探索有问题的饮食行为和双相情感障碍之间的关系:对减肥手术候选人的研究
Claudia Carmassi1, Laura Musetti1, Erika Cambiali1
1Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Journal of affective disorders
|September 18, 2024
概括
患有双相情感障碍 (BD) 和严重肥胖症的患者表现出高比例的有问题的饮食行为,这可能会加剧BD症状. 需要对接受减肥手术 (BS) 的肥胖个体的情绪谱症状进行进一步的研究.
科学领域:
- 精神病学是一个精神病学.
- 腹部外科 腹部外科
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
背景情况:
- 肥胖是双相情感障碍 (BD) 患者的一个重大问题.
- 有问题的饮食行为被假设为介导BD和肥胖之间的关系.
- 有限的研究存在于BD在与肥胖相关的问题饮食行为中的作用.
研究的目的:
- 与减肥手术 (BS) 候选人相比,研究BD患者的有问题的饮食行为.
- 在这些群体中探索情绪谱,冲动性和身体质量指数 (BMI) 之间的相关性.
- 了解BD,肥胖和饮食模式之间的相互作用.
主要方法:
- 招募了50名安乐死性BD患者和200名BS候选人 (48名有BD,152名没有BD).
- 使用的评估包括结构化临床面试 (SCID-5),情绪饮食量表 (EES),耶鲁食物成量表 (YFAS) 等.
- 测量了情绪谱症状 (MOOD-SR) 和冲动性 (BIS).
主要成果:
- 经过BS (BS + BD) 的BD患者在饮食障碍清单 (EDI-2,EDE-Q) 上报告的得分高于其他组.
- 与BS-BD个人相比,BD和BS + BD组表现出更高的冲动性 (BIS-11).
- 在BS候选人中,情绪性饮食 (EES) 和食物成 (YFAS) 与情绪谱症状相关.
结论:
- 在患有BD的严重肥胖患者中观察到有问题的饮食行为的高患病率.
- 有问题的饮食行为可能会加剧双相情绪障碍的症状.
- 肥胖个体的情绪谱症状需要对其与BS严重程度和结果的关系进行仔细调查.
相关概念视频
Bulimia Nervosa
55
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
55
Binge Eating Disorders
53
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
53
Anorexia Nervosa
49
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
49
Bipolar Disorder
58
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
58
Borderline Personality Disorder
37
Borderline Personality Disorder is a complex and multifaceted mental health condition characterized by pervasive instability in interpersonal relationships, self-image, emotions, and impulse control. This instability manifests in extreme emotional reactions, fear of abandonment, and self-destructive behaviors. The disorder significantly impacts daily functioning, often leading to distress in both personal and professional domains.
Genetic and Environmental Contributions
Borderline Personality...
Genetic and Environmental Contributions
Borderline Personality...
37
Obesity
401
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
401


