본 연구는 반응억제 결함과 지연 할인이 성인 ADHD 증상과 폭식행동의 관계를 병렬매개하는지 검증하였다. 2021년 9월부터 11월까지 만 18세 이상 28세 이하 성인을 대상으로 온라인 행동 과제와 설문을 실시하였고, 총 185명의 자료를 분석하였다. 반응억제 결함은 Go/No-Go 과제로, 지연 할인은 금전 선택 질문지(Monetary-Choice Questionnaire)로 측정하였다. 성인 ADHD 증상과 폭식행동의 관계에서 반응억제 결함의 매개효과는 유의하였다. 즉, 높은 성인 ADHD 증상은 높은 반응억제 결함과 관계가 있었고, 이는 높은 수준의 폭식행동과 관계가 있었다. 반면 성인 ADHD 증상과 폭식행동의 관계에서 지연 할인의 매개효과는 유의하지 않았다. 즉, 높은 성인 ADHD 증상은 높은 지연 할인과 관계가 있었으나, 지연 할인은 폭식행동과 유의한 관계가 없었다. 또한 성인 ADHD 성향에 따른 반응억제 결함은 자극 유형에 따라 차이가 없었다. 본 연구 결과는 보편적인 반응억제 결함이 성인 ADHD 증상과 폭식행동을 연결하는 기제일 가능성을 시사한다.
This study examined the parallel mediating effects of response inhibition deficits on the relationship between ADHD symptoms and binge eating in adult. Online-based behavioral tasks and an online survey were conducted for adults aged 18 to 28 from September to November 2021, and data from 185 participants were analyzed. The response inhibition deficits were assessed with Go/No-Go task, and delay discounting was assessed with the Monetary-Choice Questionnaire (MCQ). The response inhibition deficits mediated the relationship between ADHD symptoms and binge eating in adult. In other words, more adult ADHD symptoms were associated with more significant response inhibition deficits, which were associated with high levels of binge eating. However, delayed discounting did not mediate the relationship between ADHD symptoms and binge eating in adult. More adult ADHD symptoms were associated with high delay discounting, but this was not associated with greater binge eating. Furthermore, response inhibition deficits related to ADHD trends in adult did not differ by stimulus type. The current findings suggest that generalized response inhibition deficits may be a mechanism linking adult ADHD symptoms and binge eating.
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