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认知扭曲与进食障碍:思维形态融合的特异性。

Cognitive distortions and eating pathology: specificity of thought-shape fusion.

机构信息

Interuniversity Laboratory of Psychology, Université de Savoie, BP1104, 73011 Chambéry Cedex, France.

出版信息

Behav Res Ther. 2012 Aug;50(7-8):449-56. doi: 10.1016/j.brat.2012.04.003. Epub 2012 Apr 28.

DOI:10.1016/j.brat.2012.04.003
PMID:22659153
Abstract

Thought-shape fusion (TSF) is a cognitive distortion that has been linked with eating pathology; however, the specificity of this distortion to eating disorders has not yet been examined. The current study set out to investigate the effects of a TSF induction on susceptibility to TSF in three groups of women: individuals with an eating disorder (n = 33), individuals with obsessive-compulsive disorder (OCD; n = 24), and control women with no history of either an eating disorder or obsessive-compulsive disorder (n = 26). Participants were assigned to receive either a TSF induction or a neutral induction, and their cognitive, emotional, and behavioral responses were assessed. As expected, the results demonstrated that individuals with eating disorders were more susceptible to TSF than were women with OCD and control participants, reporting higher state TSF, more negative affect, and more neutralization behavior. The results also supported the specificity of this distortion by demonstrating that individuals with OCD were not particularly susceptible to TSF. In fact, control participants demonstrated an increased susceptibility to TSF relative to women with OCD, as evidenced by their higher levels of trait TSF, and increased self-reported distress/difficulty in imagining a food-related situation.

摘要

思维形合融合(TSF)是一种与进食障碍有关的认知扭曲,但这种扭曲对进食障碍的特异性尚未得到检验。本研究旨在调查在三组女性中,TSF 诱发对 TSF 易感性的影响:患有进食障碍的个体(n=33)、强迫症(OCD;n=24)和没有进食障碍或强迫症病史的对照组女性(n=26)。参与者被分配接受 TSF 诱导或中性诱导,并评估他们的认知、情绪和行为反应。正如预期的那样,结果表明,患有进食障碍的个体比患有强迫症和对照组参与者更容易受到 TSF 的影响,报告更高的状态 TSF、更多的负面情绪和更多的中和行为。结果还通过证明强迫症患者对 TSF 并不特别敏感,支持了这种扭曲的特异性。事实上,与强迫症患者相比,对照组参与者对 TSF 的易感性增加,这表现在他们更高的特质 TSF 水平,以及他们报告的想象与食物相关的情况时感到的困扰/困难增加。

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