Troop N A, Holbrey A, Treasure J L
Psychiatry Department, Institute of Psychiatry, London, United Kingdom.
Int J Eat Disord. 1998 Sep;24(2):157-66. doi: 10.1002/(sici)1098-108x(199809)24:2<157::aid-eat5>3.0.co;2-d.
Recent research has supported the role of stress in the development and maintenance of eating disorders. However, coping and crisis support, important aspects of this stress process, have received little systematic attention. The cognitive-transactional approach to coping emphasizes the importance of the relationship between the individual and the particular problematic situation and yet most studies investigating coping in eating disorders have failed to measure situation-specific coping.
The present study used semistructured interviews to measure coping and crisis support in response to severe events and/or marked difficulties in 12 women with anorexia nervosa (AN), 21 women with bulimia nervosa (BN), and 21 women without an eating disorder (non-ED).
Women with eating disorders were more likely to use cognitive avoidance or cognitive rumination and were less likely to downplay their problems. In addition, BN subjects were more likely to blame themselves and were less likely to receive crisis support from a core-tie. Overall, women with eating disorders were less likely to be masterful in response to crises than women without eating disorders.
It is concluded that women with eating disorders are less effective in their coping than women without eating disorders.
近期研究证实了压力在饮食失调的发生和维持过程中的作用。然而，应对和危机支持作为这一压力过程的重要方面，却很少受到系统关注。应对的认知-交互作用方法强调个体与特定问题情境之间关系的重要性，但大多数调查饮食失调中应对方式的研究都未能测量针对特定情境的应对方式。
本研究采用半结构化访谈来测量12名神经性厌食症（AN）女性、21名神经性贪食症（BN）女性和21名无饮食失调（非ED）女性在面对严重事件和/或明显困难时的应对方式和危机支持情况。
患有饮食失调症的女性更倾向于使用认知回避或认知反复思考，且不太可能淡化自身问题。此外，BN患者更倾向于自责，且从核心关系中获得危机支持的可能性较小。总体而言，患有饮食失调症的女性在应对危机时不如没有饮食失调症的女性熟练。
得出的结论是，患有饮食失调症的女性在应对方面不如没有饮食失调症的女性有效。
