Section of Eating Disorders, King's College London, Institute of Psychiatry, Psychological Medicine, London, United Kingdom.
Int J Eat Disord. 2012 Dec;45(8):962-9. doi: 10.1002/eat.22032. Epub 2012 Jun 12.
Exploring social anhedonia in eating disorders (ED) was the main objective of this study. Social anhedonia relates to a reduced feeling of pleasure from social stimulation. Researching the exact nature of problems in interpersonal relationships is an important topic for clinicians and researchers in the field.
The revised social anhedonia scale was completed by 148 participants: anorexia nervosa (AN) n = 72; bulimia nervosa (BN) n = 19; recovered AN n = 14; healthy controls (HC) n = 43. Participants also completed mood related measures and the Toronto Alexythimia scale.
People with AN and BN had higher self-reported social anhedonia than people without ED. Recovered AN had an intermediate profile in between AN and HC. Clinical severity and alexithymia were strongly associated with social anhedonia scores.
Difficulty identifying and expressing feelings could be related to this diminished drive for social pleasure. Tackling these interpersonal maintaining factors in treatment is likely to be a worthwhile endeavor.
探索进食障碍（ED）中的社交快感缺失是本研究的主要目的。社交快感缺失与社交刺激带来的愉悦感减少有关。研究人际关系中存在的确切问题是该领域临床医生和研究人员的一个重要课题。
148 名参与者完成了修订后的社交快感缺失量表：神经性厌食症（AN）n = 72；神经性贪食症（BN）n = 19；恢复的 AN n = 14；健康对照组（HC）n = 43。参与者还完成了与情绪相关的测量和多伦多述情障碍量表。
患有 AN 和 BN 的人自我报告的社交快感缺失程度高于没有 ED 的人。恢复的 AN 在 AN 和 HC 之间呈现出中间状态。临床严重程度和述情障碍与社交快感缺失评分密切相关。
难以识别和表达情感可能与这种社交愉悦感的减弱有关。在治疗中解决这些维持人际关系的因素可能是一项有价值的努力。
