رابطه تکانشگری با شاخص توده بدنی: نقش میانجی‌گری اعتیاد به مواد غذایی

نوع مقاله: علمی- پژوهشی

نویسندگان

1 دانشجوی دکترای روانشناسی بالینی، دانشگاه شیراز

2 کارشناسی ارشد علوم و صنایع غذایی، دانشگاه شیراز

3 استاد روانشناسی، دانشگاه شیراز

چکیده

مقدمه: تکانشگری همواره با سوء‌مصرف الکل و مواد همراه بوده است و توجه کمی به رابطه تکانشگری و اعتیاد به مواد غذایی شده است. هدف پژوهش حاضر بررسی رابطه تکانشگری، اعتیاد به مواد غذایی و شاخص توده بدنی بود. روش: طرح پژوهش همبستگی بود. 60 دانشجوی دختر از بین دانشجویان دختر دانشگاه شیراز به روش در دسترس انتخاب شد. آنها مقیاس تکانشگری بارت 11 را برای ارزیابی تکانشگری، پرسشنامه اعتیاد به مواد غذایی یل را برای سنجش اعتیاد به مواد غذایی و وزن و قد برای سنجش شاخص توده بدنی پاسخ دادند. داده‌ها با استفاده از نرم افزارهای SPSS22 و AMOS2 و روش‌های آمار توصیفی و تحلیل مسیر تحلیل شد. یافته‌ها: تکانشگری، قادر به پیش‌بینی اعتیاد به مواد غذایی (0001/0> ρ, 17= F) و شاخص توده بدنی (0001/0> ρ, 1= F) و اعتیاد به مواد غذایی نیز شاخص توده بدنی (0001/0> ρ, 06/1= F) را پیش‌بینی کرد. تکانشگری از طریق اعتیاد به مواد غذایی قادر به پیش‌بینی شاخص توده بدنی بود (0001/0 = RMSEA). نتیجه‌گیری: تکانشگری با رفتارهای پرخطر از جمله مصرف اعتیادآورر الکل و مواد مخدر در ارتباط بوده و پیامد خطرناک دیگر اعتیاد به مواد غذایی است. نظارت بر علائم اولیه اعتیاد به مواد غذایی ممکن است به کاهش احتمال که الگوهای مصرف مواد غذایی اعتیاداور و در نتیجه افزایش وزن و چاقی کمک کند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The relationship between Impulsivity and Body Mass Index: The role of mediational food addiction

نویسندگان [English]

  • L. KHabir 1
  • GH. Karam bakhsh 2
  • N. Mohamadi 3
چکیده [English]

Objective: Impulsiveness has been robustly associated with alcohol and drug misuse, but have received little attention in the context of food addiction. The goal of the current study was to examine the interrelationships between impulsiveness, food addiction, and Body Mass Index (BMI). Method: The design of this project was correlational. 60 female students selected using available sampling among female students of Shiraz University.They completed the Barratt Impulsiveness Scale to assess impulsive personality traits, the Yale Food Addiction Scale to assess patterns of addictive consumption of food and provided weight and height to generate BMI. To analyze the data, the software of SPSS22 and AMOS22, the statistical methods of descriptive indexes and path analysis were conducted. Results: Impulsiveness predicted food addiction (F= 17, > ρ 0.0001) and BMI (F= 1, > ρ 0.0001), also food addiction predicted BMI (F= 1.06, > ρ 0.0001). Impulsivity was found to be indirectly associated with BMI by way of associations with addictive consumption of food (RMSEA= 0.0001). Conclusion: Dispositional impulsivity, routinely associated with high-risk behaviors including addictive consumption of alcohol and drugs, may be an important risk factor when considering tendency to engage in addictive consumption of food. Monitoring food addiction symptoms early may help reduce the likelihood that compulsive food consumption patterns result in weight gain and obesity.
Keywords: Body Mass Index, Impulsivity, food addiction.

کلیدواژه‌ها [English]

  • Body Mass Index
  • Impulsivity
  • Food Addiction

بیدادیان، مریم، بهرامی احسان، هادی، پورشریفی، حمید و زهرایی، شقایق. (1392). طراحی و ارزیابی الگوی پیش‌بینی نگهداری وزن در زنان مبتلا به چاقی. فصلنامه روانشناسی سلامت، شماره 8، ص 22-93.

جاوید، مجبوبه، محمدی، نوراله، و رحیمی، چنگیز. (1391). ویژگی‌های روانسنجی نسخه فارسی یازدهمین ویرایش مقیاس تکانشگری بارت. روش‌ها و مدل‌های روان‌شناختی، شماره 8، ص 23-34.

