文章基本信息

标题：Psychological Meanings of Eating Disorders and Their Association With Symptoms, Motivation Toward Treatment, and Clinical Evolution Among Outpatients
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作者：Marie-Pierre Gagnon-Girouard ; Marie-Pier Chenel-Beaulieu ; Annie Aimé 等
期刊名称：Europe's Journal of Psychology
电子版ISSN：1841-0413
出版年度：2019
卷号：15
期号：2
页码：367-379
DOI：10.5964/ejop.v15i2.1623
出版社：PsychOpen
摘要：Unlike patients suffering from egodystonic disorders, people with eating disorders sometimes attribute positive meanings to their symptoms, and this attribution process contributes to the maintenance of the disorder. This study aims at exploring psychological meanings of eating disorders and their associations with symptoms, motivation toward treatment, and clinical evolution. Eighty-one adults with an eating disorder (anorexia nervosa, n = 46 and bulimia nervosa, n = 35) treated in a day-hospital program were asked, each week over an 8- week period, to identify the psychological meanings they ascribed to their eating disorder. Avoidance was the most frequently identified meaning, followed by mental strength, security, death, confidence, identity, care, and communication. Avoidance was more frequently mentioned by participants with bulimia than in cases of anorexia. Security and mental strength were associated with less motivation toward treatment. Death was associated with more depressive and anxious symptoms. An exploratory factor analysis showed that these meanings formed three main dimensions: Avoidance, Intrapsychic, and Relational. Findings suggest that psychological meanings associated with eating disorders can be assessed and used as a clinical tool to increase treatment acceptability and effectiveness.
关键词：Bulimia; anorexia; depression; anxiety; motivation; maintenance factors; ambivalence toward treatment
其他关键词：Bulimia;anorexia;depression;anxiety;motivation;maintenance factors;ambivalence toward treatment