A mixed-methods approach to conceptualizing friendships in anorexia nervosa.
A mixed-methods approach to conceptualizing friendships in anorexia nervosa.
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DOI：
10.1371/journal.pone.0254110
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Zucker N
中科院分区：
文献类型：
--
作者：
Datta N;Foukal M;Erwin S;Hopkins H;Tchanturia K;Zucker N
神经性厌食症患者报告有孤独感、社交快感减退和人际关系困难。这项研究试图澄清患有厌食症的成年人的人际关系的性质，这可能有助于改善现有的干预措施，同时也有助于实现可能与减肥努力竞争的东西：友谊。本研究采用混合方法对三组人的友谊经历进行了调查：厌食组(n=27)、有厌食史的体重恢复组(n=20)和健康对照组(n=24)。主题分析被用来分离最流行的主题，这些主题是从一次开放式访谈中出现的，这些主题是在一部分参与者中体验友谊的。研究人员还使用了三份自填式问卷，调查了友情价值和依恋风格。数据中出现了11个独特的主题：社会比较、互惠、信任、对负面评估的恐惧、感知到的技能缺陷、后勤障碍、可靠性、身份问题、低兴趣、相似性和冲突避免。在厌食症患者中，只有17%的人报告说经历了积极的友谊，而健康对照组和体重恢复参与者的这一比例分别为82%和52%。最后，在自我报告方面，厌食症参与者报告称，与他人相比，他们更依赖自己，更多地使用寻求护理的行为，对失去依恋对象的想法更害怕/更愤怒(P<；0.05)。研究结果表明，厌食症患者面临着特殊的挑战，这些挑战干扰了友谊的形成和维持，比如对友谊持负面看法，在友谊中难以进行社会比较。评估和解决亲密关系的障碍可能会促使厌食症患者放弃维持疾病的危险症状。
Individuals with anorexia nervosa have reported feelings of loneliness, social anhedonia, and interpersonal difficulties. This study sought to clarify the nature of interpersonal relationships in adults with anorexia, which may help improve existing interventions while also facilitating the attainment of something that might compete with the drive for thinness: friendships. The present study used a mixed-methods approach to investigate friendship experiences in three groups: anorexia (n = 27), participants with a history of anorexia who are weight restored (n = 20), and healthy controls (n = 24). Thematic analysis was used to isolate the most prevalent themes that emerged from an open-ended interview of experiencing friendships in a subset of participants. Three self-report questionnaires investigating friendship valuation and attachment styles were also administered. 11 unique themes emerged in the data: social comparison, reciprocity, trust, fear of negative evaluation, perceived skills deficit, logistical barriers, reliability, identity issue, low interest, similarity, and conflict avoidance. Only 17% of those with anorexia reported experiencing friendships as positive, relative to 82% of healthy controls and 52% of weight restored participants. Lastly, on self-report measures, participants with anorexia reported greater reliance on themselves versus others, greater use of care-seeking behaviors, and more fear/anger at the thought of losing an attachment figure (p < .05 in all cases). Results suggest that individuals with anorexia have particular challenges which interfere with the formation and maintenance of friendships, such as viewing friendships negatively and struggling with social comparisons in friendships. Assessing and addressing barriers to intimacy may motivate those with anorexia to relinquish dangerous symptoms that maintain the illness.
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DOI：
10.1080/13691058.2016.1148779
发表时间：
2016-08
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Mullinax M;Sanders S;Higgins J;Dennis B;Reece M;Fortenberry JD
通讯作者：
Fortenberry JD
影响因子：
2.8
作者：
Aardoom, Jiska J.;Dingemans, Alexandra E.;Van Furth, Eric F.
通讯作者：
Van Furth, Eric F.
影响因子：
3.7
作者：
Adenzato M;Todisco P;Ardito RB
通讯作者：
Ardito RB
影响因子：
2.8
作者：
Cardi, Valentina;Turton, Robert;Hirsch, Colette
通讯作者：
Hirsch, Colette
影响因子：
2.5
作者：
Lavis, Anna
通讯作者：
Lavis, Anna