Emotion Regulation in Binge Eating Disorder: A Review.
Emotion Regulation in Binge Eating Disorder: A Review.
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DOI：
10.3390/nu9111274
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发表时间：
2017-11-22
期刊：
影响因子：
5.9
通讯作者：
Parks M
中科院分区：
文献类型：
--
作者：
Dingemans A;Danner U;Parks M
本文就暴食症患者情绪调节的研究现状进行综述。负性情绪和适应不良的情绪调节策略在床上暴饮暴食的发生和维持中起作用。愤怒和悲伤，沿着与人际关系有关的负面情绪（即，失望，受伤或孤独），似乎特别相关。患有BED的人倾向于抑制和反思他们不想要的情绪，这导致精神病理学思想和症状增加。与健康对照组相比，他们较少使用适应性策略，如重新评估。关于负面情绪和暴饮暴食之间的因果关系的证据是不确定的，仍然非常有限。虽然在实验室环境中的实验研究缺乏生态有效性，但生态瞬时评估研究在解开情绪和暴饮暴食之间的因果关系方面提供了更多的希望。负面情绪的增加被发现是在床上暴饮暴食的前因。然而，似乎很少有人支持暴饮暴食作为减轻负面影响的一种手段的可能性。最后，BED似乎与其他形式的适应不良情绪调节策略有关，如药物滥用和自我伤害。
The purpose of the present review is to provide a summary of the research findings on emotion regulation in Binge Eating Disorder (BED). Negative emotions and maladaptive emotion regulation strategies play a role in the onset and maintenance of binge eating in BED. Anger and sadness, along with negative emotions related to interpersonal experiences (i.e., disappointment, being hurt or loneliness), seem to be particularly relevant. Individuals with BED have a tendency to suppress and ruminate on their unwanted emotions, which leads to increased psychopathological thoughts and symptoms. Compared to healthy controls, they use adaptive strategies, such as reappraisal, less frequently. Evidence concerning the causal relation between negative affect and binge eating is inconclusive and still very limited. While experimental studies in a laboratory setting lack ecological validity, ecological momentary assessment studies offer more promise at unraveling the causal relationship between emotions and binge eating. Increases in negative affect are found to be antecedents of binge eating in BED. However, there seems to be less support for the possibility that binge eating serves as a means to alleviate negative affect. Finally, BED seems to be related to other forms of maladaptive emotion regulation strategies, such as substance abuse and self-harm.
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