Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, 2450 Riverside Avenue South, F229, Minneapolis, MN, 55454, USA.
Department of Psychology, University of Minnesota, N218 Elliott Hall, 75 East River Road, Minneapolis, MN, 55455, USA.
Curr Psychiatry Rep. 2021 Jan 6;23(2):4. doi: 10.1007/s11920-020-01217-5.
In current review, we evaluate the current literature examining the role of disgust in eating disorders (EDs), and provide a theoretical model designed to inform the study and treatment of disgust-based symptoms in EDs.
Findings from this review suggest that aberrant disgust-conditioning processes represent promising but understudied mechanisms that may contribute to the risk and maintenance of core eating disorder (ED) psychopathology. In addition, preliminary evidence supports the use of interventions designed to target aversive disgust cues and disrupt maladaptive disgust-based conditioning that may maintain eating pathology. However, experimental studies designed to elucidate the role of disgust and aversive learning processes remain limited. Disgust is a promising risk and maintenance factor in EDs. Future systematic investigation is needed to examine disgust-based processes at a mechanistic level in order to better understand the links between disgust, avoidance behaviors, and EDs. Further investigation of the mechanistic role of disgust in EDs is warranted.
在本次综述中，我们评估了目前关于厌恶感在饮食失调（ED）中的作用的文献，并提供了一个旨在为 ED 中基于厌恶的症状的研究和治疗提供信息的理论模型。
本综述的结果表明，异常的厌恶条件反射过程是有前途但研究不足的机制，可能有助于核心饮食失调（ED）病理的风险和维持。此外，初步证据支持使用旨在针对厌恶的厌恶线索和破坏维持饮食病理学的不良厌恶条件反射的干预措施。然而，旨在阐明厌恶和厌恶学习过程作用的实验研究仍然有限。厌恶感是 ED 的一个有前途的风险和维持因素。未来需要进行系统研究，从机制层面上检查基于厌恶的过程，以更好地理解厌恶、回避行为和 ED 之间的联系。进一步研究 ED 中厌恶感的机制作用是合理的。
