急性和缓解性神经性厌食症的思维能力。

IF 3.5 3区 医学 Q2 PSYCHIATRY
Indigo E Gray, Peter G Enticott, Matthew Fuller-Tyszkiewicz, Melissa Kirkovski
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引用次数: 0

摘要

心智化指的是一个人从语言和非语言线索中推断意图、思想和情感的能力。神经性厌食症(AN)的精神化障碍已经得到了很好的证实。然而,尚不清楚这些缺陷是否仅发生在AN的急性期(类状态),还是在达到缓解后仍然存在缺陷(类特征)。本研究旨在确定AN严重程度在确定精神化缺陷严重程度方面的预测价值,以及AN急性期和恢复期的精神化是否不同。最后的样本包括161名年龄在18-30岁之间的参与者。参与者被分为急性AN组(BMI低于17,n = 15)、AN缓解组(BMI超过17,既往AN病史,n = 64)或一般人群对照组(无AN病史,n = 82)。参与者提供了人口统计信息,并完成了一系列在线测试和调查。急性组和缓解组在精神化方面无显著差异。对照组的心智化明显优于an缓解组。AN的严重程度(由BMI测量)在客观而非主观测量时是心智化的显著预测因子。研究结果表明,心理状态在缓解后没有明显改善,并且随着BMI的增加,心理状态有所改善,这表明心理缺陷可能是基于特征的,并且在AN中无论疾病阶段如何都可以观察到。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mentalizing ability in acute and remitted anorexia nervosa.

Mentalizing refers to an individual's capacity for inferring intentions, thoughts, and emotions from verbal and nonverbal cues. Impairments in mentalizing are well established in anorexia nervosa (AN). It is unclear, however, whether these deficits only occur in the acute phases of AN (state-like), or if deficits remain once remission has been achieved (trait-like). The current study aimed to determine the predictive value of the severity of AN in determining the severity of mentalizing deficits and whether mentalizing differs in acute and recovered stages of AN. The final sample comprised of 161 participants aged 18-30. Participants were allocated to the acute-AN group (BMI under 17, n = 15), remission-AN group (BMI over 17 with previous history of AN, n = 64) or the general population control group (no history of AN, n = 82). Participants provided demographic information and completed a battery of online tests and surveys. No significant differences were found on mentalizing between the acute and remission groups. The control group demonstrated significantly better mentalizing than the remission-AN group. Severity of AN (measured by BMI) was a significant predictor of mentalizing when measured objectively but not subjectively. The findings suggest no categorical improvement in mentalizing following remission and demonstrated mentalizing improvements as BMI increased, suggesting mentalizing deficits may be trait-based and observable in AN regardless of stage of illness.

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来源期刊
Eating Disorders
Eating Disorders PSYCHIATRY-PSYCHOLOGY
CiteScore
7.70
自引率
9.10%
发文量
25
期刊介绍: Eating Disorders is contemporary and wide ranging, and takes a fundamentally practical, humanistic, compassionate view of clients and their presenting problems. You’ll find a multidisciplinary perspective on clinical issues and prevention research that considers the essential cultural, social, familial, and personal elements that not only foster eating-related problems, but also furnish clues that facilitate the most effective possible therapies and treatment approaches.
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