Waller Glenn, Babbs Michelle, Milligan Rhonda, Meyer Caroline, Ohanian Vartouhi, Leung Newman
Department of Psychiatry, St George's Hospital Medical School, University of London, London, United Kingdom.
Int J Eat Disord. 2003 Jul;34(1):118-24. doi: 10.1002/eat.10163.
The link between emotion and eating pathology has long been established, but relatively little is known about the role of anger, partly because the existing literature has tended to concentrate on anger as a unitary construct. Nor is there any understanding of the cognitive factors that drive this affect in the eating disorders. This study had two aims: to determine levels of different facets of anger across eating disorder diagnoses and behaviors; and to investigate whether facets of anger are related to the individual's negative core beliefs.
The sample consisted of 140 women who met DSM-IV criteria for eating disorders, and 50 female control participants (university undergraduates). The women completed self-report questionnaires of anger levels and unhealthy core beliefs, and the presence of bulimic behaviors was recorded at assessment.
The eating-disordered women had higher levels of state anger and anger suppression, particularly if the diagnosis included bulimic symptoms. Different aspects of anger were associated with specific bulimic behaviors. Unhealthy core beliefs were associated with higher levels of trait anger in both groups but with anger suppression in the clinical women only.
Suggestions are made regarding ways in which state anger and anger suppression might be understood and treated in women with eating disorders.
情绪与饮食病理学之间的联系早已确立，但对于愤怒的作用了解相对较少，部分原因在于现有文献倾向于将愤怒视为一个单一的概念。对于饮食失调中驱动这种情绪的认知因素也缺乏了解。本研究有两个目的：确定不同饮食失调诊断和行为中愤怒的不同方面的水平；并调查愤怒的各个方面是否与个体的消极核心信念相关。
样本包括140名符合DSM-IV饮食失调标准的女性，以及50名女性对照参与者（大学本科生）。这些女性完成了关于愤怒水平和不健康核心信念的自我报告问卷，并在评估时记录了暴食行为的存在情况。
饮食失调的女性有更高水平的状态愤怒和愤怒抑制，特别是如果诊断包括暴食症状。愤怒的不同方面与特定的暴食行为相关。不健康的核心信念在两组中都与更高水平的特质愤怒相关，但仅在临床女性中与愤怒抑制相关。
针对如何理解和治疗饮食失调女性的状态愤怒和愤怒抑制提出了建议。
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