Jewell Tom, Collyer Hannah, Gardner Tessa, Tchanturia Kate, Simic Mima, Fonagy Peter, Eisler Ivan
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, United Kingdom.
Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, United Kingdom.
Int J Eat Disord. 2016 Apr;49(4):354-73. doi: 10.1002/eat.22473. Epub 2015 Dec 22.
Insecure attachment and mentalizing difficulties have been associated with eating pathology in adulthood. However, it is unclear whether eating pathology is associated with attachment or mentalization in children. The aim of this study is to systematically review the literature in this emerging field.
Electronic databases were used to search for articles.
Twenty-two studies were identified. In the 15 studies investigating attachment, an association with eating pathology was found in all studies. Mentalizing difficulties and eating pathology were found to be correlated in the seven studies which examined their association.
In keeping with the adult literature, cross-sectional studies of children and adolescents consistently report associations with eating pathology. There is some evidence from prospective studies that insecure attachment may be a risk factor for the development of eating pathology in adolescence. The literature on mentalization and eating pathology suggests that adolescents with anorexia nervosa may have difficulties in recognizing emotions. Further research using clinical samples and well-validated measures of attachment and mentalization are required to shed further light on this area.
不安全依恋和心理化困难与成年期饮食病理相关。然而，饮食病理是否与儿童期的依恋或心理化相关尚不清楚。本研究的目的是系统回顾这一新兴领域的文献。
使用电子数据库搜索文章。
共识别出22项研究。在15项调查依恋的研究中，所有研究均发现依恋与饮食病理有关。在7项研究心理化困难与饮食病理关联的研究中，二者被发现存在相关性。
与成人文献一致，对儿童和青少年的横断面研究一致报告了与饮食病理的关联。前瞻性研究有一些证据表明，不安全依恋可能是青少年饮食病理发展的一个风险因素。关于心理化与饮食病理的文献表明，神经性厌食症青少年在识别情绪方面可能存在困难。需要使用临床样本以及经过充分验证的依恋和心理化测量方法进行进一步研究，以更清楚地了解这一领域。
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