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Inducing moral elevation in veterans with PTSD: An experimental investigation using a mixed methods approach 诱导创伤后应激障碍退伍军人的道德提升:一项采用混合方法的实验研究
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1177/2043808720982415
Adam P. McGuire, Joseph Mignogna
Moral elevation is a positive emotion described as feeling inspired by others’ virtuous actions. Elevation has several psychosocial benefits, some of which may be relevant to trauma-related distress; however, past studies have primarily examined elevation in nonclinical, civilian populations or in naturalistic studies. This experimental study used mixed methods to assess if veterans with post-traumatic stress disorder (PTSD) experience elevation when exposed to elevation stimuli in a controlled setting. Participants included 47 veterans with significant PTSD symptoms. Following baseline measures and a written trauma narrative, veterans were randomized to an elevation or amusement condition where they viewed two videos intended to elicit the condition emotion. Veterans also provided a written journal response describing their reaction to the videos. Self-report measures were administered after each study task to assess state-level elevation and amusement. Veterans randomized to the elevation condition reported significantly higher levels of elevation after videos compared to veterans in the amusement condition. Qualitative results offered further support for differences between groups and identified unique themes related to the experience of elevation. Overall, findings indicate it is possible to induce elevation in veterans with significant PTSD symptoms. Additionally, qualitative results highlight specific benefits of elevation and potential targets for treatment integration and future exploration.
道德提升是一种积极的情绪,被描述为受到他人道德行为的鼓舞。提升有几种心理社会益处,其中一些可能与创伤相关的痛苦有关;然而,过去的研究主要考察了非临床、平民或自然研究中的海拔高度。这项实验研究使用混合方法来评估患有创伤后应激障碍(PTSD)的退伍军人在受控环境中暴露于升高刺激时是否会出现升高。参与者包括47名有严重创伤后应激障碍症状的退伍军人。根据基线测量和书面创伤叙述,退伍军人被随机分配到一种提升或娱乐状态,在那里他们观看了两段旨在引发这种状态情绪的视频。退伍军人还提供了一份书面的期刊回应,描述了他们对视频的反应。在每项研究任务后进行自我报告,以评估州级海拔和娱乐性。与处于娱乐状态的退伍军人相比,被随机分配到抬高状态的退伍军人在视频后的抬高水平明显更高。定性结果进一步支持了群体之间的差异,并确定了与提升体验相关的独特主题。总的来说,研究结果表明,有严重创伤后应激障碍症状的退伍军人有可能导致病情加重。此外,定性结果强调了提升的具体益处以及治疗整合和未来探索的潜在目标。
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引用次数: 6
The link between anxiety and assessment of body attitudes and body size estimation in anorexia nervosa 神经性厌食症患者焦虑与身体态度评估及体型估计的关系
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1177/2043808721997632
B. Hasenack, L. Sternheim, Jojanneke M. Bijsterbosch, A. Keizer
Although body size estimation (BSE) tasks are frequently used to investigate distorted body representation in anorexia nervosa (AN), the link between anxiety and task performance has been overlooked. To investigate this, 30 female healthy controls (HCs) and 29 female AN patients completed two body attitude questionnaires and three BSE tasks (the Visual Estimation Task, the Tactile Estimation Task and the Hoop Task). Participants completed two body attitude questionnaires and three BSE tasks; the Visual Estimation Task, the Tactile Estimation Task, and the Hoop Task. The STAI-6 was administered before and after each body-related task to assess state anxiety. Results showed that state anxiety levels increased significantly more in AN patients than in HC after completing each task. Thus, performance of AN patients on BSE and other body-related tasks might not just indicate the (mis)perception of their body but also co-occur with increased state anxiety. This has implications for the interpretation of these tasks and for furthering our understanding of the mechanisms that underlie distorted body image in AN.
