双重负担：饮食失调女性的情绪性进食和认知重评不足。
A double burden: emotional eating and lack of cognitive reappraisal in eating disordered women.
机构信息
Altrecht Eating Disorders Rintveld, Altrecht Mental Health Institute, The Netherlands.
出版信息
Eur Eat Disord Rev. 2012 Nov;20(6):490-5. doi: 10.1002/erv.2184. Epub 2012 May 15.
OBJECTIVE
To examine the influence of emotional eating and lack of cognitive reappraisal on eating pathology in women with binge-purge and restricting type eating disorders.
METHOD
Women with a diagnosis of anorexia or bulimia nervosa according to the DSM-IV-tr (n = 50) and non-clinical women without eating disorders (n = 52) were asked about emotional eating tendencies, adaptive emotion regulation strategies (cognitive reappraisal) and eating pathology symptoms.
RESULTS
In binge-purging women, emotional eating with limited use of cognitive reappraisal predicted level of eating pathology but not in the restricting and non-clinical women.
DISCUSSION
Emotional eating tendencies in combination with a low tendency to use cognitive reappraisal may influence the severity of eating pathology in individuals with binge-purge behaviours. Evidently, patients with these characteristics require a therapy that addresses adaptive emotion regulation skills.
目的
探讨情绪性进食和认知重评不足对暴食-清除型和限制型进食障碍女性进食障碍的影响。
方法
根据 DSM-IV-tr 诊断为神经性厌食或贪食症的女性（n=50）和无进食障碍的非临床女性（n=52）被要求报告情绪性进食倾向、适应性情绪调节策略（认知重评）和进食障碍症状。
结果
在暴食-清除型女性中，情绪性进食倾向和有限使用认知重评预测了进食障碍的严重程度，但在限制型和非临床女性中则没有。
讨论
情绪性进食倾向与低认知重评倾向相结合可能会影响具有暴食-清除行为个体的进食障碍严重程度。显然，具有这些特征的患者需要一种能够解决适应性情绪调节技能的治疗方法。
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