Department of Clinical Psychology, Iran University of Medical Sciences, Tehran, Iran.
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA.
J Clin Psychol. 2023 Feb;79(2):497-513. doi: 10.1002/jclp.23428. Epub 2022 Aug 16.
Eating disorder (ED) psychopathology is common among Iranian college students. Resilience (i.e., the ability to bounce back and adapt in the face of adverse and stressful conditions) has been found to be a protective factor against ED psychopathology in the West. However, no research to date has examined resilience as a protective factor against ED psychopathology in Iran. The current study used network analysis to examine an ED and resilience network in an Iranian sample.
Participants were Iranian college students (N = 478) who completed the Farsi-Eating Disorder Examination-Questionnaire and Farsi-Brief Resilience Scale. We estimated a network of ED symptoms and resilience processes and identified central and bridge symptoms.
Central ED and resilience nodes were discomfort in seeing one's own body, feeling guilty about eating due to shape/weight, and thinking about shape and weight making it difficult to concentrate. Having a hard time making it through stressful events bridged with binge eating and fear of losing control over eating.
Processes related to managing stress and binge eating appear to maintain the association between ED symptoms and resilience processes.
饮食障碍（ED）精神病理学在伊朗大学生中较为常见。在西方，韧性（即在面对不利和压力条件时反弹和适应的能力）被发现是对抗 ED 精神病理学的保护因素。然而，迄今为止，没有研究检查过韧性作为伊朗对抗 ED 精神病理学的保护因素。本研究使用网络分析在伊朗样本中检查 ED 和韧性网络。
参与者是伊朗大学生（N=478），他们完成了 Farsi-Eating Disorder Examination-Questionnaire 和 Farsi-Brief Resilience Scale。我们估计了 ED 症状和韧性过程的网络，并确定了中心和桥梁症状。
ED 和韧性的中心节点包括对自身身体感到不适、因体型/体重而感到内疚、以及想到体型和体重导致难以集中注意力。难以度过压力事件与暴食和害怕失去对饮食的控制有关。
与管理压力和暴食有关的过程似乎维持了 ED 症状和韧性过程之间的关联。