尽管体型估计(BSE)任务经常被用来研究神经性厌食症(AN)中扭曲的身体表现,但焦虑与任务表现之间的联系却被忽视了。为了对此进行调查,30名女性健康对照(HC)和29名女性AN患者完成了两份身体态度问卷和三项BSE任务(视觉评估任务、触觉评估任务和Hoop任务)。参与者完成了两份身体态度问卷和三项BSE任务;视觉估计任务、触觉估计任务和Hoop任务。STAI-6在每次与身体相关的任务之前和之后进行,以评估状态焦虑。结果显示,在完成每项任务后,AN患者的状态焦虑水平明显高于HC患者。因此,AN患者在BSE和其他身体相关任务中的表现可能不仅表明他们对身体的(错误)感知,而且还与状态焦虑的增加同时发生。这对解释这些任务以及进一步理解AN中扭曲身体图像的机制都有意义。
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引用次数: 3
Visual avoidance of faces in socially anxious individuals: The moderating effect of type of social situation 社交焦虑个体面孔的视觉回避:社会情境类型的调节作用
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1177/2043808721989628
Jiemiao Chen, Esther van den Bos, Sara L.M. Velthuizen, P. Westenberg
Patients with social anxiety disorder appear to display aberrant gaze behavior across a variety of social situations. In contrast, the gaze behavior of high socially anxious (HSA) individuals from the community seems to depend on the type of situation and the aberration might be limited to gaze avoidance. This study investigated the differential effect of social situation—a face-viewing task and a public speaking task—on gaze behavior in HSA participants from a community sample. Participants’ eye movements were tracked using a wearable eye tracker. Two aspects of gaze behavior were measured: (1) gaze avoidance was assessed by total fixation time, fixation counts, and mean fixation time on faces; (2) hypervigilance was assessed by scan path length and mean distance between fixations. The results confirmed a moderating effect of task on total (though not mean) fixation time on faces and fixation counts. Compared to low socially anxious participants, HSA participants looked less frequently (hence shorter) at the audience during the speech only. This indicates that visual avoidance in HSA individuals does not occur by default, but only when risks of (negative) social consequences are perceived. High and low socially anxious participants showed no difference in hypervigilance in either situation.
社交焦虑症患者在各种社交场合都表现出异常的凝视行为。相比之下,来自社区的高度社交焦虑(HSA)个体的凝视行为似乎取决于情况的类型,这种偏差可能仅限于凝视回避。本研究调查了社会情境——看脸任务和公开演讲任务——对社区样本中HSA参与者凝视行为的差异影响。参与者的眼球运动使用可穿戴式眼动仪进行追踪。测量了注视行为的两个方面:(1)通过总注视时间、注视次数和面部平均注视时间来评估注视回避;(2) 通过扫描路径长度和固定点之间的平均距离来评估高度警觉。研究结果证实了任务对面部总注视时间(尽管不是平均值)和注视次数的调节作用。与社交焦虑程度较低的参与者相比,HSA参与者在演讲中看观众的频率较低(因此时间较短)。这表明HSA个体的视觉回避并非默认发生,而是只有在感知到(负面)社会后果的风险时才会发生。社交焦虑程度高和低的参与者在这两种情况下都没有表现出高度警觉的差异。
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引用次数: 4
The somatosensory system in anorexia nervosa: A scoping review 神经性厌食症的体感系统:范围界定综述
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.1177/2043808720987346
M. Teaford, M. McMurray, V. Billock, Madison Filipkowski, L. Smart
Anorexia nervosa (AN) is a severe psychiatric disorder characterized by a number of symptoms including food restriction and body perception distortions. In the present scoping review, we outline the current literature on sensory submodalities related to the somatosensory system in AN including affective touch, haptic perception, interoception, nociception, proprioception, and tactile perception as well as multisensory integration. The evidence suggests that individuals with AN exhibit abnormalities in multisensory integration, discrimination (but not detection) of complex haptic and tactile stimuli, and reduced sensitivity to nociceptive stimuli. This review provides an outline of the current literature, identifies gaps within the literature, and suggests novel directions for future research.
