Department of Personality, Psychological Assessment and Treatment, University of Deusto, Avenida de las Universidades, 24, 48007 Bilbao, Spain.
Department of Personality, Psychological Assessment and Treatment, University of Deusto, Avenida de las Universidades, 24, 48007 Bilbao, Spain.
Psychiatry Res. 2018 Jan;259:470-475. doi: 10.1016/j.psychres.2017.11.031. Epub 2017 Nov 11.
This study examined the longitudinal reciprocal associations between resilience factors, quality of life (QoL) domains, and symptoms of eating disorders (EDs). Hypotheses included predictive paths from resilience factors of "acceptance of self and life" and "personal competence" to increased QoL and predictive paths from previous levels of QoL to resilience.
A total of 184 patients with EDs (mean age = 29.55, SD = 9.17, 94.8% women) completed measures of resilience, QoL, and EDs symptoms over three waves spaced six month apart. Hypotheses were tested by path analysis.
Resilience factors predicted improvements in psychological health and social relationship domains of QoL and a reduction of ED symptoms over time. In addition, psychological health increased acceptance of self and life consistently over time, whereas physical health increased the competence component of resilience.
The relationships between resilience factors and QoL are reciprocal, with several mediational paths. A spiral of recursive influences between resilience factors and QoL can take place in people with EDs. This possibility offers new perspectives to understanding the process of recovery in patients with ED.
本研究考察了复原力因素、生活质量（QoL）领域和饮食障碍（ED）症状之间的纵向相互关联。假设包括从“自我接纳和生活”和“个人能力”这两个复原力因素到 QoL 提高的预测路径，以及从先前的 QoL 水平到复原力的预测路径。
共有 184 名 ED 患者（平均年龄=29.55，标准差=9.17，94.8%为女性）在三个相隔六个月的时间点上完成了复原力、QoL 和 ED 症状的测量。通过路径分析检验了假设。
复原力因素预测了 QoL 的心理健康和社会关系领域的改善，以及 ED 症状随时间的减少。此外，心理健康随着时间的推移持续提高了对自我和生活的接受程度，而身体健康则提高了复原力的能力部分。
复原力因素和 QoL 之间的关系是相互的，存在多种中介路径。ED 患者中可能会发生复原力因素和 QoL 之间的递归影响的螺旋式上升。这种可能性为理解 ED 患者的康复过程提供了新的视角。
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