Department of Psychological and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA.
Center for Weight, Eating, and Lifestyle Science (WELL Center), Drexel University, Philadelphia, Pennsylvania, USA.
Eat Disord. 2024 Jul-Aug;32(4):426-438. doi: 10.1080/10640266.2024.2312725. Epub 2024 Feb 9.
Using data from 165 adult participants who enrolled in four studies of cognitive-behavioral therapy (CBT) for binge-spectrum eating disorders (EDs), this secondary analysis examined 1) whether pretreatment hopelessness predicted posttreatment eating pathology, loss-of-control (LOC) eating frequency, and purging frequency; 2) whether treatment had an indirect effect on those outcomes through change in hopelessness; and 3) whether treatment had an indirect effect on hopelessness through those ED measures. The Eating Disorder Examination was used to assess overall eating pathology, LOC frequency, and purging frequency. Hopelessness was measured with one item from the Beck Depression Inventory-II. Regression models showed that pretreatment hopelessness predicted posttreatment LOC eating frequency but not overall eating pathology or purging frequency. Single-group tests of indirect effects showed no effect of reduction in hopelessness on reduction in ED symptoms, but there was an effect of reduction in ED symptoms on reduction in hopelessness.
本研究使用了来自 165 名参加了四项认知行为疗法(CBT)暴食症(ED)治疗研究的成年参与者的数据,通过二次分析检验了以下假设:1)治疗前的无望感是否能预测治疗后的饮食障碍、失控(LOC)进食频率和催吐频率;2)通过无望感的改变,治疗是否对这些结果有间接影响;3)通过这些 ED 措施,治疗是否对无望感有间接影响。饮食障碍检查用于评估整体饮食障碍、LOC 进食频率和催吐频率。无望感采用贝克抑郁量表第二版的一个项目进行测量。回归模型显示,治疗前的无望感预测了治疗后的 LOC 进食频率,但对整体饮食障碍或催吐频率没有影响。间接效应的单组检验显示,减少无望感对减少 ED 症状没有影响,但减少 ED 症状对减少无望感有影响。