在成年人中,围绕着暴饮暴食和重度饮酒事件的影响轨迹影响暴饮暴食谱饮食障碍
Megan L Wilkinson1,2, Stephanie M Manasse1, Adrienne S Juarascio1,2
1Center for Weight, Eating, and Lifestyle Science, Drexel University, 3201 Chestnut St. Philadelphia, Philadelphia, Pennsylvania, USA.
概括
暴饮暴食可能会被负面情绪所强化,而重度饮酒可能会被两种情况的个体的积极情绪所强化. 治疗应解决特定的负面影响层面,并促进替代奖励.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 暴饮暴食和重度饮酒 (BE + HD) 的并发症,由于其高患病率和严重后果,引发了重大公共卫生问题.
- 假设情感途径可以维持BE + HD,但微观水平的调查缺乏.
研究的目的:
- 通过生态瞬间评估 (EMA) 调查BE + HD患者中积极和消极影响以及暴饮暴食或重度饮酒的情节之间的日级关系.
- 为了区分与暴饮暴食和大量饮酒相关的情感体验,在这个共患病群体中.
主要方法:
- 在7至14天内利用生态瞬间评估 (EMA) 对53名在治疗前被诊断患有狂饮谱饮食障碍的成年人进行了评估.
- 检查了情绪状态 (积极和消极) 和行为情节 (暴饮暴食,大量饮酒) 之间的人与人之间和日间关联.
主要成果:
- 焦虑水平在同时发生暴饮暴食和大量饮酒的日子是最高的.
- 在只有重度饮酒事件发生的日子里,兴奋和信心都增加了.
- 在暴饮暴食之前,内感增加,暴饮暴食后,悲伤感减少,这表明负面的强化.
- 在大量饮酒之前,积极影响减少了,但随后稳定了下来,这表明潜在的积极强化.
结论:
- 研究结果表明,在BE+HD中,暴饮暴食可能会被特定的负面影响状态负面增强,而重度饮酒可能会被总体的积极影响积极增强.
- 临床干预应针对特定的负面影响维度,并鼓励替代性奖励活动,以减轻重度饮酒.
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