"Eating Me Up from Inside": A Pilot Study of Mentalization of Self and Others and Emotion Regulation Strategies among Young Women with Eating Disorders.

Israel journal of psychiatry Pub Date : 2018-01-01

Lily Rothschild-Yakar, Merav Peled, Adi Enoch-Levy, Eitan Gur, Daniel Stein

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Abstract

Background: We examined the relationship between general ability of mentalization, the specific aspect of affective mentalizing of self and others, emotion regulation strategies, and eating disorder (ED) symptoms.

Method: Twenty-five female adolescent and young adult inpatients with EDs, and 22 healthy subjects, were administered a semi-structured interview - the Reflective Function (RF) scale, self-rating scales assessing alexithymia, emotion regulation, depression and ED symptomatology, and a neurocognitive measure assessing Theory of Mind.

Results: Participants with EDs presented lower levels of RF regarding the self and higher levels of alexithymia, using more emotional suppression and less cognitive reappraisal than controls. Elevated levels of general RF and self RF and attenuated alexithymia, along with elevated cognitive reappraisal and attenuated emotional suppression, were correlated with attenuated ED symptoms. Comorbidity with depressive symptoms predicted greater ED symptomatology.

Conclusions: High mentalization may serve as a coping mechanism to attenuate ED symptoms.

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“从内心吞噬我”:饮食失调年轻女性自我、他人心理化及情绪调节策略的初步研究。

背景:我们研究了一般心理化能力、自我和他人情感心理化的特定方面、情绪调节策略和饮食障碍(ED)症状之间的关系。方法:采用半结构化访谈法对25例女性青少年ED住院患者和22名健康受试者进行访谈，访谈内容包括反思功能量表(RF)、述情障碍、情绪调节、抑郁和ED症状自评量表和心理理论神经认知量表。结果:与对照组相比，EDs患者表现出较低的自我RF水平和较高的述情障碍水平，使用更多的情绪抑制和较少的认知重评价。一般RF和自身RF水平的升高以及述情障碍的减轻，以及认知重评价的升高和情绪抑制的减轻，与症状的减轻相关。与抑郁症状的共病预示着更严重的ED症状。结论:高度精神化可能是缓解ED症状的一种应对机制。

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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Israel journal of psychiatry

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