{"title":"饮食失调患者的分离性和创伤性经历。","authors":"Anna Keski-Rahkonen","doi":"10.1097/YCO.0000000000001032","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>The review synthesizes existing literature on the prevalence, assessment, and treatment of dissociation, focusing on its manifestation in eating disorders. The review explores various conceptualizations of dissociation, its relationship with trauma, and its role in emotion regulation.</p><p><strong>Recent findings: </strong>Dissociation is a complex psychological process ranging from mild detachment to severe identity fragmentation. Everyday experiences like daydreaming or losing track of time are common examples of dissociation. More severe dissociative experiences are present in dissociative disorders, trauma-related stress disorders, and borderline personality disorder. In eating disorders, dissociation serves as a coping mechanism for managing intense emotions that can originate from traumatic and nontraumatic events. Recent studies highlight the role of dissociative experiences in emotion regulation, its association with functional seizures, and its link to night eating. Psychoeducation offers a promising way to address trauma-related dissociation and challenges with emotion regulation. Incorporating eye movement desensitization and reprocessing (EMDR) and other trauma-focused therapies into eating disorder treatment can also help reduce trauma-related dissociative symptoms in individuals with eating disorders.</p><p><strong>Summary: </strong>This review underscores the multifaceted nature of dissociation and its role in eating disorders. It highlights the need for further research into effective treatments for people with eating disorders.</p>","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9000,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Dissociative and traumatic experiences in people with eating disorders.\",\"authors\":\"Anna Keski-Rahkonen\",\"doi\":\"10.1097/YCO.0000000000001032\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose of review: </strong>The review synthesizes existing literature on the prevalence, assessment, and treatment of dissociation, focusing on its manifestation in eating disorders. The review explores various conceptualizations of dissociation, its relationship with trauma, and its role in emotion regulation.</p><p><strong>Recent findings: </strong>Dissociation is a complex psychological process ranging from mild detachment to severe identity fragmentation. Everyday experiences like daydreaming or losing track of time are common examples of dissociation. More severe dissociative experiences are present in dissociative disorders, trauma-related stress disorders, and borderline personality disorder. In eating disorders, dissociation serves as a coping mechanism for managing intense emotions that can originate from traumatic and nontraumatic events. Recent studies highlight the role of dissociative experiences in emotion regulation, its association with functional seizures, and its link to night eating. Psychoeducation offers a promising way to address trauma-related dissociation and challenges with emotion regulation. Incorporating eye movement desensitization and reprocessing (EMDR) and other trauma-focused therapies into eating disorder treatment can also help reduce trauma-related dissociative symptoms in individuals with eating disorders.</p><p><strong>Summary: </strong>This review underscores the multifaceted nature of dissociation and its role in eating disorders. It highlights the need for further research into effective treatments for people with eating disorders.</p>\",\"PeriodicalId\":11022,\"journal\":{\"name\":\"Current Opinion in Psychiatry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.9000,\"publicationDate\":\"2025-08-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Opinion in Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/YCO.0000000000001032\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Opinion in Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/YCO.0000000000001032","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Dissociative and traumatic experiences in people with eating disorders.
Purpose of review: The review synthesizes existing literature on the prevalence, assessment, and treatment of dissociation, focusing on its manifestation in eating disorders. The review explores various conceptualizations of dissociation, its relationship with trauma, and its role in emotion regulation.
Recent findings: Dissociation is a complex psychological process ranging from mild detachment to severe identity fragmentation. Everyday experiences like daydreaming or losing track of time are common examples of dissociation. More severe dissociative experiences are present in dissociative disorders, trauma-related stress disorders, and borderline personality disorder. In eating disorders, dissociation serves as a coping mechanism for managing intense emotions that can originate from traumatic and nontraumatic events. Recent studies highlight the role of dissociative experiences in emotion regulation, its association with functional seizures, and its link to night eating. Psychoeducation offers a promising way to address trauma-related dissociation and challenges with emotion regulation. Incorporating eye movement desensitization and reprocessing (EMDR) and other trauma-focused therapies into eating disorder treatment can also help reduce trauma-related dissociative symptoms in individuals with eating disorders.
Summary: This review underscores the multifaceted nature of dissociation and its role in eating disorders. It highlights the need for further research into effective treatments for people with eating disorders.
期刊介绍:
Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.