فتاحی، ثمینه، نادری، فرح، عسگری، پرویز و احدی، حسن. (1396). اثربخشی آموزش نوروفیدبک بر ولع مصرف مواد غذایی و سلامت عمومی زنان دارای اضافه وزن. فصلنامه روانشناسی سلامت، شماره 23، ص 129-141

Avena, N. M., Gearhardt, A. N., Gold, M. S., Wang, G., & Potenza, M. N. (2012). Tossing the baby out with the bathwater after a brief rinse? The potential downside of dismissing food addiction based on limited data. Nature Reviews Neuroscience,13,514.Doi:10.1038/ nrn3212-c1.

Avena, N. M., Rada, P., & Hoebel, B. G. (2008). Evidence for sugar addiction: behavioral and neurochemical effects of intermittent, excessive sugar intake. Neuroscience and Biobehavioral Reviews,32,20–39.doi:10.1016/ j.neubiorev.2007.04.019.

Bégin, C., St-Louis, M. É., Turmel, S., Tousignant, B., Marion, L. P., Ferland, F., & Gagnon-Girouard, M. P. (2012). Does food addiction distinguish a specific subgroup of overweight/obese overeating women? Health, 4, 1492–1499. oi:10.4236/health.2012.412A214.

Burmeister, J. M., Hinman, N., Koball, A., Hoffmann, D. A., & Carels , R. A. (2013). Food addiction in adults seeking weight loss treatment.Implications for psychosocial health and weight loss. Appetite,60,103–110.doi:10.1016/ j.appet.2012.09.013.

Cyders, M. A., & Coskunpinar, A. (2011). Measurement of constructs using self-report and behavioral lab tasks: Is there overlap in nomothetic span and construct representation for impulsivity? Clinical Psychology Review, 31, 965–982. doi:10.1016/ j.cpr.2011.06.001.

Davis, C. (2013). Compulsive overeating as an addictive behavior: overlap between food addiction and Binge Eating Disorder. Current Obesity Reports, 2, 171–178. doi:10.1007/ s13679-013-0049-8.

Dawe, S., & Loxton, N. J. (2004). The role of impulsivity in the development of substance use and eating disorders. Neuroscience and Biobehavioral Reviews, 28, 343–351. doi:10.1016/ j.neubiorev. 2004.03.007.

deWit, H. (2009). Impulsivity as a determinant and consequence of drug use. A review of underlying processes. Addiction Biology, 14, 22–31. doi:10.1111/ j.1369-1600.2008.00129.

Dick, D. M., Smith, G., Olausson, P., Mitchell, S. H., Leeman, R. F., O'Malley, S. S., & Sher, K. (2010). Understanding the construct of impulsivity and its relationship to alcohol use disorders. Addiction Biology, 15, 217–226. doi:10.1111/ j.1369-1600.2009.00190.x.

Dir, A. L., Karyadi, K., & Cyders, M. A. (2013). The uniqueness of negative urgency as a common risk factor for selfharm behaviors, alcohol consumption, and eating problems. Addictive Behaviors, 38, 2158– 2162. doi:10.1016/ j.addbeh.2013.01.025.

Eichen, D. M., Lent, M. R., Goldbacher, E., & Foster, G. D. (2013). Exploration of “food addiction” in overweight and obese treatment-seeking adults. Appetite, 67, 22–24. doi:10.1016/ j.appet.2013.03.008.

Evenden, J. L. (1999). Varieties of impulsivity. Psychopharmacology, 146, 348–361. doi: 10.1007/PL00005481.

Fischer, S., Anderson, K. G, & Smith, G. T. (2004). Coping with distress by eating or drinking: role of trait urgency and expectancies. Psychology of Addictive Behaviors, 18, 269–274. doi: 10.1037/0893-164X.18.3.269.

Fischer, S., Settles, R., Collins, B., Gunn, R., & Smith, G. T. (2012). The role of negative urgency and expectancies in problem drinking and disordered eating: Testing a model of comorbidity in pathological and atrisk samples. Psychology of Addictive Behaviors, 26, 112–123. doi:10.1037/ a0023460.

Fischer, S., Smith, G. T., & Anderson, K. G. (2003). Clarifying the role of impulsivity in bulimia nervosa. Interntional Journal of Eating Disorders, 33, 406–411. doi:10.1002/ eat.10165.

Gearhardt, A. N., Corbin, W. R., & Brownell, K. D. (2009). Preliminary validation of the Yale Food Addiction Scale. Appetite, 52, 430–436. doi:10.1016/ j.appet.2008.12.003.

