The unique associations between self-compassion and eating disorder psychopathology and the mediating role of rumination
The unique associations between self-compassion and eating disorder psychopathology and the mediating role of rumination
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DOI：
10.1016/j.psychres.2019.02.019
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发表时间：
2019-04-01
影响因子：
11.3
通讯作者：
Borders, Ashley
中科院分区：
文献类型：
--
作者：
Fresnics, Amanda A.;Wang, Shirley B.;Borders, Ashley
正念可以减少饮食失调（ED）的精神病理学。自我慈悲是一种相关但又不同的结构，它可能比正念更能预测其他临床结果。先前的证据表明，自我慈悲与较少的 ED 精神病理学相关，尽管没有研究比较自我慈悲和正念的独特效果。此外，很少有研究探讨这种关联的机制。当前的调查研究探讨了自我慈悲与 ED 精神病理学之间的独特关联，控制了正念，以及抑郁性沉思是否介导了这种关联。一百九十名本科生完成了问卷调查，评估基线时和五个月后的自我慈悲、正念、抑郁沉思和 ED 精神病理学。在横断面和纵向分析中，即使在控制正念的情况下，自我慈悲也能预测 ED 的精神病理学。相比之下，在控制自我慈悲的情况下，正念并不能预测 ED 的精神病理学。在横断面而非纵向分析中，抑郁沉思介导了自我慈悲与 ED 精神病理学之间的独特关联。目前的研究结果表明，与正念相比，自我同情可能是 ED 精神病理学更接近的预测因素。还需要更多的研究来进一步探讨抑郁性沉思是否是这种效应的机制。
Mindfulness reduces eating disorder (ED) psychopathology. Self-compassion is a related but distinct construct that may predict other clinical outcomes more strongly than does mindfulness. Previous evidence suggests that self-compassion is associated with less ED psychopathology, although no studies have compared the unique effects of self-compassion and mindfulness. Moreover, few studies have explored mechanisms of this association. The current survey study explored the unique association between self-compassion and ED psychopathology, controlling for mindfulness, as well as whether depressive rumination mediates this association. One hundred and ninety undergraduates completed questionnaires assessing self-compassion, mindfulness, depressive rumination, and ED psychopathology at baseline and five months later. In cross-sectional and longitudinal analyses, self-compassion predicted ED psychopathology even when controlling for mindfulness. By contrast, mindfulness did not predict ED psychopathology when controlling for self-compassion. Depressive rumination mediated the unique association between self-compassion and ED psychopathology in cross-sectional but not longitudinal analyses. The current findings suggest that self-compassion may be a more proximal predictor of ED psychopathology than is mindfulness. Additional research will need to further explore whether depressive rumination is a mechanism of this effect.