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題名 社會節律對女性亞臨床嗜食症族群暴食行為之影響
The effect of social rhythm on binge eating in female with subclinical binging eating disorders作者 劉開法
Liu, Kai-Fa貢獻者 楊建銘
劉開法
Liu, Kai-Fa關鍵詞 亞臨床嗜食症
社會節律
暴食行為
Binging eating
Subclinical binging eating disorders
Social rhythm日期 2021 上傳時間 4-八月-2021 15:38:16 (UTC+8) 摘要 研究目的：飲食障礙症的成因複雜，其中嗜食症的盛行率最高，人數增加也相當迅速。過往研究多以情緒因應來解釋暴食的發生，然而在臨床經驗以及部分療效研究中卻看到，當改善患者的生活穩定性，像提供規律用餐、運動、穩定睡眠的幫助後，能降低暴食行為。因此本研究透過主觀記錄和客觀量測亞臨床嗜食症患者的社會節律，來探討社會節律與暴食之間的關係。研究方法與結果：本研究在大學校園招募參與者，先排除嚴重失眠、輪班工作，以及有精神疾患者，篩選出有達亞臨床程度暴食行為但BMI處在正常範圍的24名參與者。參與者先完成前測問卷，包含情緒性飲食、自我控制、飲食障礙症相關病理的測量，並在之後的兩週持續填寫社會節律表格，同時採用生態瞬間評估法(Ecological Momentary Assessment, EMA)，進行飲食行為的評估，期間會讓參與者配戴活動紀錄腕表，以追蹤活動量的變化與節律，兩週後的後測再讓參與者填寫主觀睡眠品質、壓力知覺以及情緒的紙本問卷，最後共20名參與者完成研究。研究發現：1)在控制情緒性飲食和負向情緒程度後，客觀測量的社會節律能夠顯著預測飲食障礙症量表中暴食分量表的分數；2)前、後測的自陳問卷和社會節律皆無法預測EMA所記錄到的實際暴食次數；3)普通飲食和暴食相比，活動量的相對生理時鐘功率在普通飲食前後有顯著上升。結論：本研究結果發現客觀量測的社會節律能預測暴食行為，雖然主觀紀錄無法直接預測，但經由主觀記錄的輔助可以了解各活動量指標並非單一向度而是會受特定生活事件影響。因此本研究認為兩種測量方式能互補提供更為完整的社會節律資訊，對於飲食疾患的預防能提供更多的線索。
Objection：Binge eating disorder has a rising incidence rate and the highest prevalence among eating disorders. Previous researches about the contributing factors of binge eating focused more on the influence of emotional factors, some efficacy studies and clinical observations have demonstrated that stabilibility of the daily life activities, including regular exercise, meal patterns, and sleep time, can also influence binge eating behavior. Therefore, this study aims to examine the association between binge eating behavior and social rhythm through subjective recording and objective measure (wrist actigraph) of social rhythms in female participants with subclinical binging eating disorders.Method and Result： 24 participants with mild binge eating and normal BMI were recruited from university campuses. Potential participants with insomnia, mental illnesses, and those who were shift workers were excluded. They had to complete a package of pre-test questionnaires for the measures of emotional eating, self-control, and etiology of eating disorders. They were then required to wear a wrist actigraph, to keep daily social rhythm metric, and to record their eating behavior with ecological momentary assessment (EMA) for two weeks. Subsequently, participants had to fill out a package of post-test questionnaires regarding theri sleep quality, stress, emotion. Twenty participants completed the study. The result showed that: 1) the social rhythm assessed by actigraphy can predict the score on the bulimia subscale of Eating Disorder Inventory (EDI) , even after controlling the degree of emotional eating and negative affect; 2) the scores of both the pre-test and post-test questionnaires, as well as the social rhythm metric could not predict the number of binge eating assessed by EMA; 3) the power of circadian rhythm of physical activity following usual diet was higher than that following binge eating.Conclusion： The result showed that social rhythms as measured by physical activities could predict binge eating behaviors. Although the subjective reports of social rhythms did not preict binge eating behaviors directly, they were shown to be associated with different aspects of objectively measured rhythms. 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Ecological momentary assessment of bulimia nervosa: Does dietary restriction predict binge eating? Behaviour Research and Therapy, 49, 714-717. 描述 碩士
