青少年神经性厌食症住院患者中强制性运动的临床特征。
A clinical profile of compulsive exercise in adolescent inpatients with anorexia nervosa.
机构信息
School of Psychology, The University of Sydney, Sydney, Australia.
Eating Disorder Service at The Sydney Children's Hospitals Network, Westmead, Australia ; Westmead Clinical School, The University of Sydney, Sydney, Australia.
出版信息
J Eat Disord. 2016 Feb 6;4:1. doi: 10.1186/s40337-016-0090-6. eCollection 2016.
BACKGROUND
The aim of the current study was to contribute to the development of a clinical profile of compulsive exercise in adolescents with Anorexia Nervosa (AN), by examining associations between compulsive exercise and eating and general psychopathology.
METHOD
A sample of 60 female adolescent inpatients with AN completed a self-report measure of compulsive exercise and a series of standardized self-report questionnaires assessing eating and general psychopathology.
RESULTS
Higher levels of compulsive exercise were associated with increased levels of eating disorder psychopathology and anxiety. Specifically, the avoidance aspect (negatively reinforced) of compulsive exercise was associated with elevated scores on measures of eating disorder, anxiety, depression, and obsessive compulsiveness psychopathology, as well as lower self-esteem scores. The mood improvement value (positively reinforced) of compulsive exercise, however, did not reflect such trends.
CONCLUSIONS
Compulsive exercise driven by avoidance of negative affect is associated with more severe psychological features in adolescent inpatients with AN. The current findings emphasize the need for research and clinical efforts in the development of treatments addressing avoidance of negative affect and compulsive exercise in adolescents with AN.
背景
本研究旨在通过考察强迫性运动与饮食和一般精神病理学之间的关联，为厌食症（AN）青少年中强迫性运动的临床特征的发展做出贡献。
方法
对 60 名患有 AN 的女性青少年住院患者进行了一项强迫性运动的自我报告测量和一系列评估饮食和一般精神病理学的标准化自我报告问卷。
结果
较高水平的强迫性运动与饮食障碍和焦虑程度增加有关。具体而言，强迫性运动的回避方面（负强化）与饮食障碍、焦虑、抑郁和强迫性精神病理学的评分升高以及自尊评分降低有关。然而，强迫性运动的改善情绪价值（正强化）并不反映出这些趋势。
结论
由避免负面情绪驱动的强迫性运动与青少年 AN 住院患者更严重的心理特征有关。目前的研究结果强调需要在开发针对青少年 AN 中避免负面情绪和强迫性运动的治疗方法方面进行研究和临床努力。
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