症,且与冲动和强迫性病症的共病率很高,但关于饮食摄入与这些行为之间的关系却一无所知。招募了196名患有拔毛癖或皮肤搔抓障碍的成年人。使用“膳食脂肪和游离糖简短问卷”对前一年的饮食摄入量进行量化。使用回归模型评估膳食脂肪/糖摄入量与行为之间的关系。糖摄入量与更高的跨诊断强迫性(P = 0.011)和更高的非计划性冲动性(P = 0.013)显著相关。就饱和脂肪摄入量而言,与解释变量没有显著关系。高脂肪/高糖饮食组合与更高的运动冲动性显著相关(P = 0.005)。过去一年的营养状况似乎与跨诊断冲动性和强迫性显著相关。营养不良在这些疾病及相关病症中的作用及其与冲动性和强迫性的联系,需要纵向研究关注;临床工作不仅应关注精神症状,还应关注生活方式对整体健康的影响。

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