Negative Body Experience in a Clinical Sample of Mental Disorders: Associations With Posttraumatic Stress Disorder, Mood Disorders, and Personality Disorders

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Minke M. van de Kamp, Mia Scheffers, Claudia Emck, Pim Cuijpers, Peter J. Beek
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Abstract

While body experience is a key focus of treatment in psychomotor therapy (PMT), research has largely overlooked this important topic. In this study we explored three domains of body experience—body satisfaction, body attitude, and interoceptive awareness—in individuals with mental disorders in a clinical sample receiving PMT. We expected these patients to have a more negative body experience than nonclinical controls, with PTSD, mood disorders, personality disorders, and sex negatively affecting all three domains of body experience. The study involved 235 participants aged 18–59 with various mental disorders that were referred to PMT between 2008 and 2017 at a mental health center in the Netherlands. They completed questionnaires on all three of the body experience domains of interest. One sample t-tests revealed that patients had significantly greater negative body satisfaction and body attitude than nonclinical control samples obtained from the literature, with no significant difference in interoceptive awareness. Regression analyses within the patient sample revealed that female patients and patients with mood disorders or PTSD, displayed more negative body satisfaction than patients with other mental disorders. Additionally, female patients and patients with mood disorders displayed more negative body attitude. Although the total patient group and controls had comparable interoceptive awareness, only PTSD had significantly lower interoceptive awareness. Age and personality disorders did not predict differences on any domain of body experience. This research demonstrates that body experience is disturbed in patients with mental disorders who received PMT, and that there are disorder-specific disturbances on domains of body experience domains.

Abstract Image

精神障碍临床样本中的负性身体体验:与创伤后应激障碍、情绪障碍和人格障碍的关联。
虽然身体体验是精神运动疗法(PMT)治疗的关键焦点,但研究在很大程度上忽视了这一重要主题。在这项研究中,我们探讨了三个领域的身体体验-身体满意度,身体态度,和内感受意识在接受PMT的精神障碍患者的临床样本。我们预期这些患者比非临床对照者有更消极的身体体验,创伤后应激障碍、情绪障碍、人格障碍和性对身体体验的三个领域都有负面影响。该研究涉及235名年龄在18-59岁之间患有各种精神障碍的参与者,他们在2008年至2017年期间在荷兰的一家精神健康中心被转介到PMT。他们完成了关于所有三个感兴趣的身体体验领域的问卷调查。单样本t检验显示,患者的负性身体满意度和身体态度显著高于文献中非临床对照样本,而内感受性意识无显著差异。对患者样本的回归分析显示,女性患者和患有情绪障碍或创伤后应激障碍的患者比其他精神障碍患者表现出更多的负性身体满意度。此外,女性患者和情绪障碍患者表现出更多的负性身体态度。虽然整个患者组和对照组具有相当的内感受性意识,但只有PTSD的内感受性意识显著降低。年龄和人格障碍不能预测身体体验的任何领域的差异。本研究表明,接受PMT治疗的精神障碍患者的身体体验受到干扰,并且在身体体验域的域上存在障碍特异性干扰。
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来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
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