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前瞻性关联的负面情绪和情绪调节在暴食症暴食的发生。

Prospective associations of negative mood and emotion regulation in the occurrence of binge eating in binge eating disorder.

机构信息

University of Tübingen, Department of Clinical Psychology and Psychotherapy, Germany.

University of Tübingen, Department of Clinical Psychology and Psychotherapy, Germany.

出版信息

J Psychiatr Res. 2019 Aug;115:61-68. doi: 10.1016/j.jpsychires.2019.05.005. Epub 2019 May 3.

Abstract

Retrospective and experimental data demonstrate the importance of emotion regulation (ER) in the maintenance of binge episodes in binge eating disorder (BED). The current study tested whether mood and ER prospectively influence binge episodes in individuals with BED via ecological momentary assessment (EMA). Individuals with BED (n = 79) completed two weeks of EMA. Each sampling point consisted of a series of questions pertaining to participants' mood, ER, and eating behaviour. Successful application of adaptive ER strategies predicted subsequent abstinence, while rumination predicted subsequent binge episodes. However, neither successful application of adaptive ER, nor maladaptive ER, moderated the association between negative mood and probability of binge episodes. This naturalistic study emphasizes the importance of promoting the successful application of adaptive ER skills and cessation of rumination in treatment interventions designed to decrease the occurrence of binge episodes in BED.

摘要

回顾性和实验数据表明,情绪调节(ER)在暴食障碍(BED)中暴食发作的维持中起着重要作用。本研究通过生态瞬时评估(EMA)测试了情绪和 ER 是否会对 BED 个体的暴食发作产生前瞻性影响。79 名 BED 患者完成了两周的 EMA。每个采样点都包含一系列与参与者的情绪、ER 和饮食行为有关的问题。成功应用适应性 ER 策略预测了随后的戒断,而反刍则预测了随后的暴食发作。然而,适应性 ER 的成功应用或适应不良的 ER 都没有调节负面情绪与暴食发作概率之间的关系。这项自然主义研究强调了在治疗干预中促进适应性 ER 技能的成功应用和停止反刍的重要性,以减少 BED 中暴食发作的发生。

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