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暴饮暴食症患者的社会认知与情绪功能

Social Cognition and Emotional Functioning in Patients with Binge Eating Disorder.

作者信息

Aloi Matteo, Rania Marianna, Caroleo Mariarita, De Fazio Pasquale, Segura-García Cristina

机构信息

Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.

出版信息

Eur Eat Disord Rev. 2017 May;25(3):172-178. doi: 10.1002/erv.2504. Epub 2017 Feb 17.

DOI:10.1002/erv.2504
PMID:28211586
Abstract

OBJECTIVE

This study aims to evaluate the theory of mind ability in a sample of obese patients with and without binge eating disorder (BED) and to explore the correlations between emotional and clinical assessments.

METHODS

Overall, 20 non-BED, 16 under-threshold BED and 22 BED obese patients completed a battery of tests assessing social cognition and eating disorder psychopathology.

RESULTS

Binge eating disorder, non-BED and under-threshold-BED obese patients showed similar ability to recognise others' emotions, but BED obese patients exhibited a deficit in recognising their own emotions as demonstrated by more impaired levels of alexithymia and interoceptive awareness and were more depressed. High positive correlations were evident between binging, depression, interoceptive awareness and alexithymia.

CONCLUSIONS

Binge eating disorder patients have a comparable ability to understand others' emotions but a more impaired capacity to understand and code their own emotions compared with non-BED obese patients. This impairment is highly correlated with depression. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

摘要

目的

本研究旨在评估患有和未患有暴饮暴食症(BED)的肥胖患者样本的心理理论能力,并探讨情绪评估与临床评估之间的相关性。

方法

总体而言,20名非BED肥胖患者、16名阈下BED肥胖患者和22名BED肥胖患者完成了一系列评估社会认知和饮食失调精神病理学的测试。

结果

暴饮暴食症肥胖患者、非BED肥胖患者和阈下BED肥胖患者在识别他人情绪方面表现出相似的能力,但BED肥胖患者在识别自身情绪方面存在缺陷,这表现为述情障碍和内感受性觉知水平受损更严重,且抑郁程度更高。暴饮暴食、抑郁、内感受性觉知和述情障碍之间存在高度正相关。

结论

与非BED肥胖患者相比,暴饮暴食症患者理解他人情绪的能力相当,但理解和表达自身情绪的能力受损更严重。这种损伤与抑郁高度相关。版权所有© 2017约翰·威利父子有限公司和饮食失调协会。

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