自我批评和易羞耻感与饮食失调及抑郁症状之间的独特关联。
The unique associations of self-criticism and shame-proneness to symptoms of disordered eating and depression.
作者信息
Porter Andrew C, Zelkowitz Rachel L, Cole David A
机构信息
Department of Psychology and Human Development, Vanderbilt University, United States.
Department of Psychology and Human Development, Vanderbilt University, United States.
出版信息
Eat Behav. 2018 Apr;29:64-67. doi: 10.1016/j.eatbeh.2018.02.008. Epub 2018 Mar 3.
This study examined the unique associations of shame-proneness and self-criticism to symptoms of disordered eating and depression among 186 undergraduate students. The study also tested the degree to which self-criticism and shame-proneness accounted for the association between disordered eating and depressive symptoms. Both shame-proneness and self-criticism were significantly related to disordered eating and depressive symptoms. Self-criticism was significantly associated with disordered eating and depressive symptoms, over-and-above shame-proneness, but the reverse was not true. Controlling for shame-proneness, self-criticism also accounted for a significant proportion of the covariance between disordered eating and depressive symptoms, suggesting that self-criticism could account for some of the comorbidity between depression and eating disorders. Findings suggest that self-criticism may have incremental utility above-and-beyond shame-proneness as part of a transdiagnostic underlying cognitive substrate for depression and disordered eating. Implications emerge for future research and clinical practice.
本研究调查了186名本科生中，易羞耻倾向和自我批评与饮食失调症状及抑郁之间的独特关联。该研究还测试了自我批评和易羞耻倾向在多大程度上解释了饮食失调与抑郁症状之间的关联。易羞耻倾向和自我批评均与饮食失调及抑郁症状显著相关。自我批评与饮食失调及抑郁症状显著相关，且独立于易羞耻倾向，但反之则不成立。在控制易羞耻倾向后，自我批评也在饮食失调与抑郁症状的协方差中占显著比例，这表明自我批评可能是抑郁和饮食失调共病的部分原因。研究结果表明，作为抑郁和饮食失调潜在的跨诊断认知基础的一部分，自我批评可能比易羞耻倾向具有更大的效用。这对未来的研究和临床实践具有启示意义。
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