da Luz Felipe Q, Mohsin Mohammed, Jana Tatiana A, Marinho Leticia S, Santos Edilaine Dos, Lobo Isabella, Pascoareli Luisa, Gaeta Tamiris, Ferrari Silvia, Teixeira Paula C, Cordás Táki, Hay Phillipa
Eating Disorders Program (AMBULIM), Institute of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo 05403-010, SP, Brazil.
Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia.
Behav Sci (Basel). 2023 Mar 7;13(3):234. doi: 10.3390/bs13030234.
Eating disorders, such as binge eating disorder, are commonly associated with difficulties with emotion regulation and mental-health complications. However, the relationship between eating-disorder symptoms, difficulties with emotion regulation, and mental health in people with binge eating disorder is unclear. Thus, we investigated associations between eating-disorder symptoms, difficulties with emotion regulation, and mental health in 119 adults with binge eating disorder. Participants were assessed with the Eating Disorder Examination Questionnaire, Loss of Control over Eating Scale, Difficulties in Emotion Regulation Scale, Depression Anxiety and Stress Scale, and the 12-Item Short Form Survey at the pre-treatment phase of a randomized controlled trial. Structural-equation-modelling path analysis was used to investigate relationships between variables. We found that (1) eating-disorder behaviors had a direct association with depression, anxiety, and stress; (2) depression, psychological stress, difficulties with emotion regulation, and eating-disorder psychopathology had a direct association with mental-health-related quality of life; and (3) eating-disorder psychopathology/behaviors and stress had a direct association with difficulties with emotion regulation. Our findings show that depression, stress, difficulties with emotion regulation, and eating-disorder psychopathology were related in important ways to mental-health complications in people with binge eating disorder.
饮食失调，如暴饮暴食症，通常与情绪调节困难和心理健康并发症有关。然而，暴饮暴食症患者的饮食失调症状、情绪调节困难和心理健康之间的关系尚不清楚。因此，我们调查了119名患有暴饮暴食症的成年人的饮食失调症状、情绪调节困难和心理健康之间的关联。在一项随机对照试验的治疗前阶段，使用饮食失调检查问卷、饮食失控量表、情绪调节困难量表、抑郁焦虑压力量表和12项简短调查问卷对参与者进行评估。采用结构方程模型路径分析来研究变量之间的关系。我们发现：（1）饮食失调行为与抑郁、焦虑和压力有直接关联；（2）抑郁、心理压力、情绪调节困难和饮食失调精神病理学与心理健康相关生活质量有直接关联；（3）饮食失调精神病理学/行为和压力与情绪调节困难有直接关联。我们的研究结果表明，抑郁、压力、情绪调节困难和饮食失调精神病理学在重要方面与暴饮暴食症患者的心理健康并发症有关。
