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正念、反刍思维与进食障碍年轻女性应对技能:与健康对照组的比较研究。

Mindfulness, rumination, and coping skills in young women with Eating Disorders: A comparative study with healthy controls.

机构信息

Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain.

Eating Disorders Unit, Hospital Clínico Universitario, SALUD, Zaragoza, Spain.

出版信息

PLoS One. 2019 Mar 15;14(3):e0213985. doi: 10.1371/journal.pone.0213985. eCollection 2019.

Abstract

Eating Disorders (ED) have been associated with dysfunctional coping strategies, such as rumination. Promoting alternative ways of experiencing mental events, based on a mindfulness approach, might be the clue for learning more effective coping and regulatory strategies among young women with ED. This study examined the comparison between patients with ED diagnosis and healthy subjects in mindfulness, rumination and effective coping. In addition, we analyzed the independent association of those with the presence of ED. The study sample was formed by two groups of young women ranged 13-21 years: Twenty-five with an ED diagnosis and 25 healthy subjects. They were assessed by using the Freiburg Mindfulness Inventory (FMI) and the Responses Styles Questionnaire (RSQ). Our findings show that ED patients have significantly lesser average scores in mindfulness and effective coping than the healthy sample (p < .05). Also, our data concludes that mindfulness and effective coping independently predict the presence or absence of ED in young women. The study results suggest that training mindfulness abilities may contribute to making effective coping strategies more likely to occur in ED patients, which is incompatible with some eating-related symptoms. Further studies are needed, trough prospective and experimental designs, to evaluate clinical outcomes of mindfulness training among young women with ED.

摘要

饮食失调(ED)与功能失调的应对策略有关,例如沉思。基于正念方法,促进体验心理事件的替代方式,可能是学习 ED 年轻女性更有效应对和调节策略的关键。本研究比较了 ED 诊断患者和健康受试者在正念、沉思和有效应对方面的差异。此外,我们还分析了这些因素与 ED 存在的独立关联。研究样本由两组 13-21 岁的年轻女性组成:25 名 ED 诊断患者和 25 名健康受试者。他们使用弗莱堡正念量表(FMI)和反应风格问卷(RSQ)进行评估。我们的研究结果表明,ED 患者在正念和有效应对方面的平均得分明显低于健康组(p<.05)。此外,我们的数据表明,正念和有效应对可以独立预测年轻女性 ED 的存在或不存在。研究结果表明,正念训练可能有助于使 ED 患者更有可能采取有效的应对策略,这与一些与饮食相关的症状不一致。需要通过前瞻性和实验性设计进一步研究,以评估正念训练对 ED 年轻女性的临床效果。

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