Gormally J, Black S, Daston S, Rardin D
Addict Behav. 1982;7(1):47-55. doi: 10.1016/0306-4603(82)90024-7.
The purpose of this study was to conduct an assessment of binge eating severity among obese persons. Two questionnaires were developed. A 16-item Binge Eating Scale was constructed describing both behavioral manifestations (e.g., eating large amounts of food) and feeling/cognitions surrounding a binge episode (e.g., guilt, fear of being unable to stop eating). An 11-item Cognitive Factors Scale was developed measure two cognitive phenomena thought to be related to binge eating: the tendency to set unrealistic standards for a diet (e.g., eliminating "favorite foods") and low efficacy expectations for sustaining a diet. The results showed that the Binge Eating Scale successfully discriminated among persons judged by trained interviewers to have either no, moderate or severe binge eating problems. Significant correlation between the scales were obtained such that severe bingers tended to set up diets which were unrealistically strict while reporting low efficacy expectations to sustain a diet. The discussion highlighted the differences among obese persons on binge eating severity and emphasized the role of cognitions in the relapse of self control of eating.
本研究的目的是对肥胖者的暴饮暴食严重程度进行评估。开发了两份问卷。构建了一个包含16个条目的暴饮暴食量表，描述了行为表现（如大量进食）以及围绕暴饮暴食发作的感受/认知（如内疚、害怕无法停止进食）。开发了一个包含11个条目的认知因素量表，以测量两种被认为与暴饮暴食相关的认知现象：为节食设定不切实际标准的倾向（如排除“喜爱的食物”）以及对维持节食的低效能期望。结果表明，暴饮暴食量表成功地区分了经训练的访谈者判断为没有、中度或严重暴饮暴食问题的人群。各量表之间存在显著相关性，即严重暴饮暴食者倾向于设定不切实际的严格节食标准，同时报告维持节食的低效能期望。讨论强调了肥胖者在暴饮暴食严重程度上的差异，并强调了认知在饮食自我控制复发中的作用。
