CINEICC - Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Portugal.
CINEICC - Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Portugal.
Psychiatry Res. 2017 Dec;258:511-517. doi: 10.1016/j.psychres.2017.08.086. Epub 2017 Sep 1.
This study examined the phenomenology of shame experiences from childhood and adolescence in a sample of women with Binge Eating Disorder. Moreover, a path analysis was investigated testing whether the association between shame-related memories which are traumatic and central to identity, and binge eating symptoms' severity, is mediated by current external shame, body image shame and body image cognitive fusion. Participants in this study were 114 patients, who were assessed through the Eating Disorder Examination and the Shame Experiences Interview, and through self-report measures of external shame, body image shame, body image cognitive fusion and binge eating symptoms. Shame experiences where physical appearance was negatively commented or criticized by others were the most frequently recalled. A path analysis showed a good fit between the hypothesised mediational model and the data. The traumatic and centrality qualities of shame-related memories predicted current external shame, especially body image shame. Current shame feelings were associated with body image cognitive fusion, which, in turn, predicted levels of binge eating symptomatology. Findings support the relevance of addressing early shame-related memories and negative affective and self-evaluative experiences, namely related to body image, in the understanding and management of binge eating.
本研究在暴食障碍女性样本中考察了羞耻体验的现象学。此外，还进行了路径分析，以检验与羞耻相关的记忆（与创伤有关且与身份认同核心相关）与暴食症状严重程度之间的关联是否受当前外在羞耻、身体意象羞耻和身体意象认知融合的中介作用影响。本研究的参与者为 114 名患者，通过饮食障碍检查和羞耻体验访谈以及外在羞耻、身体意象羞耻、身体意象认知融合和暴食症状的自我报告测量进行评估。最常回忆的是他人对身体外貌的负面评价或批评的羞耻体验。路径分析表明，假设的中介模型与数据之间具有良好的拟合度。与羞耻相关的记忆的创伤性和核心特质预测了当前的外在羞耻感，特别是身体意象羞耻感。当前的羞耻感与身体意象认知融合有关，而身体意象认知融合又预测了暴食症状的严重程度。研究结果支持在理解和治疗暴食症时关注与羞耻相关的早期记忆以及与身体意象相关的消极情感和自我评估体验的重要性。
