Examining the role of self-discrepancy and self-directed style in bulimia nervosa.
Examining the role of self-discrepancy and self-directed style in bulimia nervosa.
复制标题
DOI：
10.1016/j.psychres.2016.07.056
复制
发表时间：
2016-10-30
影响因子：
11.3
通讯作者：
Peterson CB
中科院分区：
文献类型：
--
作者：
Mason TB;Pearson CM;Lavender JM;Wonderlich SA;Crosby RD;Erickson AL;Mitchell JE;Crow SJ;Smith TL;Klein MH;Peterson CB
综合认知情感疗法（ICAT）的两个主要组成部分是自我差异和自我导向风格。自我差异包括实际理想（自己和自己希望成为的人之间的差异）和实际应该（自己和自己认为应该成为的人之间的差异）。ICAT中的自我导向风格是指一个人对自己发出的各种行为，包括自我责备和自我肯定。本研究探讨了自我差异和自我导向风格在整体饮食失调（ED）精神病理、抑郁症状和焦虑中的主要作用和相互作用。来自中西部的80名患有BN或阈下BN的寻求治疗的成年人完成了访谈和自我报告测量。自我肯定和自责与ED精神病理、抑郁症状和焦虑有关。实际理想差异与焦虑有关，实际应当差异与焦虑、抑郁有关。自我肯定与实际应然差异、自责与实际应然差异与抑郁症状之间存在交互作用。无论自我肯定和自责的程度如何，高实际：应该与抑郁症状的增加有关。模型的效应大小为中等到较大，焦虑模型显示出最大的影响。本研究为ICAT模型和治疗提供了进一步的证据，该模型和治疗针对自我差异、自我导向风格和相关的情绪状态。
Two of the primary components within Integrative Cognitive Affective Therapy (ICAT) are self-discrepancy and self-directed style. Self-discrepancy includes both actual:ideal (discrepancy between oneself and who one wishes they were) and actual:ought (discrepancy between oneself and who one believes they ought to be). Self-directed style in ICAT refers to a variety of behaviors emitted by a person toward the self including self-blaming and self-affirming. This study explored main effects and interactions between self-discrepancy and self-directed style in relation to global eating disorder (ED) psychopathology, depressive symptoms, and anxiety. Eighty treatment-seeking adults from the Midwest with BN or subthreshold BN completed interviews and self-report measures. Self-affirm and self-blame were associated with ED psychopathology, depressive symptoms, and anxiety. Actual:ideal discrepancy was related to anxiety and actual:ought discrepancy was related to anxiety and depression. Interactions were found between self-affirm and actual:ought discrepancy as well as self-blame and actual:ought discrepancy and depressive symptoms. High actual:ought was related to increased depressive symptoms regardless of levels of self-affirm and self-blame. Effect sizes for models were medium-to-large with anxiety models demonstrating the largest effects. This study provides further evidence supporting the ICAT model and treatment, which targets self-discrepancies, self-directed styles, and related emotional states.