J Nerv Ment Dis. 2020 Apr;208(4):312-318. doi: 10.1097/NMD.0000000000001130.
The present research examined a model that evaluates the mediating role of both intrapersonal and interpersonal emotional competences (ECs) between attachment insecurity and the cognitive and emotional dimensions of empathy in patients with anorexia nervosa (AN). Women with AN completed the Experiences in Close Relationships Scale, the Profile of Emotional Competence, the Interpersonal Reactivity Index, the State-Trait Anxiety Inventory, and the Beck Depression Inventory. The results revealed that intrapersonal EC mediated the relationships between attachment insecurity (i.e., attachment anxiety and attachment avoidance) and emotional empathy in patients with AN. Importantly, a high emotional empathy in AN was associated with increased depression and anxiety symptoms. The results also indicated that a high level of attachment avoidance was indirectly associated with lower cognitive empathy through lower levels of interpersonal EC in AN. The present study emphasizes the importance of differentiating affective empathy from cognitive empathy and suggests clinical interventions in patients with AN.
本研究考察了一个模型，该模型评估了依恋不安全感与神经性厌食症 (AN) 患者同理心的认知和情感维度之间的个体内和人际情感能力 (EC) 的中介作用。患有 AN 的女性完成了亲密关系经历量表、情绪能力特征、人际反应性指数、状态-特质焦虑量表和贝克抑郁量表。结果表明，个体内 EC 中介了依恋不安全感（即依恋焦虑和依恋回避）与 AN 患者情绪同理心之间的关系。重要的是，AN 患者的高情绪同理心与抑郁和焦虑症状增加有关。研究结果还表明，通过 AN 中人际 EC 水平较低，高回避依恋与较低的认知同理心间接相关。本研究强调了区分情感同理心和认知同理心的重要性，并为 AN 患者的临床干预提供了建议。
