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Binge Eating and Problem Gambling Are Prospectively Associated With Common and Distinct Deficits in Emotion Regulation Among Community Women

机译:暴饮暴食和问题赌博与社区妇女的情绪调节中常见和不同的缺陷有关

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To elucidate similarities and differences between binge eating and a behavioural addiction, this prospective study compared facets of emotion regulation that were associated with problem gambling, the only formally recognised behavioural addiction. and binge eating. Community-based women (N = 202) who engaged in at-risk binge eating (n = 79), at-risk gambling (n = 36), or both (n = 87) completed four online assessments over 6 months. Baseline and 6-month surveys assessed self-reported emotion dysregulation (using the Difficulties in Emotion Regulation Scale [DERS] and UPPS-P), binge eating (using the Eating Disorder Examination-Questionnaire), and gambling (using the Problem Gambling Severity Index); abbreviated 2- and 4-month surveys assessed only binge eating and gambling. Binge eating and problem gambling were both associated with emotion dysregulation, and greater positive urgency was correlated with more severe problem gambling but less frequent binge eating. Negative urgency explained no unique variance in binge eating or problem gambling changes over time once other facets of emotion dysregulation (i.e., positive urgency and facets assessed by the DERS) were included. Thus, previous cross-sectional research may have overestimated the association of negative urgency with both binge eating and problem gambling. Overall, these findings suggest that binge eating and problem gambling are associated with common as well as distinct emotion regulation deficits.
机译:为了阐明暴饮暴食和行为成瘾之间的相似性和差异,这项前瞻性研究比较了与问题赌博相关的情绪调节方面,这是唯一正式认识的行为成瘾。和暴饮暴食。从事高危暴饮暴食(n = 79),高风险赌博(n = 36)或两者(n = 87)的妇女(n = 202)在6个月内完成了四项在线评估。基线和6个月的调查评估了自我报告的情绪失调(使用情绪调节量表[DERS]和UPPS-P中的困难),暴饮暴食(使用饮食失调症检查 - 问题)和赌博(使用问题(使用问题) );缩写的2个月和4个月的调查仅评估了暴饮暴食和赌博。暴饮暴食和问题赌博都与情绪失调有关,更大的积极紧迫性与更严重的问题赌博相关,但狂暴饮食频繁。一旦包括了情绪失调的其他方面(即由DERS评估的积极的紧迫性和方面),负面的紧迫性不会解释暴饮暴食或问题随时间变化的独特差异。因此,以前的横断面研究可能高估了负紧迫性与暴饮暴食和问题赌博的关联。总体而言,这些发现表明,暴饮暴食和问题赌博与常见和不同的情绪调节缺陷有关。

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