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Cognitive Interpersonal Model for Anorexia Nervosa Revisited: The Perpetuating Factors that Contribute to the Development of the Severe and Enduring Illness.再探神经性厌食症的认知人际模型:导致严重和持续性疾病发展的持续因素
J Clin Med. 2020 Feb 27;9(3):630. doi: 10.3390/jcm9030630.
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Living with someone with an eating disorder: factors affecting the caregivers' burden.与饮食失调者共同生活:影响照料者负担的因素
Eat Weight Disord. 2019 Dec;24(6):1209-1214. doi: 10.1007/s40519-018-0480-7. Epub 2018 Jan 24.
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Predictors of quality of life in patients with eating disorders.饮食失调患者生活质量的预测因素。
Eur Psychiatry. 2017 Sep;45:182-189. doi: 10.1016/j.eurpsy.2017.07.001. Epub 2017 Jul 29.
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Clinical effectiveness of a skills training intervention for caregivers in improving patient and caregiver health following in-patient treatment for severe anorexia nervosa: pragmatic randomised controlled trial.一项针对照顾者的技能培训干预措施在改善重度神经性厌食症住院治疗后患者及照顾者健康方面的临床效果:实用性随机对照试验
BJPsych Open. 2015 Aug 20;1(1):56-66. doi: 10.1192/bjpo.bp.115.000273. eCollection 2015 Jun.
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Caregivers consequences of care among patients with eating disorders, depression or schizophrenia.照顾者在饮食障碍、抑郁或精神分裂症患者中的照顾后果。
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The cognitive-interpersonal maintenance model of anorexia nervosa revisited: a summary of the evidence for cognitive, socio-emotional and interpersonal predisposing and perpetuating factors.再探神经性厌食症的认知-人际维持模型:认知、社会情感和人际促成和持续因素证据概述。
J Eat Disord. 2013 Apr 15;1:13. doi: 10.1186/2050-2974-1-13. eCollection 2013.
8
A pilot study of associations between treatment for anorexia nervosa and carers' distress.神经性厌食症治疗与照料者痛苦之间关联的一项初步研究。
Clin Psychol Psychother. 2015 Jul-Aug;22(4):372-6. doi: 10.1002/cpp.1895. Epub 2014 Mar 30.
9
Empirical examination of the interpersonal maintenance model of anorexia nervosa.实证检验神经性厌食症的人际维持模型。
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10
Burden of caregiving amongst family caregivers of patients with eating disorders.照顾饮食障碍患者的家庭成员的负担。
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神经性厌食症和神经性贪食症成年患者的照料者抑郁症状及饮食失调严重程度

Caregivers' depressive symptoms and eating disorder severity in adults with anorexia and bulimia nervosa.

作者信息

Kocsis-Bogar Krisztina, Ossege Michael, Aigner Martin, Wancata Johannes, Friedrich Fabian

机构信息

Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.

Department of Psychiatry and Psychotherapy, Karl Landsteiner University of Health Sciences, Krems, Austria.

出版信息

Int J Soc Psychiatry. 2025 Feb;71(1):199-202. doi: 10.1177/00207640241280159. Epub 2024 Sep 10.

DOI:10.1177/00207640241280159
PMID:39257158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11800686/
Abstract

BACKGROUND

Negative affectivity of caregivers has been linked to difficulties in the caregiver-patient relationship and it is assumed to contribute to the maintenance of eating disorder (ED) symptoms.

AIMS

The present study investigated the relationship of patients' ED symptom severity to patients' and caregivers' depressive symptoms, and caregivers' involvement in a mixed sample of adult inpatients with anorexia (AN) and bulimia nervosa (BN), as well as their caregivers.

METHOD

The Eating Disorder Examination and Beck Depression Inventory (BDI) were administered to 55 adult ED patients (26 AN and 29 BN), and the BDI as well as the Involvement Evaluation Questionnaire were filled in by one caregiver of each patient.

RESULTS

Our results showed caregivers' depressive symptoms to be significantly related to patients' ED symptom severity, however depressive symptoms and ED symptoms of patients were not related. No connection of involvement of caregivers and ED severity of patients was found. AN and BN patients did not significantly differ on ED severity or depressive symptoms. Caregivers of AN and BN patients did not differ significantly on depressive symptoms and involvement.

CONCLUSIONS

Our results support the importance of mental health support for caregivers of adults with AN and BN.

摘要

背景

照料者的消极情感与照料者-患者关系中的困难有关,并且被认为会促使饮食失调(ED)症状持续存在。

目的

本研究调查了成年住院厌食症(AN)和神经性贪食症(BN)患者及其照料者的混合样本中,患者的饮食失调症状严重程度与患者及照料者的抑郁症状之间的关系,以及照料者的参与情况。

方法

对55名成年饮食失调患者(26名厌食症患者和29名神经性贪食症患者)进行饮食失调检查和贝克抑郁量表(BDI)测试,每位患者的一名照料者填写BDI以及参与度评估问卷。

结果

我们的结果显示,照料者的抑郁症状与患者的饮食失调症状严重程度显著相关,然而患者的抑郁症状与饮食失调症状并无关联。未发现照料者的参与度与患者的饮食失调严重程度之间存在联系。厌食症和神经性贪食症患者在饮食失调严重程度或抑郁症状方面没有显著差异。厌食症和神经性贪食症患者的照料者在抑郁症状和参与度方面没有显著差异。

结论

我们的结果支持了为成年厌食症和神经性贪食症患者的照料者提供心理健康支持的重要性。