Preoccupation in bulimia nervosa, binge-eating disorder, anorexia nervosa, and higher weight.
Preoccupation in bulimia nervosa, binge-eating disorder, anorexia nervosa, and higher weight.
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DOI：
10.1002/eat.23630
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Grilo CM
中科院分区：
文献类型：
--
作者：
Lydecker JA;Simpson L;Smith SR;White MA;Grilo CM
对形状/体重和食物/饮食的关注（过度和持续的想法）被认为在饮食失调的个体中很突出，但比明显的行为特征得到的研究要少得多。本研究探讨了不同形式的进食障碍和体重较高的个体中不同关注焦点的意义和独特性。参与者（N=1363）完成了一项基于网络的调查，确定了进食障碍精神病理学和抑郁症的措施。本研究比较了具有核心特征的神经性贪食症（BN; n=144）、暴食症（BED; n=576）、神经性厌食症（AN; n=48）和体重较高（BMI≥25）但无进食障碍特征（HW; n=595）的个体的专注程度。每种类型的专注与其他进食障碍，精神病理学和抑郁症的协会进行了检查之间和研究组内。形状/重量和食物/饮食的关注显示了统计学显著差异的分级模式：AN和BN的关注高于BED，高于HW。在BN、BED和AN研究组中，形状/体重和食物/进食关注与进食障碍精神病理学和抑郁症的相关程度没有显著差异。在HW组中，形状/体重的关注比食物/饮食的关注与高估，身体不满和抑郁症的相关性更强。专注的认知方式，以及焦点，似乎与进食障碍精神病理学和抑郁症的其他方面有关。如果结果在具有正式诊断的个体中得到证实，那么在CBT中解决适应不良认知的临床医生应该考虑专注的作用。未来的研究应该调查是否专注预测或缓和进食障碍的治疗结果。
Preoccupation (excessive and constant thoughts) about shape/weight and food/eating are thought to be prominent in individuals with eating disorders but have received much less research than overt behavioral features. This study examined the significance and distinctiveness of different foci of preoccupation in individuals categorized with different forms of eating disorders and in individuals with higher weight. Participants (N=1363) completed a web-based survey with established measures of eating-disorder psychopathology and depression. The current study compared preoccupation among individuals with core features of bulimia nervosa (BN; n=144), binge-eating disorder (BED; n=576), anorexia nervosa (AN; n=48), and higher body weight (BMI≥25) without eating-disorder features (HW; n=595). Associations of each type of preoccupation with other eating-disorder psychopathology and depression were examined both between and within study groups. Preoccupation with shape/weight and with food/eating showed a graded pattern of statistically significant differences: AN and BN had higher preoccupation than BED, which was higher than HW. Within BN, BED, and AN study groups, correlation magnitudes of shape/weight and food/eating preoccupation with eating-disorder psychopathology and depression did not differ significantly. Within the HW group, shape/weight preoccupation was significantly more strongly correlated than food/eating preoccupation with overvaluation, body dissatisfaction, and depression. The preoccupation cognitive style, as well as focus, appears associated with other facets of eating-disorder psychopathology and depression. If results are confirmed among individuals with formal diagnoses, clinicians addressing maladaptive cognitions in CBT should consider the role of preoccupation. Future research should investigate whether preoccupation predicts or moderates eating disorder treatment outcomes.
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影响因子：
1.7
作者：
Agras, William Stewart
通讯作者：
Agras, William Stewart
影响因子：
5.5
作者：
Askew, Autumn J.;Peterson, Carol B.;Crow, Scott J.;Mitchell, James E.;Halmi, Katherine A.;Agras, W. Stewart;Haynos, Ann F.
通讯作者：
Haynos, Ann F.
DOI：
10.1016/s0002-8223(96)00161-7
发表时间：
1996-06-01
影响因子：
--
作者：
Polivy, J
通讯作者：
Polivy, J
影响因子：
4.1
作者：
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通讯作者：
Dalle Grave, Riccardo
影响因子：
5.5
作者：
Jones, N;Rogers, PJ
通讯作者：
Rogers, PJ