Internalized anger, self-control, and mastery experience in inpatient anorexic adolescents
Internalized anger, self-control, and mastery experience in inpatient anorexic adolescents
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DOI：
10.1016/s0022-3999(00)00174-4
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发表时间：
2000-10-01
影响因子：
4.7
通讯作者：
Apter, A
中科院分区：
文献类型：
--
作者：
Horesh, N;Zalsman, G;Apter, A
目的：目的：探讨内化愤怒、自我控制和掌控体验对重度神经性厌食症（AN）少女的影响。研究方法：通过自我报告问卷对住院青少年精神病患者（N = 26）、住院女性青少年精神病患者（N = 24）和正常女性对照组（N = 29）的内化和外化愤怒、内部和外部控制、掌握、自我控制方法的使用以及精神病症状的严重程度进行了测量。结果如下：与正常对照组相比，抑郁症患者和一般精神病患者的内化愤怒明显更高，但这种差异仅在抑郁症患者中具有显著性。厌食症和一般精神病患者的掌握能力明显低于正常对照组，但这种差异仅在厌食症组中有显著性。在抑郁症组中，症状的严重程度与内在愤怒、低掌握和外部控制源显著相关，控制措施与愤怒呈负相关，住院总时间仅与抑郁症患者的内在愤怒呈正相关。结论：研究结果支持了这样一种观点，即内化的愤怒和自我控制的缺陷经验是青少年精神病住院女性的精神病理学的重要因素。该结果可能对严重AN患者的临床管理具有启示。(C)2000 Elsevier Science Inc. All rights reserved.
Objectives: To evaluate the implications of internalized anger, self-control and experience of mastery for adolescent girls with severe anorexia nervosa (AN). Methods: Internalized and externalized anger, internal and external control, mastery, use of methods for self-control, and severity of anorexic symptoms were measured by self-report questionnaires in inpatient anorexic teenagers (N = 26), inpatient female adolescent psychiatric patients (N = 24), and a normal female comparison group (N = 29). Results: Internalized anger was significantly higher in both the anorexic and general psychiatric patients as compared to normal controls, but this difference was significant only for the anorexic patients. Anorexic and general psychiatric patients experienced significantly less mastery than normal controls, but again this difference was significant only in the anorexic group. Within the anorexic group, severity of symptoms correlated significantly with internalized anger, low mastery, and external locus of control, and negative significant correlations among control measures and anger were found. Total length of hospitalization correlated positively with internalized anger only for the anorexics. Conclusion: The findings support the notion that internalized anger and defective experience of self-control are important factors in the psychopathology of adolescent anorexic inpatient females The results may have implications for the clinical management of patients with severe AN. (C) 2000 Elsevier Science Inc. All rights reserved.