ABSTRACT

Background: Binge eating disorder (BED) and obesity in adolescents is associated with variations in social cognition and emotion regulation. The current study aimed to evaluate the Theory of Mind (ToM) abilities in adolescents with obesity with and without BED and to examine how they related to emotional and psychopathologic evaluations.

Methods: One hundred twenty-eight adolescents comprising 32 non-BED adolescents with obesity, 32 adolescents with BED and obesity, and 64 healthy controls (HC) completed a battery of tests to analyze their social cognition and clinical psychopathologic profile.

Results: Patients with BED and non-BED patients with obesity showed poorer performance in emotional regulation and social cognition tasks compared with normal-weight adolescents without BED. Various correlations were evident between depression, emotional regulation problems, and eating attitudes and patterns.

Conclusions: Patients with BED and non-BED adolescents with obesity showed a decline in ToM tasks, independent of their clinical psychopathological profile. Consistent with other studies, this is the first study to assess both social cognition and emotion regulation skills in adolescents with BED and obesity.

摘要

背景：青少年的暴饮暴食症（BED）和肥胖与社会认知和情绪调节的变化有关。当前的研究旨在评估有和没有BED的肥胖青少年的心理理论（ToM）能力，并研究它们与情绪和心理病理学评估之间的关系。

方法： 128名青少年包括32名非BED肥胖青少年，32名BED和肥胖青少年以及64位健康对照（HC）完成了一系列测试，以分析他们的社会认知和临床心理病理特征。

结果：与没有BED的正常体重青少年相比，患有BED的肥胖患者和非BED肥胖患者的情绪调节和社交认知任务表现较差。抑郁，情绪调节问题以及饮食态度和方式之间存在各种相关性。

结论：肥胖的BED和非BED青少年患者的ToM任务有所减少，而与他们的临床心理病理特征无关。与其他研究一致，这是第一项评估BED和肥胖青少年的社交认知和情绪调节技能的研究。