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厌恶情绪在饮食失调中的作用及其与解离症状的关系。

The Role of Disgust Emotion in Eating Disorders and Its Relationship with Dissociative Symptoms.

作者信息

Rabito-Alcón María F, González-Vázquez Anabel, Baile José I

机构信息

Department of Psychology and Health, Open University of Madrid (UDIMA), 28400 Madrid, Spain.

Department of Psychiatry, University Hospital of A Coruña, As Xubias S/N., 15006 A Coruña, Spain.

出版信息

Healthcare (Basel). 2025 Apr 21;13(8):954. doi: 10.3390/healthcare13080954.

DOI:10.3390/healthcare13080954
PMID:40281903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12026689/
Abstract

: Disgust is a central emotion in eating disorders, influencing both their development and maintenance. High sensitivity to disgust has been associated with restrictive and purgative behaviors, as well as with greater severity of eating disorder symptoms. Despite its importance, the different aspects of disgust are rarely examined in depth, limiting the understanding of its role in these disorders. Since the emotion of disgust is more closely linked to the body and food than other emotions, the aim of this paper is to understand its possible role in eating disorders and obesity. : In a case-control study, 313 women (155 with eating disorders and obesity in the clinical group and 158 in the control group) were assessed using various questionnaires, including measures of disgust, dissociation, and symptom severity. : The results showed that the clinical group reported greater symptom severity, more dissociative symptoms, and higher sensitivity to disgust than the control group. It is noteworthy that there were significant differences between subtypes of the clinical group, particularly in disgust related to hygiene, sexual content and deterioration and disease. These findings highlight the importance of considering disgust in the evaluation and treatment of eating disorders, emphasizing the need for further research on this emotion to develop more effective therapeutic interventions that address this complex emotion in the context of eating disorders and obesity.

摘要

厌恶是饮食失调中的一种核心情绪,会影响其发展和持续存在。对厌恶高度敏感与限制饮食和清除行为有关,也与饮食失调症状的更严重程度相关。尽管其很重要,但厌恶的不同方面很少被深入研究,这限制了对其在这些疾病中作用的理解。由于厌恶情绪比其他情绪与身体和食物的联系更为紧密,本文旨在了解其在饮食失调和肥胖症中可能扮演的角色。

在一项病例对照研究中,对313名女性(临床组中155名患有饮食失调和肥胖症,对照组中158名)使用了各种问卷进行评估,包括厌恶、解离和症状严重程度的测量。

结果显示,临床组报告的症状严重程度更高、解离症状更多,且比对照组对厌恶更敏感。值得注意的是,临床组的各亚型之间存在显著差异,尤其是在与卫生、性内容以及变质和疾病相关的厌恶方面。这些发现凸显了在饮食失调的评估和治疗中考虑厌恶情绪的重要性,强调需要对这种情绪进行进一步研究,以开发更有效的治疗干预措施,在饮食失调和肥胖症的背景下应对这种复杂情绪。

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本文引用的文献

1
Disgust as a basic, sexual, and moral emotion.厌恶作为一种基本的、性的和道德的情感。
Cogn Process. 2024 May;25(2):193-204. doi: 10.1007/s10339-024-01180-6. Epub 2024 Mar 23.
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Assessing the factor structure of the Eating Attitude Test-26 among undergraduate students in Malaysia.评估马来西亚本科生中饮食态度测试-26的因子结构。
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Disgust as a transdiagnostic index of mental illness: A narrative review of clinical populations.厌恶作为一种精神疾病的跨诊断指标:临床人群的叙述性综述。
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Bull Menninger Clin. 2023 Spring;87(Supplement A):113-132. doi: 10.1521/bumc.2023.87.suppA.113.
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Differences in the Factor Structure of the Eating Attitude Test-26 (EAT-26) among Clinical vs. Non-Clinical Adolescent Israeli Females.临床与非临床青少年以色列女性的进食态度量表 26(EAT-26)因子结构的差异。
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Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts.遭受性虐待的巴西青少年饮食失调指标:家庭和学校环境
Children (Basel). 2023 Aug 15;10(8):1393. doi: 10.3390/children10081393.
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Disgust in animals and the application of disease avoidance to wildlife management and conservation.动物的厌恶情绪以及将疾病回避应用于野生动物管理和保护。
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Eat Weight Disord. 2023 Mar 3;28(1):28. doi: 10.1007/s40519-023-01555-2.
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Disgust sensitivity and behavioural inhibitory systems in binge eating disorder: associations with eating pathology.暴食障碍中的厌恶敏感和行为抑制系统:与进食病理的关联。
Eat Weight Disord. 2023 Feb 20;28(1):15. doi: 10.1007/s40519-023-01544-5.
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Enhanced recognition of disgusted expressions occurs in spite of attentional avoidance at encoding.尽管在编码时存在注意力回避,但对厌恶表情的识别增强仍会出现。
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