神经性厌食症(AN)是一种严重的精神障碍,其特征是多种症状,包括食物限制和身体感知扭曲。在本范围综述中,我们概述了目前关于AN中与体感系统相关的感觉亚模式的文献,包括情感触摸、触觉感知、内觉、伤害感、本体感觉、触觉感知以及多感官整合。证据表明,AN患者在多感官整合、对复杂触觉和触觉刺激的辨别(但不是检测)以及对伤害性刺激的敏感性降低方面表现出异常。这篇综述概述了当前的文献,确定了文献中的空白,并为未来的研究提出了新的方向。
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引用次数: 10
Differentiating the roles of intolerance of uncertainty and negative beliefs about worry across emotional disorders 区分对不确定性的不容忍和对担忧的负面信念在情绪障碍中的作用
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2020-10-01 DOI: 10.1177/2043808720970072
Alexander M. Penney, G. Rachor, Kendall A Deleurme
Background: Researchers have examined intolerance of uncertainty (IU) and negative beliefs about worry (NBW) in emotional disorders. However, the distinct relationships of IU and NBW remain unclear. We examined IU and NBW across emotional disorders, controlling for overlapping symptoms. We also explored prospective and inhibitory IU. Methods: A sample of 565 undergraduates completed measures of IU and NBW, as well as measures of generalized anxiety, depression, social anxiety, panic, post-traumatic stress, obsessive-compulsive, and illness anxiety disorder symptoms. Regression analyses were used to determine which factors were uniquely associated with symptoms of each disorder. Results: Both IU and NBW were associated with generalized anxiety and social anxiety disorder symptoms. IU was also associated with obsessive-compulsive disorder symptoms and negatively associated with panic disorder symptoms. NBW was also associated with depression. Neither IU now NBW were associated with post-traumatic stress or illness anxiety disorders. Prospective and inhibitory IU also had differential associations with the emotional disorders. Conclusions: Our results indicate that IU and NBW, while transdiagnostic, are differentially associated with emotional disorder symptoms. Our results also support the discriminant validity of prospective and inhibitory IU.
背景:研究人员已经研究了情绪障碍中的不确定性不耐受(IU)和关于担忧的负面信念(NBW)。然而,IU和NBW之间的明显关系尚不清楚。我们在情绪障碍中检查IU和NBW,控制重叠症状。我们还探讨了前瞻性和抑制性IU。方法:565名大学生完成了IU和NBW的测量,以及广泛性焦虑、抑郁、社交焦虑、恐慌、创伤后应激、强迫症和疾病焦虑障碍症状的测量。回归分析用于确定哪些因素与每种疾病的症状唯一相关。结果:IU和NBW均与广泛性焦虑和社交焦虑障碍症状相关。IU还与强迫症症状相关,与惊恐障碍症状负相关。NBW还与抑郁症有关。IU和NBW均与创伤后应激或疾病焦虑症无关。前瞻性和抑制性IU与情绪障碍也有不同的关联。结论:我们的研究结果表明,IU和NBW虽然是经诊断的,但与情绪障碍症状有不同的相关性。我们的结果也支持前瞻性和抑制性IU的判别效度。
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引用次数: 6
An experimental test of the habit-goal framework: Depressive rumination is associated with heightened habitual characteristics of negative thinking but not habit-directed behavior control 习惯-目标框架的实验测试:抑郁症反刍与消极思维的习惯性特征增强有关,但与习惯导向的行为控制无关
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2020-10-01 DOI: 10.1177/2043808720977168
Kristján Helgi Hjartarson, I. Snorrason, Ágústa Friðriksdóttir, B. B. Þórsdóttir, N. B. Arnarsdóttir, R. Ólafsson
Habitual thinking may underpin a heightened disposition to engage in rumination in response to negative mood, a widely held notion that has rarely been directly tested. The purpose of the current study was to investigate whether rumination is associated with habitual attributes and whether it is related to an imbalance in habit relative to goal-directed behavior control. University students (N=115) completed self-report questionnaires, a rumination induction paradigm and an outcome devaluation task that measures habitual vs goal-directed behavior control. Greater habitual characteristics of negative thinking (e.g., automaticity, lack of conscious awareness, control, and intent) were associated with ruminative brooding but not ruminative reflection and predicted more persistent dysphoric mood following rumination induction. Rumination was not, however, consistently associated with an imbalance in habit versus goal-directed behavior control. These findings indicate that depression vulnerability may be in the form of rumination being habitually triggered (without awareness or intent) with deleterious effects on mood. Although habitual, rumination may not be related to an imbalance in habit relative to goal-directed behavior control. These findings provide support for current theoretical accounts of rumination and set important boundary conditions in the search for specific factors that contribute to rumination as a habit.
