Department of Psychology, University of Haifa, Haifa, Israel.
Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.
Clin Psychol Psychother. 2022 Jan;29(1):240-249. doi: 10.1002/cpp.2626. Epub 2021 Jun 17.
This study had two goals. The first was to validate and examine the potential of the Hebrew version of the Cambridge Mindreading face task (CAM )-an ecological measure of emotional theory of mind (eToM)-to assess eToM in individuals with anorexia nervosa (AN). The second goal was to examine whether interpersonal mistrust would mediate the relation between mentalizing and eToM and the severity of AN.
The validity of the CAM was examined using well-established measures of mentalizing ability and eToM in 45 young female patients with AN and 53 control participants. Next, the mediation model was assessed using a subsample of 33 AN patients and 34 controls, in which interpersonal mistrust was additionally assessed.
The CAM correlated with the measures of mentalizing ability and eToM. The CAM , along with the measure of general mentalizing, significantly differentiated between the AN and control groups. The associations of general mentalizing and CAM with eating disorder (ED) symptoms were mediated by interpersonal mistrust.
The CAM is a valid measure of deficient eToM in AN. In therapy, an increase in mentalizing ability and accurate eToM may enhance interpersonal trust, which may further contribute to attenuation of AN symptoms.
本研究有两个目标。第一个目标是验证和检验希伯来语版剑桥读脸任务（CAM）的有效性，CAM 是一种情绪心理理论（eToM）的生态学测量方法，用于评估厌食症（AN）患者的 eToM。第二个目标是检验人际不信任是否会在心理化与 eToM 以及 AN 的严重程度之间起中介作用。
使用心理化能力和 eToM 的既定测量方法，对 45 名年轻女性 AN 患者和 53 名对照组参与者进行了 CAM 的有效性检验。接下来，在一个由 33 名 AN 患者和 34 名对照组组成的子样本中，评估了中介模型，其中还评估了人际不信任。
CAM 与心理化能力和 eToM 的测量结果相关。CAM 以及一般心理化的测量结果，能够显著区分 AN 组和对照组。一般心理化和 CAM 与饮食障碍（ED）症状的关联受到人际不信任的中介影响。
CAM 是一种有效的 AN 中 eToM 缺陷的测量方法。在治疗中，心理化能力和准确的 eToM 的提高可能会增强人际信任，从而进一步有助于减轻 AN 症状。
