Rachele Mariani, Giovanna Massari Maria, Alessia Renzi, Isabella Marini, Michela Di Trani, Massimo Pasquini
Department of Dynamic and Clinical Psychology and Health Studies, Sapienza University, Rome, Italy.
Department of Human Sciences and Promotion of Quality of Life, San Raffaele Telematic University, Rome, Italy.
J Psycholinguist Res. 2025 May 8;54(3):32. doi: 10.1007/s10936-025-10150-8.
This study aims to explore the relationship between linguistic features of the Referential Process (RP) applied to autobiographical narratives, personality dimensions, and affect regulation capabilities in a group of women diagnosed with restrictive anorexia nervosa (AN). The study included 40 female participants hospitalized with AN during an acute phase, with a mean age of 19.50 (SD = 3.8). Participants completed several assessments, including the Minnesota Multiphasic Personality Inventory 2 (MMPI-2), the Eating Disorder Inventory (EDI-3), the 20-item Toronto Alexithymia Scale (TAS-20), the Emotion Regulation Questionnaire (ERQ), and the Relationship Anecdotes Paradigm Interview (RAP). The RAP interviews were audio-recorded and transcribed for the application of RP Linguistic Measures. The results of the correlation analysis revealed several significant associations among linguistic measures, EDI-3 scale scores, affect regulation measures, and personality dimensions. The linguistic measures indicating higher rationality, abstraction, and cognitive word usage, were associated with higher psychopathological severity in AN. Alexithymia showed significant correlations with the Affect words, supporting the perspective of MCT concerning dissociation of emotional schemas. These findings confirm the relationship between linguistic measures and the severity of the disease. Therefore, autobiographical narratives can be considered not only as diagnostic indicators, but also as variables to verify the efficacy of treatments in patients with AN.
本研究旨在探讨应用于自传体叙事的指称过程（RP）的语言特征、人格维度以及一组被诊断为限制性神经性厌食症（AN）的女性的情绪调节能力之间的关系。该研究纳入了40名急性期因AN住院的女性参与者，平均年龄为19.50岁（标准差=3.8）。参与者完成了多项评估，包括明尼苏达多相人格问卷2（MMPI-2）、进食障碍问卷（EDI-3）、20项多伦多述情障碍量表（TAS-20）、情绪调节问卷（ERQ）以及关系轶事范式访谈（RAP）。RAP访谈进行了录音并转录，以应用RP语言测量方法。相关分析结果揭示了语言测量、EDI-3量表得分、情绪调节测量和人格维度之间的若干显著关联。表明更高合理性、抽象性和认知词汇使用的语言测量与AN中更高的精神病理学严重程度相关。述情障碍与情感词汇显示出显著相关性，支持了心智化理论关于情绪图式解离的观点。这些发现证实了语言测量与疾病严重程度之间的关系。因此，自传体叙事不仅可以被视为诊断指标，还可以作为验证AN患者治疗效果的变量。
