照顾者和青少年直觉饮食行为：与基于家庭的神经性厌食症治疗期间体重变化的关联。
Caregiver and adolescent intuitive eating behavior: associations with weight change during family-based treatment for anorexia nervosa.
机构信息
Department of Psychology, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
出版信息
Eat Weight Disord. 2023 Mar 25;28(1):32. doi: 10.1007/s40519-023-01557-0.
PURPOSE
Intuitive eating (IE) is an adaptive eating construct for which little research exists in eating disorder (ED) samples. IE is negatively correlated with disordered eating behaviors in healthy adolescents and adults, and similar associations have been found in adults with EDs. This study aims to examine IE in a treatment seeking sample of adolescents and their caregivers to understand the role of IE in weight gain during FBT.
METHODS
Descriptive statistics and bivariate correlations were calculated in a sample of 47 pairs of adolescent patients and their caregivers who initiated outpatient FBT at a large academic medical center. Analyses examined associations between caregiver and adolescent IE on the Intuitive Eating Scale (IES), change in percent expected body weight (%EBW) by session 4 and end of treatment (EOT), clinical impairment, and ED pathology.
RESULTS
Significant correlations were found between aspects of adolescent IE, ED symptoms, and clinical impairment. Caregiver IES scores (Reliance on Hunger and Satiety Cues, Body-Food Choice Congruence, IES Total) were negatively related to adolescent ED symptoms (EDE-Q Weight Concerns, EDE-Q Shape Concerns, EDE-Q Global) at baseline. Caregiver IE (Eating for Physical Rather than Emotional Reasons) was positively associated with adolescent weight gain at FBT session 4 and EOT, even when statistically adjusting for gender and initial level of care.
CONCLUSION
Study results were consistent with past research indicating adolescent IE is negatively associated with ED behaviors, cognitions, and impairment. This study is the first to provide evidence that caregiver IE is positively associated with adolescent weight gain in FBT and is the first to provide evidence that caregiver IE is negatively related to adolescent ED symptoms. Future research should examine adolescent and caregiver IE throughout FBT to understand the role of IE in treatment response.
LEVEL OF EVIDENCE
Level III: Evidence obtained from cohort or case-control analytic studies.
目的
直觉饮食（IE）是一种适应性饮食结构，在饮食失调（ED）样本中研究甚少。IE 与健康青少年和成年人的饮食失调行为呈负相关，在 ED 成年人中也发现了类似的关联。本研究旨在对寻求治疗的青少年及其照顾者样本中进行 IE 研究，以了解在 FBT 期间 IE 在体重增加中的作用。
方法
在一家大型学术医疗中心接受门诊 FBT 治疗的 47 对青少年患者及其照顾者的样本中，计算了描述性统计数据和双变量相关性。分析检查了青少年直觉饮食量表（IES）上照顾者和青少年 IE 之间的关联、第 4 次治疗和治疗结束时的体重预期百分比变化（%EBW）、临床损伤和 ED 病理。
结果
青少年 IE、ED 症状和临床损伤的各个方面存在显著相关性。照顾者 IES 评分（依赖饥饿和饱腹感线索、身体-食物选择一致性、IES 总分）与青少年 ED 症状（EDE-Q 体重关注、EDE-Q 形状关注、EDE-Q 总体）在基线时呈负相关。照顾者 IE（出于身体而非情感原因进食）与青少年在 FBT 第 4 次治疗和治疗结束时的体重增加呈正相关，即使在统计上调整了性别和初始治疗水平。
结论
研究结果与过去的研究一致，表明青少年 IE 与 ED 行为、认知和损伤呈负相关。本研究首次提供证据表明，照顾者 IE 与 FBT 中青少年体重增加呈正相关，并且首次提供证据表明，照顾者 IE 与青少年 ED 症状呈负相关。未来的研究应该在整个 FBT 期间检查青少年和照顾者的 IE，以了解 IE 在治疗反应中的作用。
证据水平
三级：从队列或病例对照分析研究中获得的证据。
Zotero 插件