饮食失调患者的分离性和创伤性经历。

IF 4.9 2区 医学 Q1 PSYCHIATRY
Anna Keski-Rahkonen
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引用次数: 0

摘要

综述目的:本综述综合了有关游离状态的患病率、评估和治疗的现有文献,重点介绍了其在饮食失调中的表现。这篇综述探讨了分离的各种概念,它与创伤的关系,以及它在情绪调节中的作用。最近发现:解离是一个复杂的心理过程,从轻微的脱离到严重的身份分裂。像做白日梦或忘记时间这样的日常经历都是精神分裂的常见例子。更严重的分离体验存在于分离性障碍、创伤相关应激障碍和边缘型人格障碍中。在饮食失调中,分离是一种应对机制,用于管理源自创伤性和非创伤性事件的强烈情绪。最近的研究强调了分离体验在情绪调节中的作用,它与功能性癫痫发作的联系,以及它与夜间进食的联系。心理教育提供了一个有希望的方式来解决创伤相关的分离和挑战与情绪调节。将眼动脱敏和再处理(EMDR)以及其他以创伤为重点的治疗方法纳入进食障碍治疗中,也有助于减少进食障碍患者的创伤相关解离症状。摘要:这篇综述强调了分离的多面性及其在饮食失调中的作用。它强调了进一步研究饮食失调患者的有效治疗方法的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Current Opinion in Psychiatry
Current Opinion in Psychiatry 医学-精神病学
CiteScore
12.20
自引率
1.40%
发文量
76
审稿时长
6-12 weeks
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.
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