Department of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, 37 Republicii Street, 400015, Cluj-Napoca, Romania; International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeş-Bolyai University, 37 Republicii Street, 400015, Cluj-Napoca, Romania.
International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeş-Bolyai University, 37 Republicii Street, 400015, Cluj-Napoca, Romania.
Behav Res Ther. 2023 Sep;168:104381. doi: 10.1016/j.brat.2023.104381. Epub 2023 Jul 29.
It is well-established that negative affect acts as predictor and maintenance factor of problematic eating behaviors. However, the relevance of different facets of negative affect is unclear. While guilt was consistently shown as having a relevant contribution in relation with problematic eating patterns, shame might play a similar role. The current study used an ecological momentary assessment design to assess associations between facets of shame and subsequent disturbed eating behaviors. The study included 57 females with high levels of eating disorders (ED) symptomatology who completed five surveys per day for 14 consecutive days. Participants completed measures of facets of shame (i.e., general shame, body shame, shame around eating), negative affect and problematic eating behaviors (i.e., binge eating, restriction, weighting, body checking, purging, taking laxative/diuretics and excessive exercise). Data were analyzed using multilevel models. In general, between-subjects facets of shame were associated with more disturbed eating behaviors, with shame explaining a significantly and clinically relevant percent of the variance of these problematic eating behaviors. At the within-subject level, facets of shame predicted subsequent binge eating, body checking and excessive exercise. These findings support the role of shame in ED symptomatology and the relevance of directly tackling shame in psychological treatments.
负面情绪是导致问题性进食行为的预测因素和维持因素，这一点已得到充分证实。然而，不同方面的负面情绪的相关性尚不清楚。虽然内疚感被一致证明与问题性进食模式有相关贡献，但羞耻感可能也起着类似的作用。本研究采用生态瞬时评估设计来评估羞耻感的不同方面与随后的进食障碍行为之间的关联。该研究包括 57 名有高饮食障碍（ED）症状的女性，她们在 14 天内每天完成 5 次调查。参与者完成了羞耻感的不同方面（即一般羞耻感、身体羞耻感、进食羞耻感）、负面情绪和问题性进食行为（即暴食、限制、称重、身体检查、催吐、服用泻药/利尿剂和过度运动）的测量。使用多层次模型对数据进行分析。一般来说，个体间的羞耻感方面与更严重的进食障碍行为相关，羞耻感解释了这些问题性进食行为的显著且具有临床意义的变异百分比。在个体内水平上，羞耻感方面预测了随后的暴食、身体检查和过度运动。这些发现支持了羞耻感在 ED 症状学中的作用，以及在心理治疗中直接处理羞耻感的相关性。
