The role of mindfulness on the psychological aspects of anorexia nervosa.

IF 1.8 4区医学 Q3 PSYCHIATRY Clinical Child Psychology and Psychiatry Pub Date : 2024-01-01 Epub Date: 2023-09-04 DOI:10.1177/13591045231190675

Neşe Dikmeer, Burcu Ersöz Alan, Dilşad Foto Özdemir

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Abstract

Objective: Emotion regulation, perfectionism, and rumination are perpetuating factors in anorexia nervosa (AN). Mindfulness can be protective and therapeutic. We aimed to understand the relationship between these factors and mindfulness in AN.

Methods: 20 adolescent girls in the acute phase of the AN, 16 in remission, and 40 in the control group were evaluated.

Results: Mindfulness was lowest in the acute AN group. The difference in the acute AN group regarding body dissatisfaction, emotion dysregulation, perfectionism, and mindfulness disappeared after controlling for the effects of depression and anxiety. The predictors of disordered eating in the entire study population were body dissatisfaction and depressive symptoms. Emotion regulation and perfectionism were the predictors of mindfulness in the acute AN group and the entire study population. When mindfulness decreased, concerns about body shape increased in both acute AN and remission groups, while dietary restriction and disordered eating behaviors increased only in the remission group.

Discussion: Emotion regulation difficulties in acute AN could be related to depression and anxiety. Mindfulness interventions for emotion regulation could be used for depression during the acute phase while for perfectionism in remission. Early intervention for depression and body dissatisfaction seems protective, and mindfulness could be an appropriate intervention.

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正念在神经性厌食症心理方面的作用。

目的：情绪调节、完美主义和沉思是神经性厌食症（AN）的持久因素。正念可以起到保护和治疗作用。我们旨在了解这些因素与AN正念之间的关系。方法：对20名AN急性期少女、16名缓解期少女和40名对照组少女进行评估。结果：急性AN组的正念最低。在控制了抑郁和焦虑的影响后，急性AN组在身体不满、情绪失调、完美主义和正念方面的差异消失了。在整个研究人群中，饮食紊乱的预测因素是身体不满和抑郁症状。情绪调节和完美主义是急性AN组和整个研究人群中正念的预测因素。当正念下降时，急性AN组和缓解组对体型的担忧都会增加，而饮食限制和饮食行为紊乱只在缓解组增加。讨论：急性AN患者的情绪调节困难可能与抑郁和焦虑有关。情绪调节的正念干预可以用于急性期的抑郁症，而用于缓解期的完美主义。对抑郁和身体不满的早期干预似乎具有保护作用，正念可能是一种适当的干预措施。

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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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.