饮食障碍认知:避免/限制性食物摄入障碍 (ARFID) 和神经性厌食症之间的比较
H Wilkinson1,2,3, A Carbonnier4,5, H Wilkinson-Herbots6
1Isis Education Centre, Oxford Institute of Clinical Psychology Training and Research, Warneford Hospital, Headington, Oxford, UK.
Journal of eating disorders
|November 13, 2025
概括
患有回避性/限制性食物摄入障碍 (ARFID) 的人与神经性厌食症 (AN) 共享无助的饮食障碍认知. 这些思维模式有助于旨在防止ARFID体重增加的行为.
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
- 饮食障碍 研究 研究 研究
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 常常被视为与神经性厌食症 (AN) 不同.
- 调查ARFID和AN之间的共同认知特征对于理解饮食病理学至关重要.
- 在ARFID中,认知在驱动AN相关行为中的作用需要进一步探索.
研究的目的:
- 为了确定ARFID患者是否表现出与AN患者相似的认知模式.
- 评估这些认知对有问题的饮食行为的贡献,特别是那些旨在控制体重的饮食行为.
- 检查ARFID和AN之间核心信念,假设和自动思想的重叠.
主要方法:
- 一个观察性研究设计被采用了184名成年参与者.
- 参与者包括被诊断为AN (n=68),ARFID (n=61) 的个人,以及对照组 (n=55).
- 从DSM-5的诊断标准被用于选,与匿名在线调查一起评估认知和体重/形状问题.
主要成果:
- 与对照组相比,ARFID患者报告认知障碍和体重/形状问题显著增加.
- 与AN患者相比,ARFID参与者的这些认知水平较低.
- 混乱的假设和自动思维显著预测了旨在防止ARFID组体重增加的行为.
结论:
- 研究结果表明,ARFID与AN并非完全不同,特别是在认知因素和体重/形状问题上.
- 在ARFID中,临床医生应评估和治疗不有益的认知,维持饮食失调.
- 这项研究挑战了目前的诊断分离,并为ARFID的治疗策略提供了信息.
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