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进食障碍中的厌恶和自我厌恶:系统评价和荟萃分析。

Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-Analysis.

机构信息

PO59 Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London SE5 8AF, UK.

Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, 2450 Riverside Avenue South, F293, Minneapolis, MN 55454, USA.

出版信息

Nutrients. 2022 Apr 21;14(9):1728. doi: 10.3390/nu14091728.

DOI:10.3390/nu14091728
PMID:35565699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9102838/
Abstract

Disgust and self-disgust are aversive emotions which are often encountered in people with eating disorders. We conducted a systematic review and meta-analysis of disgust and self-disgust in people with eating disorders using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review of the literature revealed 52 original research papers. There was substantial heterogeneity regarding the research question and outcomes. However, we found 5 articles on disgust elicited by food images, 10 studies on generic disgust sensitivity, and 4 studies on self-disgust, and we proceeded to a meta-analytic approach on these studies. We found that women with eating disorders have significantly higher momentary disgust feelings in response to food images (1.32; 95% CI 1.05, 1.59), higher generic disgust sensitivity (0.49; 95% CI 0.24, 0.71), and higher self-disgust (1.90; 95% CI 1.51, 2.29) compared with healthy controls. These findings indicate the potential clinical relevance of disgust and self-disgust in the treatment of eating disorders.

摘要

厌恶和自厌是在饮食障碍患者中经常遇到的负面情绪。我们按照系统评价和荟萃分析的首选报告项目(PRISMA)指南,对饮食障碍患者的厌恶和自厌进行了系统综述和荟萃分析。文献的系统综述揭示了 52 篇原始研究论文。研究问题和结果存在很大的异质性。然而,我们找到了 5 篇关于食物图片引起的厌恶感的文章,10 篇关于一般厌恶敏感性的研究,以及 4 篇关于自厌的研究,我们对这些研究进行了荟萃分析。我们发现,与健康对照组相比,患有饮食障碍的女性对食物图片的即时厌恶感更强(1.32;95%置信区间 1.05,1.59),一般厌恶敏感性更高(0.49;95%置信区间 0.24,0.71),自厌感更强(1.90;95%置信区间 1.51,2.29)。这些发现表明,厌恶和自厌在治疗饮食障碍方面具有潜在的临床相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/f214f32de035/nutrients-14-01728-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/6043940cf447/nutrients-14-01728-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/8cef3e387cbf/nutrients-14-01728-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/437913c14228/nutrients-14-01728-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/6888819fdcbd/nutrients-14-01728-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/0097814e0309/nutrients-14-01728-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/f214f32de035/nutrients-14-01728-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/6043940cf447/nutrients-14-01728-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/8cef3e387cbf/nutrients-14-01728-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/437913c14228/nutrients-14-01728-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/6888819fdcbd/nutrients-14-01728-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/0097814e0309/nutrients-14-01728-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b3/9102838/f214f32de035/nutrients-14-01728-g006.jpg

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Lessons learned developing and testing family-based interoceptive exposure for adolescents with low-weight eating disorders.从基于家庭的内感受暴露疗法在低体重饮食障碍青少年中的开发和测试中吸取的经验教训。
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