Network dynamics of self-compassion, anxiety, and depression during eating disorder therapy

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-07-14 DOI:10.1002/erv.3121

Maren C. G. Kopland, KariAnne Vrabel, Margarita Slof-Op 't Landt, Asle Hoffart, Sverre Urnes Johnson, Erik J. Giltay

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Abstract

Background

Recovery processes during residential treatment for eating disorders, especially in patients with a history of maltreatment, are insufficiently understood. This study aimed to explore the temporal relationships among comorbid factors, including depression, anxiety, and self-compassion, with the influence of childhood maltreatment.

Method

Using Dynamic Time Warp (DTW), weekly scores from the Symptom Checklist-5, Eating Disorder Examination, and Self-Compassion Scale were analysed over 12 weeks. The study generated undirected and directed networks to identify influential symptoms in a transdiagnostic sample, comparing patients with and without childhood maltreatment.

Results

The study included 124 patients with eating disorders (ED) (97% women), mean age of 30.9 years (SD = 9.7, range 18–61 years). Diagnoses included anorexia nervosa (26%), bulimia nervosa (38%), and other specified feeding and eating disorders (36%). The directed DTW network showed that hopelessness, worrying, and restlessness had the highest out-strength, predicting changes in self-compassion and ED behaviour. In maltreatment cases, hopelessness and low acceptance predicted changes, while worry, restlessness, and nervousness were predictive in non-maltreatment cases.

Conclusion

Temporal network analyses suggest that a change in hopelessness, worrying, and restlessness drives symptom improvement in ED behaviour and the development of self-compassion during residential treatment. These processes vary between patients with and without a history of childhood maltreatment separately, indicating the need for further analyses.

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饮食失调症治疗过程中自我同情、焦虑和抑郁的网络动力学。

背景：人们对饮食失调住院治疗期间的康复过程，尤其是有虐待史的患者的康复过程了解不足。本研究旨在探讨抑郁、焦虑和自我同情等合并因素与童年虐待影响之间的时间关系：方法：采用动态时间扭曲（DTW）技术，分析了12周内症状检查表-5、进食障碍检查和自我同情量表的每周得分。该研究生成了无定向和定向网络，以确定跨诊断样本中的影响症状，并对有和没有童年虐待经历的患者进行了比较：研究对象包括 124 名饮食失调症（ED）患者（97% 为女性），平均年龄为 30.9 岁（SD = 9.7，年龄范围为 18-61 岁）。诊断包括神经性厌食症（26%）、神经性贪食症（38%）和其他特定的进食和饮食失调症（36%）。定向 DTW 网络显示，绝望、担忧和不安的外强度最高，可预测自我同情和 ED 行为的变化。在虐待病例中，绝望和低接受度可预测变化，而在非虐待病例中，担忧、不安和紧张可预测变化：时间网络分析表明，在住院治疗期间，无望感、担忧和焦躁不安的变化推动了性急行为症状的改善和自我同情的发展。这些过程在有童年虐待史和无童年虐待史的患者之间分别存在差异，表明有必要进行进一步分析。

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

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.