Gearhardt, A. N., White, M. A., Masheb, R. M., & Grilo, C. M. (2013). An examination of food addiction in a racially diverse sample of obese patients with binge eating disorder in primary care settings. Comprehensive Psychiatry, 54, 500–505. doi:10.1016/ j.comppsych.2012.12.009.

Johnson, P. M., & Kenny, P. J. (2010). Dopamine D2 receptors in addiction-like reward dysfunction and compulsive eating in obese rats. Nature Neuroscience, 13, 635–641. doi:10.1038 / nn.2519.

MacKillop, J., Amlung, M. T., Few, L. R., Ray, L. A., Sweet, L. H., & Munafò, M. R. (2011). Delayed reward discounting and addictive behavior: a meta-analysis. Psychopharmacology, 216, 305–321. doi:10.1007/s00213-011-2229-0.

Manwaring, J. L., Green, L., Myerson, J., Strube, M. J., & Wilfley, D. E. (2011). Discounting of various types of rewards by women with and without binge eating disorder: Evidence for general rather than specific differences. Psychological Record, 61, 561–582.

Martin, C. K., O'Neil, P. M., Tollefson, G., Greenway, F. L., & White, M. A. (2008). The association between food cravings and consumption of specific foods in a laboratory taste test. Appetite, 51,324–326.doi:10.1016/j.appet.2008. 03.002.

Meule A. (2013). Impulsivity and overeating: a closer look at the subscales of the Barratt Impulsiveness Scale. Frontiers in Psychology, 4. doi:10.3389/fpsyg.2013.00177. 

Meule, A., Heckel, D., & Kübler, A. (2012). Factor structure and item analysis of the Yale Food Addiction Scale in obese candidates for bariatric surgery. European Eating Disorders Review, 20, 419–422. doi:10.1002/ erv.2189.

Mobbs, O., Crépin, C., Thiéry, C., Golay, A., & Van der Linden, M. (2010). Obesity and the four facets of impulsivity. Patient Education and Counseling, 79, 372–377. doi:10.1016 /j.pec.2010.03.003.

Mobbs, O., Ghisletta, P., & Van der Linden, M. (2008). Clarifying the role of impulsivity in dietary restraint: A structural equation modeling approach. Personality and Individual Differences, 45,602–606.doi:10.1016/j.paid.2008. 06.021.

National Heart, Lung, and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. National Institute of Health; 1998.

Ogden, C., Carroll, M. (2014). Prevalence of overweight, obesity, and extreme obesity among adults: United States, trends 1960–1962 through 2007–2008, National Center for Health Statistics.

Ogden, C., & Carroll, M. (2010). Prevalence of overweight, obesity, and extreme obesity among adults: United States, trends 1960–1962 through 2007–2008. NCHS Health and Stats.

Rada, P., Avena, N. M., & Hoebel, B. G. (2005). Daily bingeing on sugar repeatedly releases dopamine in the accumbens shell. Neuroscience, 134, 737–744.doi:10.1016/j.neuroscience .2005 .04. 043.

Rosenblum, G. D., & Lewis, M. (2000). The relations among body image, physical attractiveness, and body mass in adolescence. Child Development, 70, 50-64.

Sobik, L., Hutchison, K., & Craighead, L. (2005). Cue-elicited craving for food: A fresh approach to the study of binge eating. Appetite, 44, 253–261. doi:10.1016/ j.appet. 2004.12.001.

Swinburn, B., Sacks, G., & Ravussin, E. (2009). Increased food energy supply is more than sufficient to explain the US epidemic of obesity. American Journal of Clinical Nutrition, 90, 1453–1456. doi: 10.3945/ajcn.2009.28595.

Thamotharan, S., Lange, K., Zale, E. L., Huffhines, L., & Fields, S. (2013). The role of impulsivity in pediatric obesity and weight status: A meta-analytic review. Clinical Psychology Review, 33, 253–262.doi:10.1016/j.cpr. 2012.12.001.

Volkow, N., & Wise, R. (2005). How can drug addiction help us understand obesity? Nature Neuroscience, 8, 555–560. doi:10.1038/nn1452.

Yach, D., Stuckler, D., & Brownell, K. D. (2006). Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nature Medicine, 12, 62–66. doi:10.1038/nm0106-62.

Ziauddeen, H., & Fletcher, P. C. (2013). Is food addiction a valid and useful concept? Obesity Reviews, 14(1),19–28.http://dx.doi.org/10.1111/j.1467-789X.2012.01046.x.Clark, S. M., & Saules, K. K. (2013). Validation of the Yale Food Addiction Scale among a weight-loss surgery population. Eating Behaviors, 14, 216–219.doi:10.1016 /j.eatbeh. 2013.01.002