审视针对神经性贪食症的综合认知-情感疗法的概念模型：两项评估研究。
Examining the conceptual model of integrative cognitive-affective therapy for BN: Two assessment studies.
作者信息
Wonderlich Stephen A, Engel Scott G, Peterson Carol B, Robinson Michael D, Crosby Ross D, Mitchell James E, Smith Tracey L, Klein Marjorie H, Lysne Christianne M, Crow Scott J, Strauman Timothy J, Simonich Heather K
机构信息
Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota 58107-1415, USA.
出版信息
Int J Eat Disord. 2008 Dec;41(8):748-54. doi: 10.1002/eat.20551.
OBJECTIVE
Two studies sought to examine predictions of the Integrative Cognitive-Affective Therapy (ICAT) model, which views bulimic symptoms in terms of inter-relations between self-concept discrepancies, negative affect, and self-directed coping styles. The present results examine assessment-related predictions of this model.
METHOD
Individuals with bulimic symptoms were compared to noneating disorder control participants in two studies involving central constructs of the ICAT model.
RESULTS
In both studies, bulimic individuals displayed higher levels of self-discrepancy and negative self-directed styles, supporting predictions of the model. Also predicted by the model, negative mood states mediated relations between bulimic status and negative self-directed coping styles in Study 2.
CONCLUSION
Assessment-related predictions of the ICAT model of bulimic symptoms were supported in two studies. These initial results support further tests of the model in longitudinal designs, contrasts of different clinical populations, and treatment-evaluation studies.
目的
两项研究试图检验整合认知-情感疗法（ICAT）模型的预测，该模型从自我概念差异、消极情绪和自我导向应对方式之间的相互关系来审视暴食症状。本研究结果检验了该模型与评估相关的预测。
方法
在两项涉及ICAT模型核心构念的研究中，将有暴食症状的个体与无饮食失调的对照参与者进行比较。
结果
在两项研究中，有暴食症状的个体均表现出更高水平的自我差异和消极的自我导向方式，支持了该模型的预测。该模型还预测，在研究2中，消极情绪状态介导了暴食状态与消极自我导向应对方式之间的关系。
结论
两项研究支持了ICAT模型中与暴食症状评估相关的预测。这些初步结果支持在纵向设计、不同临床人群对比以及治疗评估研究中对该模型进行进一步检验。
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