在限制性饮食障碍中支持避免/限制性饮食动机:特征和州级检查
Vittoria Trolio1, Ege Biçaker1, Alexia E Miller1
1Department of Psychology, McGill University, Montreal, Canada.
概括
避免/限制性食物摄入障碍 (ARFID) 和神经性厌食症 (AN) 分享饮食限制的原因,尽管挑性饮食在ARFID中更常见. 这些发现表明,饮食障碍的潜在跨诊断治疗目标.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 饮食障碍 研究 研究 研究
背景情况:
- 研究经常将避免/限制性食物摄入障碍 (ARFID) 和厌食症 (AN) 进行对比,可能忽视了饮食限制的共同机制.
- 与ARFID相关的饮食障碍可能会导致AN中限制的自我-syntonic性质.
研究的目的:
- 调查ARFID,AN (限制性和暴饮暴食/清洗亚型) 和对照之间的限制性饮食动机的相似性和差异.
- 探索ARFID特异性和传统饮食障碍 (ED) 相关原因在维持饮食限制中的作用.
主要方法:
- 使用了141名参与者的九项ARFID屏幕 (NIAS) 和76名参与者的生态瞬间评估.
- 在被诊断为ARFID,AN-R,AN-BP和健康对照的妇女中,对限制饮食的ARFID相关和ED相关原因的审查认可.
主要成果:
- 临床组 (ARFID,AN-R,AN-BP) 在NIAS分级上比对照组得分更高.
- ARFID参与者报告说,比AN组更挑的饮食,比AN-BP组更大的恐惧/食欲问题.
- ARFID和AN-R表现出类似的避免/限制性动机跳过饭;AN-BP没有在对后果的恐惧方面有所不同.
结论:
- 感官敏感性和挑性饮食似乎更适用于主要是限制性饮食障碍.
- 在所有研究的临床组中,对饮食缺乏兴趣是一个共同的因素.
- 这些发现突出了ARFID和AN的共同和独特特征,表明了潜在的跨诊断治疗目标.
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