Unoka Zsolt, Tölgyes Tamás, Czobor Pál, Simon Lajos
Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary.
J Nerv Ment Dis. 2010 Jun;198(6):425-31. doi: 10.1097/NMD.0b013e3181e07d3d.
To examine relationship between Eating Disorder Behaviors (EDB) and Early Maladaptive Schemas (EMS) across eating disorder (ED) subgroups. EMS and ED behaviors were measured by Young Schema Questionnaire and Eating Behavior Severity Scale, respectively, among patients diagnosed with Restrictive or Binge/purging Anorexia, or bulimia nervosa. Canonical component analysis showed significant association between ED behaviors and EMSs. Canonical factor-pairs (EDB and EMS) revealed specific associations between certain patterns of EDBs, including binge-purging and physical exercise, and certain patterns of maladaptive cognitive schema, including Emotional deprivation, Abandonment, Enmeshments, Subjugation, and Emotional inhibition. ED subgroups significantly differred between the EMS and EDB canonical factors, respectively. Our findings indicate that EMS and EDB are associated, and that the factors that potentially mediate the association differ significantly among ED subgroups. These results are consistent with the notion that EMSs play a specific role in the development and maintenance of ED behaviors.
为研究饮食失调（ED）各亚组中饮食失调行为（EDB）与早期适应不良图式（EMS）之间的关系。在被诊断为限制型或暴饮暴食/清除型厌食症或神经性贪食症的患者中，分别通过杨氏图式问卷和饮食行为严重程度量表对EMS和ED行为进行测量。典型相关分析显示ED行为与EMS之间存在显著关联。典型因子对（EDB和EMS）揭示了某些EDB模式（包括暴饮暴食和体育锻炼）与某些适应不良认知图式模式（包括情感剥夺、被抛弃、纠缠、屈从和情感抑制）之间的特定关联。ED各亚组在EMS和EDB典型因子之间分别存在显著差异。我们的研究结果表明，EMS和EDB相关，并且潜在介导这种关联的因素在ED各亚组之间存在显著差异。这些结果与EMS在ED行为的发展和维持中起特定作用的观点一致。
