主观或客观暴饮暴食：这种区分有效吗？
Subjective or objective binge: is the distinction valid?
作者信息
Niego S H, Pratt E M, Agras W S
机构信息
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305-5542, USA.
出版信息
Int J Eat Disord. 1997 Nov;22(3):291-8. doi: 10.1002/(sici)1098-108x(199711)22:3<291::aid-eat8>3.0.co;2-i.
OBJECTIVE
The aim of this study was to examine the validity of the distinction between objective and subjective binge episodes.
METHOD
Data were analyzed from 101 women who received 12 weeks of cognitive-behavioral therapy (CBT) for binge eating in a previous treatment study. Binges recorded by participants on daily food records were rated as either subjective or objective according to the Eating Disorder Examination rating guidelines. Unpaired t tests were performed to determine the relationship between type of binge, psychopathology, and other descriptive measures, including response to treatment.
RESULTS
These analyses revealed no significant differences between types of binge episodes. Of note is the observation that objective binge episodes appeared to decrease more rapidly than subjective episodes during treatment.
DISCUSSION
Future research should continue to investigate whether "large amount of food" is an appropriate criterion for the diagnosis of binge eating.
目的
本研究的目的是检验客观暴食发作与主观暴食发作区分的有效性。
方法
对101名女性的数据进行分析，这些女性在之前一项治疗研究中接受了为期12周的针对暴饮暴食的认知行为疗法（CBT）。根据饮食失调检查评分指南，参与者在每日饮食记录中记录的暴食被评定为主观或客观。进行非配对t检验以确定暴食类型、精神病理学以及包括治疗反应在内的其他描述性指标之间的关系。
结果
这些分析显示不同类型的暴食发作之间无显著差异。值得注意的是，观察发现客观暴食发作在治疗期间似乎比主观发作减少得更快。
讨论
未来的研究应继续调查“大量食物”是否是诊断暴饮暴食的适当标准。
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