CERPPS, EA 7411, Department of Psychology, University of Toulouse, Toulouse, France.
Castelviel Psychiatric Clinic, CLINEA, Castelmaurou, France.
Eur Eat Disord Rev. 2020 Sep;28(5):513-524. doi: 10.1002/erv.2739. Epub 2020 May 3.
Overgeneral autobiographical memory (AM) was reported in patients with anorexia nervosa (AN) using AM cueing tasks that did not directly indexes memories that are personally important to the individual, that is, self-defining memories (SDMs). The aim of this study is to investigate characteristics of SDMs in females with AN.
A total of 46 outpatients with chronic AN and 52 healthy controls (HC) were asked to recall three SDMs.
Compared to HC, patients with AN presented less specific SDMs, but have preserved ability to give meaning to their memories. Patients' SDMs were associated with more negative emotions, more tension (i.e. explicit expression of discomfort, disagreement or unease) and more contamination (i.e. transformation in the memory narrative from a positive to a negative affective state). Content of SDMs differed between patients with AN and HC. Finally, no difference was found in SDMs characteristics between the two subtypes of anorexia nervosa (restricting type and binge eating / purging type).
Patients with AN recalled overgeneral SDMs with negative content and emotions. In this context, a clinical intervention based on SDMs together with cognitive and emotional remedial therapies could help patients with AN to improve emotion processing and redefine their identity in a more positive way.
使用并未直接索引对个体具有重要意义的记忆（即自我定义记忆）的自传体记忆提示任务，报告厌食症患者存在过度泛化的自传体记忆。本研究旨在调查厌食症女性自我定义记忆的特征。
共有 46 名慢性厌食症门诊患者和 52 名健康对照者（HC）被要求回忆三个自我定义记忆。
与 HC 相比，AN 患者的自我定义记忆特异性较差，但仍具有赋予其记忆意义的能力。患者的自我定义记忆与更多的负面情绪、更多的紧张（即明确表达不适、不同意或不安）和更多的污染（即记忆叙述从积极情绪状态转变为消极情绪状态）有关。自我定义记忆的内容在 AN 患者和 HC 之间存在差异。最后，在厌食症的两种亚型（限制型和暴食/清除型）中，自我定义记忆特征没有差异。
AN 患者回忆起具有负面内容和情绪的过度泛化自我定义记忆。在这种情况下，基于自我定义记忆的临床干预以及认知和情绪矫正疗法可以帮助 AN 患者改善情绪处理，并以更积极的方式重新定义自己的身份。
