Elran-Barak Roni, Dror Tzipi, Goldschmidt Andrea B, Teachman Bethany A
School of Public Health, University of Haifa, Haifa, Israel.
The School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel.
Front Psychol. 2020 Jun 3;11:1068. doi: 10.3389/fpsyg.2020.01068. eCollection 2020.
Despite the growing literature about recovery from eating disorders (EDs), it is still unknown if women who report being recovered from EDs present with differing implicit attitudes about high-fat (vs. low-fat) food relative to women who report having a current ED and women who report never having had an ED.
Female volunteers ( = 2,785) to the Project Implicit Mental Health (PIMH) website (https://implicit.harvard.edu/) were divided into three ED groups: current ED ( = 335), prior ED ( = 393), and healthy controls ( = 1,843). Participants completed, between 2016 and 2017, a background questionnaire, together with the Implicit Association Test (IAT), measuring implicit associations between high-fat (vs. low-fat) food and shame (vs. acceptableness). Linear regression models were conducted to examine cross-sectional differences between groups.
Women with prior EDs had stronger implicit associations relative to healthy controls ( = 0.041) and similar implicit associations relative to women with current EDs ( = 0.424).
The implicit association between high-fat food and shame may not diminish over time among women with EDs. Future longitudinal studies are warranted to clarify whether an experience of EDs may leave a "scar," manifested in specific implicit associations, that may potentially lead to recurrence after remission.
尽管关于饮食失调（EDs）康复的文献越来越多，但相对于报告目前患有饮食失调的女性和报告从未患过饮食失调的女性，报告已从饮食失调中康复的女性对高脂肪（与低脂肪）食物是否存在不同的隐性态度仍不清楚。
参与“内隐心理健康项目”（PIMH）网站（https://implicit.harvard.edu/）的女性志愿者（n = 2785）被分为三个饮食失调组：目前患有饮食失调（n = 335）、既往患有饮食失调（n = 393）和健康对照组（n = 1843）。参与者在2016年至2017年期间完成了一份背景问卷以及内隐联想测验（IAT），该测验测量高脂肪（与低脂肪）食物与羞耻感（与可接受性）之间的内隐联想。进行线性回归模型以检验各组之间的横断面差异。
既往患有饮食失调的女性相对于健康对照组具有更强的内隐联想（p = 0.041），相对于目前患有饮食失调的女性具有相似的内隐联想（p = 0.424）。
在患有饮食失调的女性中，高脂肪食物与羞耻感之间的内隐联想可能不会随着时间的推移而减弱。未来有必要进行纵向研究，以阐明饮食失调经历是否可能留下一种“疤痕”，表现为特定的内隐联想，这可能潜在地导致缓解后复发。
