2013-08-012024-05-13https://scholars.lib.ntu.edu.tw/handle/123456789/654965摘要：暴食和夜食被認是和肥胖相關的兩種異常飲食行為。但國內缺乏相關的評估工具，並且對此疾病的特徵缺乏認識。這兩種飲食行為和情緒障礙病人的睡覺清醒型態和體重增加的關係值得進一步研究。本研究的目的在建立中文版夜食問卷(Night Eating Questionnaire, NEQ)的信效度，夜食症(nocturnal eating syndrome)症狀盛行率和臨床特徵。本研究有兩個樣本，一是網路調查樣本。以兩階段方式，第一階段請個案完成網路上夜食問卷和飲食與體重型態問卷(Questionnaire on Eating and Weight Patterns, QEWP)。第二階段以Structured Clinical Interview for DSM-IV-TR進行電話訪問，篩選出符合狂食症(binge-eating disorder)和夜食症診斷的個案。符合夜食症的個案進一步邀請回來進行完整評估研究。第二組樣本為臨床個案和經網路篩選出符合夜食症診斷者，排除懷孕，輪班工作、目前參加減肥班、糖尿病、睡眠呼吸中止症，嚴重精神病、三個月內有物質使用障礙症、目前有厭食症和暴食症者，共30位。完全沒有以上診斷和非夜食和暴食症診斷者為控制組30位，進行飲食記錄、睡眠記錄和其他問卷，如飲食(Eating Disorder Examination-Questionnaire)、情緒 (Affect Lability Scale和Beck Depression Inventory)、睡眠型態偏好量表 (Morningness / Eveningness Scale)和功能障礙量表 (Sheehan Disbility Scale)。用Conbachs’α建立夜食問卷和飲食與體重型態問卷的內在一致性信度，用探索 式因素分析建立結構效度，用Intraclass correlation 建立再測信度，用Receiver operation Characteristics和Yonden’s index進行診斷信度分析和找出最佳得分切點。<br> Abstract: Obesity has been regarded as a major health problem. However, disordered eating behavirors, such as binge-eating and night eating, in individuals with obesity still remain undetected or untreated. The Internet-based survey is a rapid and efficient way to grasp the idea of prevalence of these eating problems. Combined with studies of clinical sample with night eating syndrome (NES), we aim to develop and establish psychometric properties of the Chinese version of questionnaires screening for NES and to examine the clinical features of patients with NES as a pilot study for future work examining eating, sleep, and mood in psychiatric patients with weight gain problems.This study plans to include two different samples, one is internet sample and the other is clinical sample. Interactive internet program including Nocturnal Eating Questionnaire (NEQ) and Questionnaire on Eating and Weight Patterns (QWEP) will be designed and run on a website. Volunteers, 18 years and older, will be recruited via the internet and then assessed twice online with the time interval of at least one week. The diagnoses of BED and NES are established by the Structured Clinical Interview for DSM-IV-TR and criteria defined by the NES over the phone. The second sample is clinical patients with NES (n = 30). Exclusion criteria include pregnancy, current night shift work, current participation in a weight reduction program, diabetes, sleep apnea, lifetime history of severe psychotic disorder, current anorexia nervosa and bulimia nervosa, and substance abuse or dependence within the past three months as diagnosed on the M.I.N.I. Screen negative sample with above exclusion criteria Internet sample will be invited as control group (n = 30). Both clinical patients and control group will receive structured interviews, and complete several self-administered assessments, including Eating Disorder Examination-Questionnaire , Affect Lability Scale, Morningness / Eveningness Scale, Beck Depression Inventory, and Sheehan Disbility Scale. We also asked study participants to complete 10-day’s food diary and sleep record. Internal consistency and test-retest reliability, convergent validity, discriminant validity, and the factor structure of NEQ will be established.We expect to recruit at least 1200 participants as the internet sample in the study. To investigate the factors influencing historical weight gain, socio-demographic variables, NEQ scores, and all score from measures of eating, sleep, and mood were included as independent variables in conditional logistic regression analysis, and the backward stepwise method was used for the selection of variables.