Kuehnel R H, Wadden T A
Syracuse University.
Int J Eat Disord. 1994 May;15(4):321-9. doi: 10.1002/eat.2260150403.
This study examined differences among a total of 70 obese binge eaters, nonbingers, and problem eaters in depression, cognitive function, weight- and eating-related disturbances, and weight cycling. Subjects diagnosed with binge eating disorder (BED) scored significantly higher on depression and on several measures of cognitive dysfunction than did subjects in the other two groups. In addition, they reported significantly greater preoccupation with thinness and feelings of ineffectiveness, as well as a greater likelihood of eating in response to negative emotions. No relationship, however, was found between binge eating and weight cycling. Comparison of subjects identified as low- and high-weight cyclers revealed no significant differences between these two groups on depression, cognitive dysfunction, or the majority of the other measures of weight- and eating-related disturbance. The findings are discussed in terms of the implications for treating persons with BED and/or a history of weight cycling.
本研究调查了总共70名肥胖的暴饮暴食者、非暴饮暴食者和问题饮食者在抑郁、认知功能、体重及饮食相关障碍以及体重波动方面的差异。被诊断为暴饮暴食症（BED）的受试者在抑郁和几项认知功能障碍指标上的得分显著高于其他两组受试者。此外，他们报告称对瘦身和无效感的过度关注明显更多，以及因负面情绪而进食的可能性更大。然而，未发现暴饮暴食与体重波动之间存在关联。对被确定为低体重波动者和高体重波动者的受试者进行比较，结果显示这两组在抑郁、认知功能障碍或大多数其他体重及饮食相关障碍指标上无显著差异。将根据这些发现对治疗患有BED和/或有体重波动史的人的意义进行讨论。
