Distress tolerance in the eating disorders.
Distress tolerance in the eating disorders.
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DOI：
10.1016/j.eatbeh.2006.02.003
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发表时间：
2007-01-01
期刊：
影响因子：
2.8
通讯作者：
Meyer, Caroline
中科院分区：
文献类型：
--
作者：
Corstorphine, Emma;Mountford, Vicki;Meyer, Caroline
目的：人们普遍注意到饮食失调患者在调节情绪状态方面存在困难。这个结构类似于痛苦耐受的概念，这已经被确定为冲动障碍患者的问题。然而，对构成痛苦容忍度的要素没有明确界定，因此难以在相关案件中进行有针对性的治疗。本研究的目的是开发一种措施的痛苦的容忍度，并在临床上验证它与饮食disorders.METHOD：样本包括72名妇女与DSM-IV饮食失调的诊断，和62名妇女没有饮食失调的历史。每个人都完成了一个新开发的措施，痛苦的容忍度（痛苦的容忍度量表; ESTA）和饮食失调Inventory.RESULTS：ESTA是由三个规模，每一个可接受的心理特性。其中两个量表区分了两组-临床女性表现出更高水平的“避免影响”，而非临床女性在“接受和管理”量表中得分更高。避免影响正相关与不健康的饮食attitudes.CONCLUSIONS：重要的是要检查适应不良和适应的手段，应对影响的饮食失调。治疗策略的修改痛苦的容忍度应同时解决减少回避和情绪管理技能的发展。需要进一步的研究来确定这些发现是否与饮食失调中其他冲动行为的存在有关。
OBJECTIVE: It is commonly noted that patients with eating disorders have difficulties in regulating emotional states. This construct is similar to the concept of distress tolerance, which has been identified as a problem in patients with impulsive disorders. However, the elements that make up distress tolerance are not clearly delineated, making it difficult to target treatment in relevant cases. This study aimed to develop a measure of distress tolerance, and to validate it clinically with the eating disorders.METHOD: The sample consisted of 72 women with DSM-IV eating disorder diagnoses, and 62 women with no history of eating disorders. Each completed a newly developed measure of distress tolerance (the Distress Tolerance Scale; DTS) and the Eating Disorders Inventory.RESULTS: The DTS was made up of three scales, each with acceptable psychometric properties. Two of those scales differentiated the groups--the clinical women showed higher levels of 'Avoidance of affect', while the non-clinical women had higher scores in the 'Accept and manage' scale. Avoidance of affect was positively associated with unhealthy eating attitudes.CONCLUSIONS: It is important to examine both maladaptive and adaptive means of coping with affect in the eating disorders. Treatment strategies for modification of distress tolerance should address both the reduction of avoidance and the development of emotional management skills. Further research is needed to determine whether these findings are relevant to the presence of other impulsive behaviours in the eating disorders.