Rothschild-Yakar Lily, Peled Merav, Enoch-Levy Adi, Gur Eitan, Stein Daniel
Department of Psychology, University of Haifa, Haifa, Israel.
Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.
Isr J Psychiatry. 2018;55(1):35-43.
We examined the relationship between general ability of mentalization, the specific aspect of affective mentalizing of self and others, emotion regulation strategies, and eating disorder (ED) symptoms.
Twenty-five female adolescent and young adult inpatients with EDs, and 22 healthy subjects, were administered a semi-structured interview - the Reflective Function (RF) scale, self-rating scales assessing alexithymia, emotion regulation, depression and ED symptomatology, and a neurocognitive measure assessing Theory of Mind.
Participants with EDs presented lower levels of RF regarding the self and higher levels of alexithymia, using more emotional suppression and less cognitive reappraisal than controls. Elevated levels of general RF and self RF and attenuated alexithymia, along with elevated cognitive reappraisal and attenuated emotional suppression, were correlated with attenuated ED symptoms. Comorbidity with depressive symptoms predicted greater ED symptomatology.
High mentalization may serve as a coping mechanism to attenuate ED symptoms.
我们研究了心理化的一般能力、自我和他人情感心理化的具体方面、情绪调节策略与进食障碍（ED）症状之间的关系。
对25名患有进食障碍的女性青少年及青年住院患者和22名健康受试者进行了半结构化访谈——反思功能（RF）量表、评估述情障碍、情绪调节、抑郁和进食障碍症状的自评量表，以及一项评估心理理论的神经认知测量。
与对照组相比，患有进食障碍的参与者在自我方面的反思功能水平较低，述情障碍水平较高，更多地使用情绪抑制且较少进行认知重评。一般反思功能和自我反思功能水平升高、述情障碍减轻，以及认知重评增加和情绪抑制减轻，均与进食障碍症状减轻相关。伴有抑郁症状预示着更严重的进食障碍症状。
高心理化可能作为一种应对机制来减轻进食障碍症状。
