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首页> 外文期刊>Obesity research >Loss of control is central to psychological disturbance associated with binge eating disorder.
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Loss of control is central to psychological disturbance associated with binge eating disorder.

机译：失控是与暴食症有关的心理障碍的关键。

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OBJECTIVE: Binge eating disorder (BED) is positively associated with obesity and psychological distress, yet the behavioral features of BED that drive these associations are largely unexplored. The primary aim of this study was to investigate which core behavioral features of binge eating are most strongly related to psychological disturbance. METHODS AND PROCEDURES: A cross-sectional study involved 180 bariatric surgery candidates, 93 members of a non-surgical weight loss support group, and 158 general community respondents (81 men/350 women, mean age 45.8 +/- 13.3, mean BMI 34.8 +/- 10.8, BMI range 17.7-66.7). Validated questionnaires assessed BED and binge eating, symptoms of depression, appearance dissatisfaction (AD), quality of life (QoL) and eating-related behaviors. Features of binge eating were confirmed by interview. BMI was determined by clinical assessment and self-report. RESULTS: The loss of control (LOC) over eating, that is, being unable to stop eating or control what or how much was consumed was most closely related to psychological markers of distress common in BED. In particular, those who experienced severe emotional disturbance due to feelings of LOC reported higher symptoms of depression (P < 0.001), AD (P 0.009), and poorer mental health-related QoL (P who report subjective binge episodes or do not meet BED frequency criteria for objective binge episodes may still be at elevated risk of psychological disturbance and benefit from clinical intervention. Feelings of LOC could drive binge eaters to seek bariatric surgery in an attempt to gain control over body weight and psychologically disturbing eating behavior.
机译：目的：暴食症（BED）与肥胖症和心理困扰正相关，但是，驱动这些关联的行为特征在很大程度上尚待探索。这项研究的主要目的是研究暴饮暴食的哪些核心行为特征与心理障碍最密切相关。方法和程序：一项横断面研究涉及180名减肥手术候选人，93名非手术减肥支持小组成员和158名普通人群（81名男性/ 350名女性，平均年龄45.8 +/- 13.3，平均BMI 34.8）。 +/- 10.8，BMI范围17.7-66.7）。经过验证的问卷调查评估了BED和暴饮暴食，抑郁症状，外表不满（AD），生活质量（QoL）和与饮食有关的行为。采访证实了暴饮暴食的特征。 BMI通过临床评估和自我报告确定。结果：进食失控（LOC），即无法停止进食或控制进食量或进食量，与BED中常见的困扰心理标志密切相关。尤其是那些因LOC感觉而遭受严重情绪困扰的人，其抑郁症状（P <0.001），AD（P 0.009）和与心理健康相关的QoL较差（报告主观狂欢发作或未达到BED的P）较高。客观暴饮暴食的频率标准可能仍会增加心理障碍的风险并受益于临床干预; LOC的感觉可能会促使暴饮暴食者寻求减肥手术，以试图控制体重和心理上影响饮食的行为。

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