Exploring mental health dynamics during eating disorder treatment: A psychometric network study with panel data.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-07-01 Epub Date: 2023-09-08 DOI:10.1080/10503307.2023.2254918

Jan Alexander de Vos, Mirjam Radstaak, Peter M Ten Klooster, Ernst T Bohlmeijer, Gerben J Westerhof

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Abstract

To explore mental health associations during eating disorder (ED) treatment. Based on the dual-continua model of mental health, general and ED-specific psychopathology, as well as emotional, psychological, and social well-being were considered as mental health domains.

Network analyses with panel data were applied to explore within- (temporal and contemporaneous networks) and between-person effects in a sample of 1250 female ED patients during 12 months of outpatient treatment. The associations between the domains and their centrality were examined. Autoregressive and cross-lagged effects were also estimated.

ED psychopathology was the most central domain in the temporal network. ED psychopathology changes predicted further ED psychopathology changes and small changes in the other domains. Weak bi-directional associations were found between changes in the well-being domains and general psychopathology. In contrast to the temporal network, ED psychopathology was the least central and psychological well-being the most central domain in the contemporaneous and between-subjects networks. This suggests a central role of psychological well-being for experiencing mental health within time points.

ED psychopathology may change relatively independent from other mental health domains. Well-being domains may be considered as more stable aspects of mental health.

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探索饮食失调症治疗过程中的心理健康动态：使用面板数据的心理测量网络研究。

探讨饮食失调症（ED）治疗过程中的心理健康关联。在1250名女性饮食失调症患者12个月的门诊治疗过程中，采用面板数据网络分析来探讨人内（时间和同期网络）和人际效应。研究还考察了各领域及其中心性之间的关联。ED 精神病理是时间网络中最核心的领域。ED 精神病理的变化预示着 ED 精神病理的进一步变化以及其他领域的微小变化。幸福感领域的变化与一般精神病理学之间存在微弱的双向关联。与时间网络相反，在同期网络和受试者间网络中，ED 精神病学是最不重要的领域，而心理健康则是最重要的领域。这表明，心理健康对于在时间点内体验心理健康起着核心作用。幸福感领域可被视为心理健康更稳定的方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.