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The Relationship Between Obesity, Biinge [sic] Eating and Health Anxiety

出版	University of Regina, 2009
URL	http://books.google.com.hk/books?id=i7tTnwEACAAJ&hl=&source=gbs_api

註釋Obesity is a growing concern in our society that is associated with increased health problems and reduced quality of life. Individuals who suffer from both obesity and binge eating appear to he particularly vulnerable to depression and anxiety. To date, there has been no research investigating the relationship between obesity, binge eating and health anxiety (HA). Cognitive behavioural models of HA (Salkovskis & Warwick, 2001) posit four cognitions that are central to the understanding of HA, namely beliefs about severity of disease, vulnerability to disease, low perceived ability to cope with disease, and inadequacy of resources for managing disease. Review of the literature suggests that at least some of these beliefs may be elevated in those who suffer from obesity and binge eating, thus perhaps increasing their risk for HA. To examine the relationships between HA and obesity and hinge eating, a community sample of women (n = 312) completed an online questionnaire that included measures of body mass, binge eating, depression, anxiety, and quality of life, and multiple measures related to HA. Multiple regression analyses were used to determine whether Body Mass Index (BMI) and binge eating predicted total HA, dimensions of HA (behavioural, cognitive, perceptual, affective) and cognitions related to HA. BMI was generally not a predictor of the various measures of HA after accounting for chronic disease status. In contrast, binge eating was found to be a predictor of total HA and three of tour dimensions of HA (cognitive, perceptual, affective). Furthermore, binge eating was found to predict all four central HA cognitions (awfulness of disease, vulnerability to disease, inability to cope with disease, medical inadequacy), even after accounting for chronic disease. Future research is called for to understand the extent to which binge eating contributes to the development and maintenance of HA or alternatively the extent to which HA may be a risk factor for binge eating.