从网络视角研究饮食失调：一项范围界定性系统综述
The Study of Eating Disorders from a Network Perspective: A Scoping Systematic Review.
作者信息
Sala Margaret, Kressel Melanie, Schechter Ayelet, Schupak Madeline, Deitsch Tzivia, Hagan Kelsey, Breithaupt Lauren, Levinson Cheri
机构信息
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.
Department of Psychiatry, Columbia University Irving Medical Center/New York State Psychiatric Institute, New York, NY.
出版信息
Clin Psychol (New York). 2024 Sep;31(3):296-322. doi: 10.1037/cps0000173. Epub 2023 Sep 14.
OBJECTIVE
We conducted a comprehensive scoping review of network research in the field of eating disorders (EDs).
METHOD
Research published between 2016 and 2021 was identified. We identified 61 manuscripts.
RESULTS
We found that overvaluation of weight and shape, cognitive concerns around body image, cognitive-affective ED symptoms, and restriction/restraint are core to EDs, in both ED and non-ED samples. Several general psychopathology symptoms are also core to EDs, including affective symptoms, interpersonal problems, feelings of inadequacy, interoceptive awareness, and post-traumatic stress symptoms. Bridge pathways linking EDs to other psychological disorders include affective symptoms, social eating, low self-esteem, physical sensations, and ineffectiveness.
DISCUSSION
Future research should use longitudinal group and idiographic network models, be conducted in non-Western, older, and male samples, and study whether targeting core ED symptoms may improve ED interventions.
目的
我们对饮食失调（EDs）领域的网络研究进行了全面的范围综述。
方法
确定了2016年至2021年间发表的研究。我们识别出61篇手稿。
结果
我们发现，在饮食失调样本和非饮食失调样本中，对体重和体型的过度重视、围绕身体形象的认知问题、认知-情感性饮食失调症状以及限制/克制是饮食失调的核心。几种一般精神病理学症状也是饮食失调的核心，包括情感症状、人际问题、不足感、内感受觉知和创伤后应激症状。将饮食失调与其他心理障碍联系起来的桥梁途径包括情感症状、社交性饮食、低自尊、身体感觉和无效感。
讨论
未来的研究应使用纵向群组和个性化网络模型，在非西方、年龄较大和男性样本中进行，并研究针对饮食失调的核心症状是否可能改善饮食失调的干预措施。
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