习惯性思维可能是对负面情绪进行反思的强化倾向的基础,这是一个被广泛接受的概念,很少受到直接测试。本研究的目的是调查沉思是否与习惯属性有关,以及它是否与习惯相对于目标导向行为控制的失衡有关。大学生(N=115)完成了自我报告问卷、沉思诱导范式和测量习惯性与目标导向行为控制的结果贬值任务。消极思维的更大习惯性特征(如自动性、缺乏意识、控制和意图)与沉思沉思有关,但与沉思反思无关,并预测沉思诱导后更持久的烦躁情绪。然而,反刍并不总是与习惯与目标导向行为控制的不平衡有关。这些发现表明,抑郁的脆弱性可能是习惯性地(在没有意识或意图的情况下)引发的沉思,对情绪产生有害影响。尽管是习惯性的,但相对于目标导向的行为控制,沉思可能与习惯失衡无关。这些发现为当前反刍的理论描述提供了支持,并为寻找有助于反刍成为一种习惯的特定因素设定了重要的边界条件。
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引用次数: 1
Validation of the Clance Impostor Phenomenon Scale with female Hebrew-speaking students Clance冒名顶替现象量表在希伯来语女学生中的验证
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2020-10-01 DOI: 10.1177/2043808720974341
Yosi Yaffe
The Clance Impostor Phenomenon Scale (CIPS) is a measure widely used to assess individuals’ self-perceptions of intellectual and professional fraudulence. The study aimed to investigate the psychometric properties of the Hebrew form for the CIPS (HCIPS) in female Hebrew-speaking students, in an attempt to further clarify its structure and strengthen its validity in international settings. The study comprised a sample of 248 female students (M age = 27.74, SD = 7.32), who completed an online version of the questionnaire. Our results generally demonstrated satisfactory psychometric properties of the HCIPS total scale, with its internal consistency, reliability, and item-total-correlations meeting the standard criteria. The exploratory factor analysis yielded a stable four-factor solution for the 19-items, with its factors accounting for 54.81% of the model’s variance. The confirmatory factor analysis confirmed the four-factor model as compatible, with its fit-indices meeting the minimal standards of goodness of fit. The study’s findings are the first to identify a four-factor model, which improves the imbalanced factorial composition characterizing the common three-factor model. Subject to the study’s limitations, this evidence suggests that the HCIPS is a sound instrument for assessing impostor feelings among female Hebrew-speaking students.
