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Affective Predictors of the Severity and Change in Eating Psychopathology in Residential Eating Disorder Treatment: The Role of Social Anxiety

机译:饮食进食障碍的严重程度和饮食心理病理变化的情感预测指标:社交焦虑的作用

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摘要

Despite evidence documenting relationships between eating disorder (ED) psychopathology, depression, and anxiety, little is known regarding how social anxiety is related to ED symptoms in treatment. Therefore this study examined associations between depression, general anxiety, social anxiety, and ED psychopathology at the beginning and end of treatment (EOT) among patients (N=380) treated in a residential ED program. Participants completed measures of ED psychopathology and affective variables. Higher depression and general anxiety, but not social anxiety, were related to higher ED psychopathology at baseline. However, social anxiety emerged as a unique predictor of ED psychopathology at EOT such that participants with higher social anxiety evidenced less improvement in ED psychopathology. Findings suggest that social anxiety has specific relevance to treatment in EDs, which may reflect shared mechanisms and underlying deficits in emotion regulation.
机译:尽管有证据表明饮食失调(ED)的精神病理学,抑郁症和焦虑之间存在关系,但关于社交焦虑与治疗中ED症状之间的关系知之甚少。因此,本研究探讨了在住院ED计划中治疗的患者(N = 380)中,在治疗开始和结束(EOT)期间抑郁症,全身性焦虑,社交焦虑和ED精神病理学之间的关联。参与者完成了ED精神病理学和情感变量的测量。基线时较高的抑郁和一般性焦虑与社交焦虑无关,而与较高的ED精神病理学有关。然而,社交焦虑在EOT成为ED精神病理学的独特预测指标,因此社交焦虑程度较高的参与者证明ED精神病理学的改善较少。研究结果表明,社交焦虑症与急诊科的治疗特别相关,这可能反映了情绪调节的共同机制和潜在缺陷。

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