Comfortably Numb: The Role of Momentary Dissociation in the Experience of Negative Affect Around Binge Eating.

Comfortably Numb: The Role of Momentary Dissociation in the Experience of Negative Affect Around Binge Eating.
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DOI:
10.1097/nmd.0000000000000658
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发表时间:
2017-05
期刊:
The Journal of nervous and mental disease
影响因子:
--
通讯作者:
Crosby RD
Crosby RD
中科院分区:
其他
文献类型:
--
作者:
Mason TB;Lavender JM;Wonderlich SA;Steiger H;Cao L;Engel SG;Mitchell JE;Crosby RD

文献摘要

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有证据表明,解离和消极情绪(NA)都可能导致暴食。解离在多大程度上可能影响暴饮暴食周围的负面情绪体验尚不清楚。患有神经性贪食症的女性完成了为期两周的解离,NA和暴食的生态瞬时评估协议。多层次模型被用来研究解离作为一个主持人NA之前和之后的暴食。NA是更大的参与者在暴饮暴食的时间更高的平均解离(受试者之间),当瞬时解离大于一个人的平均值(受试者内)。NA的轨迹的特点是一个急剧下降后,暴饮暴食的参与者在平均解离较高; NA的轨迹的特点是急剧增加之前和暴饮暴食后,瞬间解离大于一个人的平均值。结果支持的显着性解离和NA有关的暴食的发生。
Evidence suggests that both dissociation and negative affect (NA) may precipitate binge eating. The extent to which dissociation may impact the experience of negative affect around binge eating is unclear. Women with bulimia nervosa completed a two-week ecological momentary assessment protocol of dissociation, NA, and binge eating. Multilevel modeling was used to examine dissociation as a moderator of NA preceding and following binge eating. NA was greater at the time of binge eating for participants higher in average dissociation (between-subjects) and when momentary dissociation was greater than one's average (within-subjects). The trajectory of NA was characterized by a sharper decline after binge eating for participants higher in average dissociation; the NA trajectories were characterized by sharper increases before and decreases after binge eating when momentary dissociation was greater than one's average. Results support the salience of both dissociation and NA in relation to the occurrence of binge eating.