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自闭症人群中概念化直觉饮食的挑战与机遇。

Challenges and opportunities for conceptualizing intuitive eating in autistic people.

机构信息

School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK.

Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.

出版信息

Int J Eat Disord. 2023 Dec;56(12):2189-2199. doi: 10.1002/eat.24057. Epub 2023 Oct 4.

Abstract

Although intuitive eating (IE) has become an increasingly adopted intervention target, current conceptualisations of IE have yet to pivot away from (neuro)normative physiology and phenomenology. Autistic individuals commonly report disordered eating behaviours and/or poorer well-being but appear to benefit from adaptive interventions using an affirmative approach. This article uses autism as a case example to summarise challenges related to IE's prevailing conceptualisation, before proposing how future research and current practice can be extended to the autistic population. Scholars are encouraged to evaluate the full 10-principal IE framework while utilising a participatory-led approach. We argue that research using a mixed methods design is urgently needed to comprehensively explore the (re)conceptualisation of IE in autistic people. While IE shows promise for producing positive outcomes in the autistic population, we discuss the potential challenges for research and practice due to its current emphasis on accurate interoception, emotional awareness and processing, and executive functioning. This suggests the need for research and practice to integrate autistic needs and experiences into future developments with an affirmative approach. Public Significance: IE is an effective intervention for reducing disordered eating behaviours. Autistic individuals commonly present disordered eating behaviours and have unique nutritional needs which often require intervention. However, there is limited understanding of IE among the autistic population. Research-informed definitions involving autistic perspectives will support translating the IE framework to this underrepresented population.

摘要

尽管直觉饮食(IE)已成为一种越来越被采用的干预目标,但目前对 IE 的概念化尚未从(神经)规范生理学和现象学转变过来。自闭症个体通常报告饮食失调行为和/或幸福感较差,但似乎受益于使用肯定方法的适应性干预。本文以自闭症为例,总结了与 IE 流行概念化相关的挑战,然后提出了未来研究和当前实践如何扩展到自闭症人群。鼓励学者在使用参与式主导方法的同时评估 IE 的完整 10 项原则框架。我们认为,迫切需要使用混合方法设计的研究来全面探索自闭症人群中 IE 的(重新)概念化。虽然 IE 在自闭症人群中产生积极结果的前景广阔,但我们讨论了由于其目前对准确的内脏感知、情绪意识和处理以及执行功能的强调,研究和实践可能面临的挑战。这表明需要研究和实践将自闭症的需求和经验纳入未来的发展,采用肯定的方法。公众意义:IE 是减少饮食失调行为的有效干预措施。自闭症个体通常表现出饮食失调行为,并且有独特的营养需求,通常需要干预。然而,自闭症人群对 IE 的理解有限。涉及自闭症观点的研究驱动的定义将支持将 IE 框架转化为这个代表性不足的人群。

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