Clance冒名顶替现象量表(CIPS)是一种广泛用于评估个人对智力和职业欺诈的自我认知的测量方法。本研究旨在探讨以希伯来语为母语的女学生的CIPS (HCIPS)希伯来语形式的心理测量特征,试图进一步阐明其结构,并加强其在国际环境中的有效性。本研究选取248名女学生(M年龄= 27.74,SD = 7.32)完成在线问卷。结果表明,HCIPS总量表的内部一致性、信度和项目-总相关性均符合标准要求。探索性因子分析对19个条目得到稳定的四因子解,其因子占模型方差的54.81%。验证性因子分析证实四因素模型是相容的,其拟合指标满足拟合优度的最低标准。该研究的发现首次确定了四因素模型,这改善了常见三因素模型的不平衡因子组成。受限于研究的局限性,这一证据表明,HCIPS是评估讲希伯来语的女学生对冒名顶替者情绪的一种可靠工具。
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引用次数: 10
Pavlovian-to-instrumental transfer in subclinical obsessive–compulsive disorder 亚临床强迫症的巴甫洛夫-工具转移
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2020-07-01 DOI: 10.1177/2043808720925244
Angelos-Miltiadis Krypotos, I. Engelhard
Pavlovian-to-instrumental transfer (PIT) refers to the effect of stimuli that have been associated with a pleasant or aversive event on instrumental behaviors. Given that obsessive–compulsive disorder (OCD) is linked to excessive compulsions, which in the laboratory can be tested via testing instrumental responses, we assessed PIT effects in individuals with subclinical levels of OCD. Participants from a nonclinical population were separated in groups with low (OC−) and high (OC+) levels of OCD. Participants learned to associate one button press (R1) with the cancellation of an aversive outcome (O1) and another button press (R2) with the cancellation of another aversive outcome (O2). Subsequently, they watched stimuli of five different colors (S1–S5) that were followed by O1, O2, a novel negative outcome (O3: video of a house on fire), or two neutral outcomes (O4: plus sign; O5: caret symbol), respectively. In the last phase, participants saw S1–S5 while they were allowed to press the R1 or the R2 button. Contrary to predictions, the OC− compared to OC+ group showed somewhat stronger specific PIT effects, indicated by more R1 and R2 responses during the presentation of the S1 and S2, respectively. No reliable evidence was found for general PIT.
巴甫洛夫工具转移(PIT)是指与愉快或厌恶事件相关的刺激对工具行为的影响。鉴于强迫症(OCD)与过度强迫有关,在实验室中可以通过测试仪器反应来测试过度强迫,我们评估了亚临床水平强迫症患者的PIT效应。来自非临床人群的参与者被分为低(OC-)和高(OC+)强迫症组。参与者学会了将一次按下按钮(R1)与厌恶结果(O1)的取消联系起来,将另一次按下按键(R2)与另一个厌恶结果(O2)的取消关联起来。随后,他们观察了五种不同颜色的刺激(S1–S5),然后分别是O1、O2、一种新的负面结果(O3:房子着火的视频)或两种中性结果(O4:加号;O5:插入符号)。在最后一个阶段,参与者在按下R1或R2按钮时看到S1–S5。与预测相反,与OC+组相比,OC−组表现出更强的特异性PIT效应,在S1和S2的表现过程中分别有更多的R1和R2反应。没有发现一般PIT的可靠证据。
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引用次数: 9
Engagement and disengagement components of attentional bias to emotional stimuli in anxiety and depression 焦虑和抑郁患者对情绪刺激的注意偏向的参与和脱离成分
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2020-07-01 DOI: 10.1177/2043808720943753
A. Blicher, M. L. Reinholdt-Dunne, M. Hvenegaard, Clas Winding, Anders Petersen, S. Vangkilde
Previous research shows that attentional bias is associated with emotional difficulties. The aim of the present study was to investigate the engagement and disengagement components of attentional bias to emotional stimuli in anxiety and depression using the attentional assessment task. The experimental groups consisted of 54 clinical participants in treatment for anxiety or depression and 54 control participants. The results indicated that the clinical participants showed greater levels of attentional avoidance of emotional stimuli than the control participants. Additional subgroup analyses suggested that this effect may be limited to symptoms of anxiety and not symptoms of depression. Results are discussed in relation to current models of information processing in emotional disorders.
