认知灵活性不足对饮食失调和社交焦虑症状的影响。
Contributions of cognitive inflexibility to eating disorder and social anxiety symptoms.
作者信息
Arlt Jean, Yiu Angelina, Eneva Kalina, Taylor Dryman M, Heimberg Richard G, Chen Eunice Y
机构信息
Temple Eating Disorders program, Department of Psychology, Temple University, Philadelphia, PA, United States.
Adult Anxiety Clinic of Temple, Department of Psychology, Temple University, Philadelphia, PA, United States.
出版信息
Eat Behav. 2016 Apr;21:30-2. doi: 10.1016/j.eatbeh.2015.12.008. Epub 2015 Dec 18.
UNLABELLED
Eating disorders and social anxiety are highly co-occurring. These disorders share fears of social evaluation, possibly maintained by similar cognitive content and styles, including an inability to adapt or flexibly respond to unexpected conditions. However, the role of cognitive inflexibility in eating disorders in relation to social anxiety has not been explored.
OBJECTIVE
In this study, the link between eating disorder symptoms and cognitive inflexibility, while accounting for social anxiety, is examined.
METHOD
Participants (N=461) were undergraduates who completed the Detail and Flexibility Questionnaire 12-item Cognitive Rigidity subscale, the Eating Disorders Diagnostic Scale, and the Social Interaction Anxiety Scale.
RESULTS
Eating disorder symptoms and social anxiety were both positively correlated with cognitive inflexibility. After controlling for social anxiety, the relationship between eating disorder symptoms and cognitive inflexibility remained robust.
DISCUSSION
Further examination of cognitive inflexibility in eating disorders and comorbid social anxiety in clinical samples is warranted. We suggest future directions for examining cognitive inflexibility as a trans-diagnostic construct important to eating disorders and frequently comorbid disorders, consistent with NIMH Research Domain Criteria.
未标注
饮食失调和社交焦虑高度共现。这些障碍都存在对社会评价的恐惧，可能由相似的认知内容和方式维持，包括无法适应或灵活应对意外情况。然而，认知灵活性不足在饮食失调与社交焦虑关系中的作用尚未得到探讨。
目的
本研究在考虑社交焦虑的情况下，考察饮食失调症状与认知灵活性不足之间的联系。
方法
参与者（N = 461）为大学生，他们完成了《细节与灵活性问卷》12项认知僵化分量表、《饮食失调诊断量表》和《社交互动焦虑量表》。
结果
饮食失调症状和社交焦虑均与认知灵活性不足呈正相关。在控制社交焦虑后，饮食失调症状与认知灵活性不足之间的关系依然显著。
讨论
有必要在临床样本中进一步研究饮食失调及共病社交焦虑中的认知灵活性不足。我们建议未来按照美国国立精神卫生研究所的研究领域标准，将认知灵活性不足作为一个对饮食失调及常见共病障碍很重要的跨诊断结构进行研究，并提出了未来研究方向。
Zotero 插件