预期和消费的快乐在避免/限制性食物摄入障碍中
Sarah C Dolan1, P Evelyna Kambanis2,3, Casey M Stern2
1Department of Psychology, Hofstra University, Hempstead, NY, USA.
Journal of eating disorders
|November 11, 2023
概括
患有回避性/限制性食物摄入障碍 (ARFID) 的人体验到快乐减少,特别是那些症状严重或对食物缺乏兴趣的人. 抑郁症在ARFID患者中显著导致这种无情感.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 饮食障碍 (ED) 越来越多地与无情感 (anhedonia) 联系在一起,即失去快乐.
- 避免性/限制性食物摄入障碍 (ARFID) 的特点是缺乏对饮食的预期,但其与无症的关联尚未得到充分理解.
- 在ARFID中研究无症对于完善临床理解和治疗策略至关重要.
研究的目的:
- 为了确定与健康对照组 (HCs) 相比,ARFID患者是否会经历无.
- 探索ARFID严重程度,特定的ARFID表型和快乐体验之间的关系.
- 在ARFID中评估抑郁症对快乐缺陷的影响.
主要方法:
- 71名患有ARFID和33名HC的参与者 (10-23岁) 完成了ARFID严重程度和时间体验快乐量表 (TEPS) 的诊断面试.
- 统计分析检查了群体之间的快乐差异和ARFID样本中的相关性.
- 对全 TEPS 进行了分析,并删除了与食品相关的项目,以隔离潜在的食品特异性影响.
主要成果:
- ARFID组报告的预期和消费快乐明显低于HCs.
- 在控制抑郁症或从TEPS中删除与食物有关的项目后,这些差异减少了.
- 在ARFID样本中,对食物的严重程度和缺乏兴趣与较低的预期快乐有关.
结论:
- 患有更严重ARFID的个体,特别是"缺乏兴趣"现象型的人,在预期事件发生之前表现出减少的快乐.
- 抑郁症似乎是导致ARFID人口低快乐的一个重要因素.
- 需要进一步的研究来了解快乐维度如何影响ARFID的维护和治疗.
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