國立政治大學
心理學系
106752008資料來源 http://thesis.lib.nccu.edu.tw/record/#G0106752008 資料類型 thesis dc.contributor.advisor 楊建銘 zh_TW dc.contributor.author (作者) 劉開法 zh_TW dc.contributor.author (作者) Liu, Kai-Fa en_US dc.creator (作者) 劉開法 zh_TW dc.creator (作者) Liu, Kai-Fa en_US dc.date (日期) 2021 en_US dc.date.accessioned 4-八月-2021 15:38:16 (UTC+8) - dc.date.available 4-八月-2021 15:38:16 (UTC+8) - dc.date.issued (上傳時間) 4-八月-2021 15:38:16 (UTC+8) - dc.identifier (其他 識別碼) G0106752008 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/136476 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 心理學系 zh_TW dc.description (描述) 106752008 zh_TW dc.description.abstract (摘要) 研究目的：飲食障礙症的成因複雜，其中嗜食症的盛行率最高，人數增加也相當迅速。過往研究多以情緒因應來解釋暴食的發生，然而在臨床經驗以及部分療效研究中卻看到，當改善患者的生活穩定性，像提供規律用餐、運動、穩定睡眠的幫助後，能降低暴食行為。因此本研究透過主觀記錄和客觀量測亞臨床嗜食症患者的社會節律，來探討社會節律與暴食之間的關係。研究方法與結果：本研究在大學校園招募參與者，先排除嚴重失眠、輪班工作，以及有精神疾患者，篩選出有達亞臨床程度暴食行為但BMI處在正常範圍的24名參與者。參與者先完成前測問卷，包含情緒性飲食、自我控制、飲食障礙症相關病理的測量，並在之後的兩週持續填寫社會節律表格，同時採用生態瞬間評估法(Ecological Momentary Assessment, EMA)，進行飲食行為的評估，期間會讓參與者配戴活動紀錄腕表，以追蹤活動量的變化與節律，兩週後的後測再讓參與者填寫主觀睡眠品質、壓力知覺以及情緒的紙本問卷，最後共20名參與者完成研究。研究發現：1)在控制情緒性飲食和負向情緒程度後，客觀測量的社會節律能夠顯著預測飲食障礙症量表中暴食分量表的分數；2)前、後測的自陳問卷和社會節律皆無法預測EMA所記錄到的實際暴食次數；3)普通飲食和暴食相比，活動量的相對生理時鐘功率在普通飲食前後有顯著上升。結論：本研究結果發現客觀量測的社會節律能預測暴食行為，雖然主觀紀錄無法直接預測，但經由主觀記錄的輔助可以了解各活動量指標並非單一向度而是會受特定生活事件影響。因此本研究認為兩種測量方式能互補提供更為完整的社會節律資訊，對於飲食疾患的預防能提供更多的線索。 zh_TW dc.description.abstract (摘要) Objection：Binge eating disorder has a rising incidence rate and the highest prevalence among eating disorders. Previous researches about the contributing factors of binge eating focused more on the influence of emotional factors, some efficacy studies and clinical observations have demonstrated that stabilibility of the daily life activities, including regular exercise, meal patterns, and sleep time, can also influence binge eating behavior. Therefore, this study aims to examine the association between binge eating behavior and social rhythm through subjective recording and objective measure (wrist actigraph) of social rhythms in female participants with subclinical binging eating disorders.Method and Result： 24 participants with mild binge eating and normal BMI were recruited from university campuses. Potential participants with insomnia, mental illnesses, and those who were shift workers were excluded. They had to complete a package of pre-test questionnaires for the measures of emotional eating, self-control, and etiology of eating disorders. They were then required to wear a wrist actigraph, to keep daily social rhythm metric, and to record their eating behavior with ecological momentary assessment (EMA) for two weeks. Subsequently, participants had to fill