Fox John R E
Division of Clinical Psychology, University of Manchester, Manchester, UK.
Clin Psychol Psychother. 2009 Jul-Aug;16(4):276-302. doi: 10.1002/cpp.631.
Difficulties in emotional processing have long been regarded as a core difficulty within anorexia nervosa. Recent research and theory have started to highlight how eating disorder symptoms are often used to regulate painful emotions. However, there has been a lack of theoretical sophistication in how emotions have been considered within the eating disorders. This study was designed to use qualitative methodologies to address these inadequacies and provide a richer, more thorough account of emotions within anorexia nervosa. It used a grounded theory methodology to gather and analyse interview data from 11 participants who had a diagnosis of anorexia nervosa, being seen at a regional eating disorder service (both inpatient and day patient). The results highlighted two main overarching themes regarding the perception and management of emotions within anorexia nervosa: (1) development of poor meta-emotional skills; and (2) perception and management of emotion in anorexia nervosa. These two categories comprised of a significant number of components from the qualitative analysis, including difficulties with anger, meta-emotional skills and poverty of emotional environments while growing up. Once the data had been collected and analysed, links were made between the findings of this research and the current literature base.
长期以来，情绪处理方面的困难一直被视为神经性厌食症的核心难题。近期的研究和理论开始强调饮食失调症状常常被用于调节痛苦情绪。然而，在饮食失调领域中，对于情绪的考量在理论上缺乏深度。本研究旨在运用定性研究方法来弥补这些不足，并对神经性厌食症中的情绪提供更丰富、更全面的描述。该研究采用扎根理论方法，收集并分析了来自11名被诊断为神经性厌食症患者的访谈数据，这些患者在一家地区饮食失调服务机构（包括住院患者和日间患者）接受治疗。研究结果突出了关于神经性厌食症中情绪感知与管理的两个主要总体主题：（1）不良元情绪技能的发展；（2）神经性厌食症中情绪的感知与管理。这两个类别包含了定性分析中的大量组成部分，包括愤怒方面的困难、元情绪技能以及成长过程中情感环境的匮乏。一旦数据收集和分析完毕，本研究的结果便与当前的文献基础建立了联系。
