家庭互动可预测青少年神经性贪食症患者个体内部症状的变化。
Family interactions predict intraindividual symptom variation for adolescents with bulimia.
作者信息
Okon Deborah M, Greene Anita L, Smith Jane Ellen
机构信息
Pacific Graduate School of Psychology, Palo Alto, California, USA.
出版信息
Int J Eat Disord. 2003 Dec;34(4):450-7. doi: 10.1002/eat.10215.
OBJECTIVE
Following family systems and stress theories, this study considered predictors of symptom variation experienced by adolescents with bulimia.
METHODS
Using experience sampling methodology, 20 girls clinically diagnosed with bulimia nervosa completed questionnaires about hassles and bulimic symptoms for 1 week, eight times daily, whenever they were contacted by pager. Perceived family environment was defined by the Family Environment Scale and the Conflict Behavior Questionnaire.
RESULTS
Regression analyses found that potent family hassles were positive predictors of bulimic symptoms later that day for girls who perceived their family as having high levels of conflict or low levels of emotional expressiveness. This was not found when girls perceived their family environment as more normal.
DISCUSSION
Within the context of a perceived dysfunctional family environment, potent family hassles can predict interindividual and intraindividual bulimic symptom variation for adolescent girls.
目的
依据家庭系统和压力理论，本研究探讨了神经性贪食青少年症状变化的预测因素。
方法
采用经验取样法，20名临床诊断为神经性贪食症的女孩，在为期1周的时间里，每天8次通过传呼机联系时填写关于困扰和贪食症状的问卷。家庭环境认知通过家庭环境量表和冲突行为问卷来界定。
结果
回归分析发现，对于那些认为自己家庭冲突程度高或情感表达程度低的女孩，强烈的家庭困扰是当天晚些时候贪食症状的正向预测因素。而当女孩认为自己的家庭环境较为正常时，未发现此关联。
讨论
在认知到功能失调的家庭环境背景下，强烈的家庭困扰能够预测青春期女孩个体间和个体内的贪食症状变化。
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