Elisa Rabarbari, Chiara Rossi, Fabio Frisone, Giuseppe Riva
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引用次数: 0
摘要
目的:本综述系统地探讨了孤独在临床和亚临床饮食失调(ED)中的作用,评估了其对症状严重程度的影响,并探讨了不同人群中孤独感的潜在机制。方法:按照PRISMA指南,在PROSPERO注册(CRD42024565108),综合检索PubMed、Scopus、PsycINFO和Web of Science。纳入标准需要定量测量临床诊断或亚临床人群的孤独感和ED症状。与流行病相关的孤独感研究被排除在外。使用Downs和Black检查表评估偏差。结果:共有15项研究2907名受试者符合纳入标准。研究结果显示,孤独是ED病理的一个跨诊断因素。在临床ED人群中,孤独感与症状严重程度的增加有关,特别是神经性贪食症(BN)和暴食症(BED),其中情绪失调是由孤独感介导的。来自亚临床样本的研究结果表明,孤独感可能是ED症状的早期社会心理相关因素,尤其是在年轻人中。结论:在临床和亚临床人群中,孤独感对ED的发展和持续存在有显著影响,对治疗有潜在的影响。社会支持和情绪调节干预可以减轻孤独感,改善ED预后。未来的研究应解决性别差异,并纳入不同的人群,以加深对这种关系的理解。试验注册:PROSPERO注册号:CRD42024565108。
Exploring Loneliness in Clinical and Sub-Clinical Eating Disorders: A Systematic Review.
Objective: This review systematically examines the role of loneliness in clinical and subclinical Eating Disorders (ED), assessing its impact on symptom severity and exploring underlying mechanisms across different populations.
Method: Following PRISMA guidelines and registered with PROSPERO (CRD42024565108), a comprehensive search was conducted in PubMed, Scopus, PsycINFO, and Web of Science. Inclusion criteria required quantitative measures of loneliness and ED symptoms in clinically diagnosed or subclinical populations. Pandemic-related loneliness studies were excluded. Bias was assessed with the Downs and Black checklist.
Results: A total of 15 studies with 2907 participants met the inclusion criteria. Findings revealed loneliness as a transdiagnostic factor in ED pathology. In clinical ED populations, loneliness was associated with increased symptom severity, particularly for Bulimia Nervosa (BN) and Binge Eating Disorder (BED), where emotional dysregulation was mediated by loneliness. Findings from subclinical samples suggest that loneliness may be an early psychosocial correlate of ED symptoms, particularly among young adults.
Conclusion: Loneliness significantly contributes to ED development and persistence across clinical and subclinical populations, with potential implications for treatment. Social support and emotional regulation interventions may mitigate loneliness and improve ED outcomes. Future research should address gender differences and incorporate diverse populations to deepen understanding of this relationship.
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.