Steiger H, Gauvin L, Jabalpurwala S, Séguin J R, Stotland S
Eating Disorders Unit, Douglas Hospital, Verdun, Québec, Canada.
J Consult Clin Psychol. 1999 Oct;67(5):765-75. doi: 10.1037//0022-006x.67.5.765.
This study used a 6- to 22-day experience-sampling procedure to test for hypersensitivity to social interactions in bulimic individuals. Ratings on daily social interactions, self-concepts, moods, and eating behaviors from 55 actively bulimic, 18 formerly bulimic, and 31 noneating-disordered women were obtained. Hierarchical linear modeling analyses showed negative social interactions to be associated with significant increases in self-criticism (SC) and deteriorations in mood in all participants. However, bulimic participants (active or in remission) showed larger increases in SC following negative social interactions than did normal eaters (and thus seemed to be hypersensitive to interpersonal experiences). Additional analyses indicated that binge episodes tended to be preceded by poorer than average social experiences, self-concepts, and moods and followed by deteriorations in self-concept, mood, and social perception. The authors discuss possible perpetuating influences of interpersonal sensitivity in bulimic syndromes.
本研究采用了为期6至22天的经验抽样程序，以测试神经性贪食症患者对社交互动的超敏反应。我们获取了55名活跃型神经性贪食症患者、18名曾经患过神经性贪食症的患者以及31名无饮食失调问题的女性在日常社交互动、自我概念、情绪和饮食行为方面的评分。分层线性模型分析表明，消极的社交互动与所有参与者的自我批评（SC）显著增加以及情绪恶化有关。然而，与正常饮食者相比，神经性贪食症患者（活跃型或缓解期）在消极社交互动后SC的增加幅度更大（因此似乎对人际体验超敏）。进一步分析表明，暴饮暴食发作之前往往伴随着比平均水平更差的社交体验、自我概念和情绪，之后则伴随着自我概念、情绪和社会认知的恶化。作者讨论了人际敏感性在神经性贪食症综合征中可能持续存在的影响。
