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首页> 外文期刊>Journal of Eating Disorders >Loss of control eating with and without the undue influence of weight or shape on self-evaluation: evidence from an adolescent population
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Loss of control eating with and without the undue influence of weight or shape on self-evaluation: evidence from an adolescent population

机译：有或没有体重或体形对自我评估的失控饮食：来自青少年群体的证据

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BackgroundThe overvaluation of weight and/or shape (“overvaluation”), a diagnostic criterion for anorexia nervosa and bulimia nervosa, is increasingly supported for inclusion in the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) criteria of binge eating disorder (BED). However, current evidence has been largely confined to adult populations. The current study aims to examine the status of overvaluation among adolescents with loss of control (LOC) eating recruited from a large, population-based sample. MethodSubgroups of female adolescents LOC eating with overvaluation (n = 30); LOC eating without overvaluation (n = 58); obese no LOC eating (“obese control”) (n = 36); and “normal-weight control” (normal-weight, no LOC eating) (n = 439) – recruited from secondary schools within the Australian Capital Territory (ACT) were compared on measures of eating disorder psychopathology, general psychological distress and quality of life. ResultsParticipants in the LOC eating with overvaluation subgroup reported significantly higher levels of eating disorder psychopathology than all other groups, while levels did not differ between participants in the LOC eating without overvaluation and obese control subgroups. On measures of distress and quality of life there were no significant differences between LOC eating with and without overvaluation subgroups. Both reported significantly greater distress and quality of life impairment than normal-weight controls. LOC eating with overvaluation participants had significantly higher levels of distress and quality of life impairment than obese controls, whereas scores on these measures did not differ between LOC eating without overvaluation and obese control subgroups. ConclusionThe results suggest that the presence of overvaluation among adolescents with LOC eating indicates a more severe disorder in terms of eating disorder psychopathology, however may not indicate distress and disability as clearly as it does among adults with BED.
机译：背景体重和/或形状的高估（“高估”）是神经性厌食症和神经性贪食症的诊断标准，越来越多地被纳入《精神疾病诊断和统计手册》第5版（DSM-5）暴饮暴食症标准（床）。但是，目前的证据主要限于成年人口。当前的研究旨在检查从大量基于人群的样本中招募的失控饮食（LOC）的青少年中高估的状况。方法亚组女性青少年LOC饮食偏高（n = 30）; LOC进餐而没有高估（n = 58）;肥胖者，没有LOC饮食（“肥胖控制”）（n = 36）;和“正常体重控制”（正常体重，无LOC进食）（n = 439）–比较了从澳大利亚首都领地（ACT）的中学招募的进食障碍的心理病理学，总体心理困扰和生活质量。结果LOC高估饮食组的参与者的进食障碍心理病理学水平明显高于其他所有组，而没有高估LOC饮食的参与者与肥胖对照组的水平无差异。就痛苦和生活质量的衡量而言，有无高估亚组的LOC饮食之间没有显着差异。两者均报告比正常体重对照者明显更大的痛苦和生活质量损害。高估参与者的LOC饮食比肥胖对照组的困扰和生活质量受损水平高得多，而在没有高估的LOC饮食和肥胖对照组之间，这些指标的得分没有差异。结论结果表明，LOC饮食青少年中存在高估的现象表明，就饮食失调心理病理而言，这是一种更为严重的疾病，但可能并不像BED成年人那样清楚地表明苦恼和残疾。

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