先前的研究表明,注意力偏差与情绪困难有关。本研究的目的是使用注意力评估任务来研究焦虑和抑郁患者对情绪刺激的注意力偏向的参与和脱离成分。实验组包括54名焦虑或抑郁治疗的临床参与者和54名对照参与者。结果表明,临床参与者对情绪刺激的注意回避水平高于对照参与者。其他亚组分析表明,这种影响可能仅限于焦虑症状,而不是抑郁症状。研究结果与当前情绪障碍的信息处理模型有关。
{"title":"Engagement and disengagement components of attentional bias to emotional stimuli in anxiety and depression","authors":"A. Blicher, M. L. Reinholdt-Dunne, M. Hvenegaard, Clas Winding, Anders Petersen, S. Vangkilde","doi":"10.1177/2043808720943753","DOIUrl":"https://doi.org/10.1177/2043808720943753","url":null,"abstract":"Previous research shows that attentional bias is associated with emotional difficulties. The aim of the present study was to investigate the engagement and disengagement components of attentional bias to emotional stimuli in anxiety and depression using the attentional assessment task. The experimental groups consisted of 54 clinical participants in treatment for anxiety or depression and 54 control participants. The results indicated that the clinical participants showed greater levels of attentional avoidance of emotional stimuli than the control participants. Additional subgroup analyses suggested that this effect may be limited to symptoms of anxiety and not symptoms of depression. Results are discussed in relation to current models of information processing in emotional disorders.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2043808720943753","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49289371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Averting Repulsion? Body-Directed Self-Disgust and Autobiographical Memory Retrieval 避免排斥?身体定向的自我厌恶与自传记忆检索
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2020-06-26 DOI: 10.1177/20438087211073244
Paula von Spreckelsen, I. Wessel, K. Glashouwer, P. D. de Jong
A negative body image and appraisals of disgust with one’s (physical) self reflect schematic representations of one’s body, which we classified under the term repulsive body image (RBI). We propose that an RBI biases autobiographical memory processing towards schema (=RBI)-congruent and over-general memories. Women with high (HRBI; n = 61) and low (LRBI; n = 64) levels of habitual body-directed self-disgust were asked to retrieve memories in response to abstract body words in a minimal instruction Autobiographical Memory Test. Compared to the LRBI group, the HRBI group recalled a higher number of autobiographical memories that involved appraisals of the own body as disgusting, and reported elevated habitual tendencies to prevent experiencing disgust towards the own body. Neither RBI scores nor tendencies to prevent experiencing body-related disgust were found to be statistically significant predictors of memory specificity. The overall low memory specificity could be indicative of a need for more sensitive measures of autobiographical memory specificity to examine disgust-driven avoidance at the memory level. Nevertheless, the current results may indicate that disgust-related memories and the prevention of experiencing disgust towards the own body could play a role in body image concerns.
负面的身体形象和对(身体)自我厌恶的评价反映了一个人身体的示意图,我们将其归类为排斥性身体形象(RBI)。我们提出RBI使自传体记忆处理偏向于图式(=RBI)一致性和一般记忆。具有高(HRBI;n=61)和低(LRBI;n=64)水平的习惯性身体定向自我厌恶的女性被要求在最小指令自传记忆测试中检索对抽象身体单词的记忆。与LRBI组相比,HRBI组回忆起更多的自传体记忆,这些记忆涉及对自己身体的厌恶评价,并报告了防止对自己身体产生厌恶的习惯性倾向。无论是RBI评分还是预防身体相关厌恶的倾向都不是记忆特异性的统计学显著预测因素。总体的低记忆特异性可能表明需要对自传体记忆特异性进行更敏感的测量,以在记忆水平上检查厌恶驱动的回避。然而,目前的研究结果可能表明,与厌恶相关的记忆和防止对自己身体产生厌恶可能在身体形象问题中发挥作用。
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引用次数: 3
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Journal of Experimental Psychopathology
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