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正念与进食障碍心理病理学:一项荟萃分析。

Mindfulness and eating disorder psychopathology: A meta-analysis.

机构信息

Department of Psychology, Southern Methodist University, Dallas, Texas.

Department of Psychological and Brain Sciences, University of Louisville, Louisville, Kentucky.

出版信息

Int J Eat Disord. 2020 Jun;53(6):834-851. doi: 10.1002/eat.23247. Epub 2020 Feb 25.

Abstract

OBJECTIVE

Mindfulness is implicated in eating disorder (ED) psychopathology. However, this literature has not been synthesized to date. The current meta-analysis examined the associations between mindfulness and ED psychopathology.

METHODS

A total of 74 independent samples (effects = 576) were included. We used a multilevel random-effects model to estimate summary study-level effect sizes, and multilevel mixed-effects models to examine moderator effects.

RESULTS

Mindfulness was negatively associated with ED psychopathology (r = -.25, p < .001), both concurrently (r = -.25, p < .001) and prospectively (rs = -.22 to -.24, ps < .001). Associations were strongest for binge eating, emotional/external eating, and body dissatisfaction as well as the acting with awareness and nonjudging facets.

DISCUSSION

Mindfulness may be an important process in ED psychopathology. Future research should prospectively and experimentally examine the relation between mindfulness and ED psychopathology.

摘要

目的

正念与饮食障碍(ED)心理病理学有关。然而,迄今为止,这方面的文献尚未得到综合。本荟萃分析研究了正念与 ED 心理病理学之间的相关性。

方法

共纳入 74 个独立样本(效应量=576)。我们使用多层次随机效应模型来估计综合研究水平的效应大小,并使用多层次混合效应模型来检验调节效应。

结果

正念与 ED 心理病理学呈负相关(r=-.25,p<.001),包括同时(r=-.25,p<.001)和前瞻性(rs=-.22 至-.24,p<.001)。与暴食、情绪/外部进食和身体不满,以及意识行动和不评判方面的关联最强。

讨论

正念可能是 ED 心理病理学的一个重要过程。未来的研究应该前瞻性和实验性地检验正念与 ED 心理病理学之间的关系。

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