检查消极紧迫性作为饮食障碍的预测因子,在清洗综合征中维持消极紧迫性
Sarah A Horvath1,2, Pamela K Keel3, K Jean Forney1
1Department of Psychology, Ohio University, Athens, Ohio, USA.
Journal of clinical psychology
|March 30, 2024
概括
消极的紧迫性并不能预测长期的神经过敏症或清洗障碍的维持. 然而,随着时间的推移,负面紧迫感的增加与更大的饮食病理有关,这表明情绪调节不佳.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
背景情况:
- 负面的紧迫感,即在痛苦时忙行动的倾向,与短期的暴饮暴食和排泄有关.
- 它在长期维持特定的饮食障碍,如神经性 булимия (BN) 和清洗障碍 (PD) 中所起的作用需要进一步研究.
研究的目的:
- 检查负面紧迫性是否预测BN和PD的长期维持.
- 为了确定BN和PD之间负紧迫性的基线差异是否在随访时仍然存在.
- 评估消极紧迫感作为这一群体的特征在时间上的稳定性.
主要方法:
- 对68名有自发吐史的妇女的数据进行了二次分析 (52.9%的BN,47.1%的PD).
- 参与者在基线完成诊断面试和问卷,平均在5.95年后完成.
- 在长期随访时,获得了75%的保留率.
主要成果:
- 负紧迫性没有预测饮食障碍诊断,康复状态或随访时的全球饮食病理.
- 在随访时,在BN和PD组之间没有发现负紧迫性的显著差异.
- 负紧迫性随着时间的推移表现出不稳定性 (ICC=.102),与基线相比增加与随访时更大的饮食病理相关 (p=.002).
结论:
- 消极的紧迫性似乎并不能预测神经过敏症或清洗障碍的长期维持.
- 研究结果表明,负面紧迫感可能反映了短暂的情绪失调,而不是一个稳定的性格特征.
- 未来的研究应该探索负面紧迫性的变化如何在长时间内预测慢性饮食病理.
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