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治疗 1 年后进食障碍患者症状减轻与依恋安全性和心理化有关吗?

Is reduction of symptoms in eating disorder patients after 1 year of treatment related to attachment security and mentalization?

机构信息

a Unit for Eating Disorders, GGZ Breburg , Tilburg , The Netherlands.

b Research Institute of Child Development and Education, University of Amsterdam , Amsterdam , The Netherlands.

出版信息

Eat Disord. 2018 May-Jun;26(3):263-269. doi: 10.1080/10640266.2017.1384916. Epub 2017 Nov 10.

DOI:10.1080/10640266.2017.1384916
PMID:29125797
Abstract

In a sample of 38 eating disorder (ED) patients who received psychotherapeutic treatment, changes in attachment security, and mentalization in relation to symptoms reduction were investigated. Attachment security improved in 1 year but was unrelated to improvement of ED or comorbid symptoms. Mentalization did not change significantly in 1 year. Pretreatment mentalization was negatively related to the severity of ED symptoms, trait anxiety, psycho-neuroticism, and self-injurious behavior after 1 year of treatment. We conclude that for ED patients, improving mentalization might increase the effect of treatment on core and comorbid symptoms.

摘要

在接受心理治疗的 38 名饮食失调(ED)患者的样本中,研究了与症状减轻相关的依恋安全性和心理化的变化。在 1 年内,依恋安全性得到了改善,但与 ED 或合并症状的改善无关。心理化在 1 年内没有显著变化。治疗前的心理化与 ED 症状、特质焦虑、精神神经症和 1 年后的自我伤害行为的严重程度呈负相关。我们得出结论,对于 ED 患者,提高心理化可能会增加治疗对核心和合并症状的效果。

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