关键词: binge-eating disorder internal conflict obesity overvaluation overweight personal construct psychopathology repertory grid

来  源:   DOI:10.3389/fpsyg.2024.1414455   PDF(Pubmed)

Abstract:
UNASSIGNED: The overvaluation of weight and shape is a diagnostic criterion in eating disorders, except in binge eating disorder (BED), where it has received less attention. This aspect is also not usually analyzed in people with overweight or obesity without an eating disorder. This research aims to identify the indicators of symptomatology, as well as those of self-construction and cognitive structure, that are associated with overvaluation in obesity, either alone or in conjunction with BED.
UNASSIGNED: A sample of 102 overweight or obese participants was accessed. The sample was divided into four groups: one without overvaluation or BED (n = 33); a second with overvaluation and without BED (n = 21); a third with BED, but without overvaluation (n = 15), and a fourth with BED and overvaluation (n = 33). The groups completed instruments regarding eating symptomatology, anxiety, depression, and stress. In addition, they were administered the Repertory Grid Technique, a semi-structured interview to evaluate the cognitive structure involved in the construal of the self and others.
UNASSIGNED: The factors of overvaluation and the presence of BED independently explained eating symptomatology, and the latter also showed a tendency to influence anxiety, depression, and stress. In terms of cognitive structure, weight polarization was explained by overvaluation, while BED was associated with a high presence of cognitive conflicts. In self-construction, BED was the factor that explained the differences, particularly in Self-Ideal discrepancy.
UNASSIGNED: The results highlight the importance of overvaluation in obesity, even in the absence of BED. Its evaluation and treatment are recommended. Furthermore, in the case of BED, it is also advisable to evaluate the overvaluation of weight and shape since it can be a severity specifier.
摘要:
体重和体形的高估是饮食失调的诊断标准,除了暴饮暴食症(BED),它受到的关注较少。在没有进食障碍的超重或肥胖人群中,通常也不会分析这方面的情况。这项研究旨在确定症状学的指标,以及自我建构和认知结构,这与肥胖的高估有关,单独或与床一起使用。
获取了102名超重或肥胖参与者的样本。样本分为四组:一组没有高估或BED(n=33);第二组没有高估,没有BED(n=21);第三组有BED,但没有高估(n=15),第四名是BED和高估(n=33)。小组完成了关于饮食症状学的工具,焦虑,抑郁症,和压力。此外,他们被管理了话术网格技术,半结构化访谈,评估自我和他人理解中涉及的认知结构。
高估因素和BED的存在独立解释了饮食症状学,后者也表现出影响焦虑的倾向,抑郁症,和压力。就认知结构而言,权重极化被解释为高估,而BED与认知冲突的高度存在有关。在自我建构中,床是解释差异的因素,特别是在自我理想的差异。
结果突出了高估肥胖的重要性,即使没有床。建议对其进行评估和治疗。此外,在床的情况下,还建议评估权重和形状的高估,因为它可以是严重性说明符。
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