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不同进食障碍诊断成年和青少年情绪调节困难的差异。

Differences in emotion regulation difficulties among adults and adolescents across eating disorder diagnoses.

机构信息

University of California.

出版信息

J Clin Psychol. 2018 Oct;74(10):1867-1873. doi: 10.1002/jclp.22638. Epub 2018 May 13.

Abstract

OBJECTIVE

Although much empirical attention has been devoted to emotion regulation (ER) in individuals with eating disorders, little is known about ER across a wide age range and among different ED subtypes. The current study sought to examine ER in a sample of eating disorder patients.

METHOD

A total of 364 adults and adolescents with anorexia nervosa restricting subtype (AN-R), anorexia nervosa binge/purge subtype (AN-BP), or bulimia nervosa (BN) were assessed with the Difficulties in Emotion Regulation Scale (DERS).

RESULTS

Older ages were associated with higher DERS total, nonacceptance, goals, and impulsivity scores. When controlling for age, patients with BN and AN-BP had higher overall DERS scores than those with AN, and there were some differences among diagnostic subtypes on specific facets of ER.

CONCLUSIONS

These results indicate that treatments for emotion dysregulation may be applied across eating disorder diagnoses and ages, and inform how these strategies apply to different diagnostic groups.

摘要

目的

尽管已有大量实证研究关注进食障碍患者的情绪调节(ER),但对于跨年龄段和不同 ED 亚型的 ER 却知之甚少。本研究旨在对进食障碍患者进行 ER 研究。

方法

共对 364 名患有神经性厌食症限制型(AN-R)、神经性贪食症/暴食型(AN-BP)或神经性贪食症(BN)的成年人和青少年进行了情绪调节困难量表(DERS)评估。

结果

年龄越大,DERS 总分、不接受、目标和冲动得分越高。控制年龄后,BN 患者和 AN-BP 患者的 DERS 总分高于 AN 患者,并且在 ER 的特定方面存在不同的诊断亚型差异。

结论

这些结果表明,情绪失调的治疗方法可能适用于进食障碍的不同诊断和年龄,这为不同的诊断群体提供了这些策略的应用。

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