Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA.
Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA.
Eat Behav. 2022 Apr;45:101601. doi: 10.1016/j.eatbeh.2022.101601. Epub 2022 Feb 9.
While maladaptive interpersonal behaviors have been implicated in models of psychopathology, particularly depression, maladaptive interpersonal behaviors have received limited attention in the eating disorder (ED) literature. Further, the extant literature on maladaptive interpersonal behaviors in relation to ED psychopathology has yet to be synthesized. Therefore, the aim of this systematic review was to characterize the literature on maladaptive interpersonal behaviors and ED psychopathology. Inclusion criteria for the review were: availability of the study in English, empirical journal article, inclusion of human subjects, and reporting an association between at least one maladaptive interpersonal behavior and one measure of ED psychopathology. Databases searched were PsycInfo and PubMed across all dates (up to September 2020). Data was extracted from articles, and main findings were synthesized; quality scores were provided using a modified version of the Newcastle Ottawa Scale. There were 35 studies with 36 independent samples included in the review. Most studies evidenced significant bivariate associations between maladaptive interpersonal behaviors and ED psychopathology. That is, higher levels of maladaptive interpersonal behaviors were generally associated with greater disordered eating, bulimic symptoms, and body image concerns. Although limited to a minority of studies, some studies identified prospective associations and significant mediators and moderators of associations. This systematic review supports further research on maladaptive interpersonal behaviors and ED psychopathology. Given a number of significant limitations in the literature identified in this review, there are an array of avenues for future research on maladaptive interpersonal behaviors and ED psychopathology.
虽然适应不良的人际关系行为已被纳入精神病理学模型，尤其是抑郁症，但在饮食失调（ED）文献中，适应不良的人际关系行为受到的关注有限。此外，关于 ED 精神病理学中适应不良的人际关系行为的现有文献尚未被综合。因此，本系统综述的目的是描述适应不良的人际关系行为和 ED 精神病理学的文献。综述的纳入标准为：研究报告为英文，为实证期刊文章，纳入人类受试者，并且报告至少一种适应不良的人际关系行为与一种 ED 精神病理学测量之间存在关联。搜索的数据库为 PsycInfo 和 PubMed（截至 2020 年 9 月）。从文章中提取数据，并综合主要发现；使用纽卡斯尔-渥太华量表的修改版本提供质量评分。共有 35 项研究，36 个独立样本纳入了本次综述。大多数研究证明了适应不良的人际关系行为与 ED 精神病理学之间存在显著的双变量关联。也就是说，适应不良的人际关系行为水平较高通常与更严重的饮食失调、暴食症状和身体意象问题相关。尽管仅限于少数研究，但一些研究确定了前瞻性关联以及关联的显著中介和调节因素。本系统综述支持对适应不良的人际关系行为和 ED 精神病理学进行进一步研究。鉴于本综述中确定的文献存在一些重大局限性，因此，对适应不良的人际关系行为和 ED 精神病理学进行未来研究有多种途径。
