Difficulties with positive emotion regulation in anorexia nervosa.
Difficulties with positive emotion regulation in anorexia nervosa.
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神经性厌食症患者的积极情绪调节困难。
DOI：
10.1002/erv.2973
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Haynos,AnnF
中科院分区：
文献类型：
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作者：
Santos,BoladeM;Haynos,AnnF
患有神经性厌食症（AN）的个体在调节负面情绪方面存在很大的困难，但对这一人群的积极情绪调节知之甚少。为了解决这一差距，我们比较了AN女性（n= 30）和无饮食失调史的人口统计学匹配对照组（NC;n= 30）对情绪调节困难量表-积极问卷和传统DERS问卷（测量消极情绪失调）的反应，并检查了积极情绪调节与临床症状之间的关系。结果表明，与正常对照组相比，AN患者在调节消极情绪（p<0.001，d = 2.75）和积极情绪（p<0.001，d = 1.08）方面表现出更大的困难。具体来说，AN组报告了更高的积极情绪不接受（p= 0.004，d = 0.78）和冲动（p= 0.003，d = 0.81）。在AN患者中，更大的积极情绪不接受与更高的焦虑（p= 0.015）和抑郁（p= 0.022）相关。出乎意料的是，更多的积极情绪冲动与AN中较少的限制性饮食有关（p< 0.001）。即使在控制了负面情绪失调和精神药物的使用后，研究结果也基本保持不变。结果表明，减少与积极情绪相关的羞耻感可以改善AN的情绪;或者，在经历积极情绪时放弃控制可以减少限制。积极情绪调节作为AN的治疗靶点还需要更多的研究。
Individuals with anorexia nervosa (AN) have well‐documented difficulties regulating negative emotions, but less is known about positive emotion regulation in this population. To address this gap, we compared responses on the Difficulties in Emotion Regulation Scale‐Positive questionnaire and the traditional DERS questionnaire (measuring negative affect dysregulation) between females with AN (n= 30) and demographically‐matched controls without an eating disorder history (NC;n= 30) and examined relations between positive emotion regulation and clinical symptoms. Results indicated that individuals with AN demonstrated greater difficulty regulating negative (p< 0.001,d= 2.75) and positive (p< 0.001,d= 1.08) emotions compared to NC participants. Specifically, the AN group reported heightened positive emotion nonacceptance (p= 0.004,d= 0.78) and impulsivity (p= 0.003,d= 0.81). Greater positive emotion nonacceptance was associated with higher anxiety (p= 0.015) and depression (p= 0.022) among individuals with AN. Unexpectedly, more positive emotion impulsivity was associated with less restrictive eating in AN (p< 0.001). Findings were largely maintained even after controlling for negative emotion dysregulation and psychotropic medication use. The results suggest that reducing shame related to positive emotions could improve mood in AN; alternatively, relinquishing control when experiencing positive emotion could reduce restriction. More research is warranted on positive emotion regulation as a treatment target for AN.