Body mistrust bridges interoceptive awareness and eating disorder symptoms.
Body mistrust bridges interoceptive awareness and eating disorder symptoms.
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DOI：
10.1037/abn0000516
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发表时间：
2020-07
影响因子：
4.6
通讯作者：
Wierenga CE
中科院分区：
文献类型：
--
作者：
Brown TA;Vanzhula IA;Reilly EE;Levinson CA;Berner LA;Krueger A;Lavender JM;Kaye WH;Wierenga CE
众所周知，患有饮食失调（ED）的人的内感受意识（IA）或内部身体状态的意识会受到损害；然而，人们对 IA 和 ED 症状之间的联系知之甚少。网络分析是一种统计方法，可用于检查症状如何相互关联以及如何维持合并症。本研究使用网络分析来：（1）测试 IA-ED 网络内的中心症状，（2）识别可能桥接 IA 和 ED 症状之间关联的症状，以及（3）探索中心症状和桥接症状是否预测强化治疗出院时 ED 缓解。在部分医院计划中，对 428 名青少年 (n = 187) 和成人 (n = 241) ED 患者的样本估计了正则化偏相关网络。 IA 使用内感受意识多维评估中的项目进行评估，ED 症状使用饮食失调检查问卷中的项目进行评估。该网络的中心症状是强烈的减肥愿望、内疚感以及倾听身体关于情绪状态的信息。连接 IA 和 ED 症状的最核心症状是身体感觉（不）安全。在主要症状中，减肥的欲望越大，治疗出院时缓解的可能性就越低。桥症状并不能显着预测缓解。身体不信任可能是维持 IA 和 ED 之间联系的一种机制。研究结果表明，针对中枢和桥症状可能有助于改善 IA 和 ED 症状。这项研究表明，减肥的愿望是饮食失调精神病理学的核心，并且与缓解的可能性较低有关。身体的不安全感将饮食失调症状与身体意识联系起来。
Interoceptive awareness (IA), or the awareness of internal body states, is known to be impaired in individuals with eating disorders (EDs); however, little is understood about how IA and ED symptoms are connected. Network analysis is a statistical approach useful for examining how symptoms interrelate and how comorbidities may be maintained. The present study used network analysis to: (1) test central symptoms within an IA-ED network, (2) identify symptoms that may bridge the association between IA and ED symptoms, and (3) explore whether central and bridge symptoms predict ED remission at discharge from intensive treatment. A regularized partial correlation network was estimated in a sample of 428 adolescent (n=187) and adult (n=241) ED patients in a partial hospital program. IA was assessed using items from the Multidimensional Assessment of Interoceptive Awareness, and ED symptoms were assessed using items from the Eating Disorder Examination-Questionnaire. Central symptoms within the network were strong desire to lose weight, feeling guilty, and listening for information from the body about emotional state. The most central symptom bridging IA and ED symptoms was (not) feeling safe in one’s body. Of the central symptoms, greater desire to lose weight predicted lower likelihood of remission at treatment discharge. Bridge symptoms did not significantly predict remission. Body mistrust may be a mechanism by which associations between IA and EDs are maintained. Findings suggest targeting central and bridge symptoms may be helpful to improve IA and ED symptoms. This study suggests that desire to lose weight is central to eating disorder psychopathology and is associated with lower likelihood of remission. Feeling unsafe in one’s body connects eating disorder symptoms with body awareness.
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影响因子：
3.6
作者：
Berg, Kelly C.;Peterson, Carol B.;Crow, Scott J.
通讯作者：
Crow, Scott J.
DOI：
10.1146/annurev-clinpsy-050212-185608
发表时间：
2013-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 9
影响因子：
--
作者：
Borsboom, Denny;Cramer, Angelique O. J.
通讯作者：
Cramer, Angelique O. J.
影响因子：
7.3
作者：
Duffy, Mary E.;Rogers, Megan L.;Joiner, Thomas E.
通讯作者：
Joiner, Thomas E.
影响因子：
3.7
作者：
Diedenhofen B;Musch J
通讯作者：
Musch J
影响因子：
29.3
作者：
Cramer, Angelique O. J.;Waldorp, Lourens J.;Borsboom, Denny
通讯作者：
Borsboom, Denny