out a package of post-test questionnaires regarding theri sleep quality, stress, emotion. Twenty participants completed the study. The result showed that: 1) the social rhythm assessed by actigraphy can predict the score on the bulimia subscale of Eating Disorder Inventory (EDI) , even after controlling the degree of emotional eating and negative affect; 2) the scores of both the pre-test and post-test questionnaires, as well as the social rhythm metric could not predict the number of binge eating assessed by EMA; 3) the power of circadian rhythm of physical activity following usual diet was higher than that following binge eating.Conclusion： The result showed that social rhythms as measured by physical activities could predict binge eating behaviors. Although the subjective reports of social rhythms did not preict binge eating behaviors directly, they were shown to be associated with different aspects of objectively measured rhythms. It was suggested that social rhythm has a multi-dimensional construct and should be assesed by both subjective and objective means, in order to provide more information for preventing eating disorders. en_US dc.description.tableofcontents 第一章 前言 1第二章 文獻回顧 3第一節、飲食障礙症 3(一)、簡述飲食障礙症 3(二)、飲食障礙症之病因 5(三)、嗜食症盛行率與共病性 6(四)、亞臨床嗜食症 7第二節、暴食行為 8(一)、暴食行為之定義 9(二)、暴食行為之成因 9(三)、量測暴食行為 10(四)、暴食行為之影響 11第三節、臨床研究與暴食行為 12(一)、規律飲食與暴食行為 12(二)、規律運動與暴食行為 13(三)、睡眠品質與暴食行為 13第四節、社會節律之維持與影響 14(一)、社會節律理論 15(二)、社會時間線索 16(三)、社會節律與情緒 19(四)、社會節律的量測方式 20(五)、社會節律的客觀測量 21第三章 研究問題與假設 22第四章 研究方法及程序 25(一)、研究對象與流程 25(二)、研究工具 27(三)、資料處理與統計分析 33第五章 研究結果 36第一節、參與者在各項指標之描述性統計 36(一)、人口學變項及問卷資料 36(二)、活動紀錄腕表資料 37(三)、兩週內的異常飲食行為 38(四)、生活例行事項執行時間點與時間變化量 39第二節、社會節律 40(一)、社會節律表格與活動量指標之相關 40(二)、生活例行事項時間變化量與活動量指標之相關 41第三節、暴食行為與社會節律、自陳問卷之關係 43(一)、社會節律與自陳變項之相關性 43(二)、暴食行為與相關變項 44(四)、預測暴食行為 45第四節、暴食對晝夜節律之影響 47(一)、生理時鐘相對功率在暴食與非暴食時段的變化量 47第六章 討論 49第一節、研究族群特徵 49第二節、研究問題解釋 50(一)、主觀紀錄與客觀測量的社會節律 50(二)、社會節律與暴食行為 52(三)、預測暴食行為的指標 53(四)、飲食行為與晝夜節律 54(六)、小結 55第三節、暴食樣態 56(一)、「暴食」、「過度飲食」與「失控飲食」 56(二)、「暴食」時間點 57(三)、暴食行為與飲食型態 57第四節、社會節律對BMI的影響 58第五節、研究限制 59(一)、研究工具與實驗設計 59(二)、樣本侷限 60(三)、外在環境干擾 61第六節、未來臨床應用 61參考文獻 63 zh_TW dc.format.extent 3561228 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0106752008 en_US dc.subject (關鍵詞) 亞臨床嗜食症 zh_TW dc.subject (關鍵詞) 社會節律 zh_TW dc.subject (關鍵詞) 暴食行為 zh_TW dc.subject (關鍵詞) Binging eating en_US dc.subject (關鍵詞) Subclinical binging eating disorders en_US dc.subject (關鍵詞) Social rhythm en_US dc.title (題名) 社會節律對女性亞臨床嗜食症族群暴食行為之影響 zh_TW dc.title (題名) The effect of social rhythm on binge eating in female with subclinical binging eating disorders en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 吳張瑀、曾美智、陳志道。(2020)。飲食障礙症簡介與其合併的身體症狀。家庭醫學與基層醫療, 35, 135-143。車先蕙、盧孟良、陳錫中、張尚文、李宇宙。(2006)。中文版貝克焦慮量表之信效度。台灣醫學, 10, 447-454。10.6320/FJM.2006.10(4).05初麗娟、高尚仁。(2005)。壓力知覺對負面心理健康影響：靜坐經驗、情緒智能調節效果之探討。中華心理學刊, 47, 157-179。https://doi.org/10.6129/CJP.2005.4702.05陳冠宇、林亮吟、陳喬琪、胡維恆。(2000)。某高中職學生的暴食症盛行率。台灣精神醫學, 14, 279-289。曾美智、李明濱、李宇宙。(1997)。中文版暴食問卷之信度和效度。台灣精神醫學, 11, 141-155。曾美智、柯慧貞、李明濱. 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