文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

进食障碍中早期适应模式、情绪调节和认知灵活性:使用分层线性回归分析进食障碍症状的亚型特异性预测因子。

Early adaptive schemas, emotional regulation, and cognitive flexibility in eating disorders: subtype specific predictors of eating disorder symptoms using hierarchical linear regression.

机构信息

Thompson Institute, University of the Sunshine Coast, Birtinya, QLD, Australia.

School of Health, University of Sunshine Coast, Sippy Downs, QLD, Australia.

出版信息

Eat Weight Disord. 2024 Aug 29;29(1):54. doi: 10.1007/s40519-024-01682-4.


DOI:10.1007/s40519-024-01682-4
PMID:39210038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11362190/
Abstract

PURPOSE: Understanding how early adaptive schemas, cognitive flexibility, and emotional regulation influence eating disorder (ED) symptoms, and whether this differs across diagnostic subtypes is critical to optimising treatment. The current study investigated the relationship between these variables and ED symptomology in individuals self-reporting an ED diagnosis and healthy controls. METHODS: A dataset of 1576 online survey responses yielded subsamples for anorexia nervosa (n = 155), bulimia nervosa (n = 55), binge eating disorder (n = 33), other specified feeding or eating disorder (n = 93), and healthy participants (n = 505). The hierarchical linear regression analysis included Eating Disorder Examination Questionnaire 6.0 Global Score as the dependent variable; Young Positive Schema Questionnaire, Emotional Regulation Questionnaire, and Cognitive Flexibility Inventory subscale scores as the independent variables; and demographic measures as the covariates. RESULTS: The number of significant predictors varied considerably by ED sub-group. Amongst the anorexia nervosa, bulimia nervosa, and healthy subsamples, the adaptive schema Self-Compassion and Realistic Expectations was associated with lower ED symptom severity. In comparison, age and body mass index were the strongest predictors for binge eating disorder, whilst the Expressive Suppression (a subscale of the Emotional Regulation Questionnaire) was the strongest predictor for other specified feeding or eating disorders. CONCLUSION: Early adaptive schemas, cognitive flexibility, and emotional regulation vary across ED subtype, suggesting the need for tailored treatment that disrupts the self-reinforcing cycle of ED psychopathology. Future research investigating how early adaptive schemas may predict or be associated with treatment response across diagnostic subtypes is needed. LEVEL OF EVIDENCE: Level IV, evidence obtained from multiple time-series with or without the intervention, such as case studies.

摘要

目的:了解早期适应模式、认知灵活性和情绪调节如何影响饮食失调(ED)症状,以及这种影响在不同诊断亚型中是否存在差异,对于优化治疗至关重要。本研究调查了在自我报告 ED 诊断的个体和健康对照组中,这些变量与 ED 症状学之间的关系。

方法:一项包含 1576 份在线调查回复的数据集产生了神经性厌食症亚组(n=155)、神经性贪食症亚组(n=55)、暴食障碍亚组(n=33)、其他特定进食或饮食障碍亚组(n=93)和健康对照组(n=505)。分层线性回归分析包括饮食障碍检查问卷 6.0 全球评分作为因变量;Young 积极模式问卷、情绪调节问卷和认知灵活性量表子量表评分作为自变量;以及人口统计学指标作为协变量。

结果:ED 亚组之间显著预测因子的数量差异很大。在神经性厌食症、神经性贪食症和健康亚组中,适应性模式自我同情和现实期望与较低的 ED 症状严重程度相关。相比之下,年龄和体重指数是暴食障碍最强的预测因子,而表达抑制(情绪调节问卷的一个子量表)是其他特定进食或饮食障碍的最强预测因子。

结论:早期适应模式、认知灵活性和情绪调节在 ED 亚型中存在差异,表明需要针对特定疾病的治疗,以打破 ED 病理心理学的自我强化循环。未来需要研究早期适应模式如何预测或与不同诊断亚型的治疗反应相关。

证据水平:IV 级,从多个时间序列获得的证据,有或没有干预,如病例研究。

相似文献

[1]
Early adaptive schemas, emotional regulation, and cognitive flexibility in eating disorders: subtype specific predictors of eating disorder symptoms using hierarchical linear regression.

Eat Weight Disord. 2024-8-29

[2]
Eating Disorder Examination Questionnaire (EDE-Q) and Clinical Impairment Assessment (CIA): clinical norms and functional impairment in male and female adults with eating disorders.

Nord J Psychiatry. 2017-5

[3]
Eating disorder behavior and early maladaptive schemas in subgroups of eating disorders.

J Nerv Ment Dis. 2010-6

[4]
Early maladaptive schemas and body mass index in subgroups of eating disorders: a differential association.

Compr Psychiatry. 2007

[5]
Food addiction in a Spanish sample of eating disorders: DSM-5 diagnostic subtype differentiation and validation data.

Eur Eat Disord Rev. 2014-8-20

[6]
Symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among adult eating disorder patients.

BMC Psychiatry. 2017-1-17

[7]
The importance of distinguishing between the different eating disorders (sub)types when assessing emotion regulation strategies.

Psychiatry Res. 2014-1-11

[8]
The connection between childhood maltreatment and eating disorder psychopathology: a network analysis study in people with bulimia nervosa and with binge eating disorder.

Eat Weight Disord. 2022-2

[9]
Associations between emotion reactivity and eating disorder symptoms in a transdiagnostic treatment-seeking sample.

Int J Eat Disord. 2022-10

[10]
Does the interpersonal model apply across eating disorder diagnostic groups? A structural equation modeling approach.

Compr Psychiatry. 2015-9-1

本文引用的文献

[1]
A systematic review of the relationship between generic and specific metacognitive beliefs and emotion dysregulation: A metacognitive model of emotion dysregulation.

Clin Psychol Psychother. 2024

[2]
The association between eating disorders and perfectionism in adults: A systematic review and meta-analysis.

Eat Behav. 2023-8

[3]
Factor structure of the Young Positive Schema Questionnaire in an eating disorder sample.

Eat Weight Disord. 2023-2-17

[4]
Is schema therapy effective for adults with eating disorders? A systematic review into the evidence.

Cogn Behav Ther. 2023-5

[5]
Exploring the association between early adaptive schemas and self-reported eating disorder symptomatology.

Clin Psychol Psychother. 2023-1

[6]
Maladaptive Cognitive Schemas as Predictors of Disordered Eating: Examining the Indirect Pathway through Emotion Regulation Difficulties.

Int J Environ Res Public Health. 2022-9-15

[7]
Overprotective parenting experiences and early maladaptive schemas in adolescence and adulthood: A systematic review and meta-analysis.

Clin Psychol Psychother. 2023-1

[8]
Dialectical behavior therapy compared to cognitive behavior therapy in binge-eating disorder: An effectiveness study with 6-month follow-up.

Int J Eat Disord. 2022-7

[9]
Positive Schemas: Replication, Associations With Negative Schemas, and the Dark Triad.

Psychol Rep. 2023-12

[10]
The Role of Emotion Regulation in Eating Disorders: A Network Meta-Analysis Approach.

Front Psychiatry. 2022-2-23

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索