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内心批评的痕迹:进食障碍中的完美主义和非自杀性自伤。

The scars of the inner critic: perfectionism and nonsuicidal self-injury in eating disorders.

机构信息

Department of Psychology, Catholic University of Leuven, Belgium.

出版信息

Eur Eat Disord Rev. 2012 May;20(3):196-202. doi: 10.1002/erv.1158. Epub 2011 Sep 13.

DOI:10.1002/erv.1158
PMID:21915946
Abstract

Nonsuicidal self-injury (NSSI) is quite common in eating disorder (ED) patients and we wondered whether this combined self-harming behaviour is related to perfectionism, a feature often found in ED patients. In addition, we examined associations between perfectionism and functions underlying NSSI and the possible mediating role of intrapersonal perfectionism in the association between perceived parental criticism and NSSI. In a sample of 95 ED patients, 38.9% reported at least one type of NSSI, and this subgroup reported significantly higher levels of parental criticism and evaluative concerns perfectionism (ECP) compared with ED patients without NSSI. ECP was positively related to the self-punishment and cry-for-help functions of NSSI. Finally, ECP was found to mediate the association between parental criticism and NSSI symptoms. Directions for future research and practical implications are discussed.

摘要

非自杀性自伤(NSSI)在饮食障碍(ED)患者中较为常见,我们想知道这种自残行为是否与完美主义有关,而完美主义是 ED 患者常见的特征之一。此外,我们还研究了完美主义与 NSSI 潜在功能之间的关系,以及个体内完美主义在感知到的父母批评与 NSSI 之间的关联中可能存在的中介作用。在 95 名 ED 患者的样本中,38.9%的患者报告至少有一种 NSSI,与没有 NSSI 的 ED 患者相比,这一亚组报告的父母批评和评价关注完美主义(ECP)水平显著更高。ECP 与 NSSI 的自我惩罚和求助功能呈正相关。最后,发现 ECP 中介了父母批评与 NSSI 症状之间的关联。讨论了未来研究和实际应用的方向。

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