Damiano Stephanie R, Reece John, Reid Sophie, Atkins Linsey, Patton George
Discipline of Psychology, RMIT University, Bundoora 3083, Australia; Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville 3052, Australia; School of Psychological Science, La Trobe University, Melbourne 3086, Australia.
Discipline of Psychology, RMIT University, Bundoora 3083, Australia.
Eat Behav. 2015 Jan;16:64-71. doi: 10.1016/j.eatbeh.2014.10.016. Epub 2014 Nov 4.
Recent research has highlighted the presence of Young's Early Maladaptive Schemas (EMSs) in individuals with an eating disorder (ED). This study assessed the EMSs reported by adolescent females with Anorexia Nervosa (AN) compared with a community group. Thirty-six adolescent females diagnosed with AN or subthreshold AN and 111 female secondary school students completed a questionnaire that included the Young Schema Questionnaire, the Behavior Assessment System for Children Self-report of Personality, and the Eating Disorder Screen for Primary Care. Two independent AN subtypes and two community subtypes were derived from responses to the questionnaire, and significant differences between the four comparison groups were found. High Pathology AN participants reported the highest level of psychological maladjustment. Social Isolation and Emotional Inhibition appeared to be most characteristic of adolescent AN in this sample. The results suggest that EMSs may require attention in the treatment of AN in adolescent females, and that different AN subtypes may require individualized treatment approaches.
近期研究突显了饮食失调（ED）个体中存在扬氏早期适应不良图式（EMSs）。本研究评估了神经性厌食症（AN）青少年女性报告的EMSs，并与一个社区群体进行比较。36名被诊断为AN或亚阈值AN的青少年女性和111名女中学生完成了一份问卷，其中包括扬氏图式问卷、儿童行为评估系统人格自评量表以及初级保健饮食失调筛查量表。从问卷回答中得出了两种独立的AN亚型和两种社区亚型，且发现四个比较组之间存在显著差异。高病理AN参与者报告的心理适应不良水平最高。在这个样本中，社会隔离和情绪抑制似乎是青少年AN最典型的特征。结果表明，在治疗青少年女性AN时可能需要关注EMSs，且不同的AN亚型可能需要个体化的治疗方法。
