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《心理学探新》[ISSN:1003-5184/CN:36-1228/B]

期数:

 2021年04期

页码:

 370-378

栏目:

 

出版日期:

 2021-10-25

文章信息/Info

Title:

 From Compulsive Exercise to Eating Disorder Symptoms:The Mediating Effect of Attachment

文章编号:

1003-5184(2021)04-0370-09

作者:

 王玉洁¹; 2; 马敬华¹; 2; 刘爽爽¹; 2; 王 葵¹; 2; 3

 (1.中国科学院心理健康院重点实验室,中国科学院心理研究所,北京 100101; 2.中国科学院大学心理系,北京 100049; 3.江油市第二人民医院儿童保健科,江油 621701)

Author(s):

 Wang Yujie¹; 2; Ma Jinghua¹; 2; Liu Shuangshuang¹; 2; Wang Kui¹; 2; 3

 (1.CAS Key Laboratory of Mental Health,Institute of Psychology,Beijing 100101; 2.University of Chinese Academy of Sciences,Beijing 100049; 3.Jiangyou Second People’s Hospital Child Health Care Department,Jiangyou 621701)

关键词:

 强迫运动;  进食障碍症状;  依恋焦虑;  依恋回避;  依恋关系

Keywords:

 compulsive exercise;  eating disorder symptoms;  attachment anxiety;  attachment avoidance;  attachment

分类号:

 B848

DOI:

 -

文献标识码:

 A

摘要:

 目的:考察在校大学生依恋关系在强迫运动与进食障碍症状之间的中介效应。方法:研究一和研究二采用问卷调查法分别对466名男大学生和334名女大学生的依恋焦虑、依恋回避水平、强迫运动和进食障碍临床症状进行考察,通过分层回归检验依恋焦虑和依恋回避在强迫运动与进食障碍症状间的中介效应,并用Bootstrap法对中介效应进行验证。结果:在男女大学生中强迫运动可显著预测进食障碍症状; 在男生当中,依恋的两个维度依恋焦虑和依恋回避在强迫运动与进食障碍间的部分中介作用显著; 在女生当中,仅依恋焦虑起到部分中介作用。结论:强迫运动是进食障碍症状的重要风险因子,可通过依恋关系的中介作用影响进食障碍症状,依恋关系对强迫运动与进食障碍症状之间关系的中介效应具有性别差异。

Abstract:

 Objective:The study examined the role of attachment in mediating the relationship between compulsive exercise and eating disorder symptoms among college students.Methods:Participants were 466 male(study 1)and 334 female(study 2)college students.Self-report questionnaires adopted to assess attachment,compulsive exercise and eating disorder symptoms.Results:Compulsive exercise predicted eating disorder symptoms significantly in both samples.Among men,both dimensions of adult attachment,namely attachment anxiety and attachment avoidance,partially mediated the relationship between compulsive exercise and eating disorder symptoms,while only attachment anxiety mediated the pathological pathway from compulsive exercise to eating disorder symptoms in women.Conclusions:Compulsive exercise was an important risk factor in developing eating disorder symptoms among college students,anxiety and avoidance dimensions of attachment could explain the association between compulsive exercise and eating disorder symptoms.Further,the mediating role of attachment differed between men and women.

参考文献/References

 杜江红,王华昕,李永鑫.(2015).成人依恋量表AAS在中国大学生样本中的修订.湖州师范学院学报,37(1),63-69.
王向群,王高华.(2015).中国进食障碍防治指南.北京:中华医学电子音像出版社.
张大荣,孔庆梅.(2004).EDI-1量表对神经性厌食症患者的初步测试.中国心理卫生杂志,18(1),48-50.
周浩,龙立荣.(2004).共同方法偏差的统计检验与控制方法.心理科学进展,12(6),942-950.
Amini,F.,Lewis,T.,Lannon,R.,Louie,A.,Baumbacher,G.,McGuinness,T.,& Zirker,S.E.(1996).Affect,attachment,memory:Contributions toward psychobiologic integration.Psychiatry:Interpersonal and Biological Processes,59(3),231-239.
American Psychiatric Association.(2013).Diagnostic and statistical manual of mental disorders 5th edition.Washinton,DC:American Psychiatric Publishing.
Bamford,B.,& Halliwell,E.(2009).Investigating the role of attachment in social comparison theories of eating disorders within a non-clinical female population.European Eating Disorders Review,17,371-379.
Bowlby,J.(1977).The making and breaking of affectional bonds.I.Aetiology and psychopathology in the light of attachment theory.An expanded version of the Fiftieth Maudsley Lecture,delivered before the Royal College of Psychiatrists,19 November 1976.British Journal of Psychiatry,130(3),201-210.
Bowlby,J.(1985).Cognition and psychotherapy.New York:Plenum Press.
Bowlby,J.(1988).A secure base.Clinical application of attachment theory.London:Routledge.
Brennan,K.,Clark,C.,& Shaver,P.R.(1998).Self-report measurement of adult attachment:An integrative overview.In J.A.Simpson & W.S.Rholes(Eds.),Attachment theory and close relationships(pp.46-76).The Guilford Press.
Carr,S.(2009).Implications of attachment theory for sport and physical activity research:Conceptual links with achievement goal and peer-relationship models.International Review of Sport and Exercise Psychology,2(1),95-115.
Collins,N.L.(1996).Working models of attachment:Implications for explanation,emotion,and behavior.Journal of Personality and Social Psychology,71(4),810-832.
Collins,N.L.,& Read,S.J.(1990).Adult attachment,working models,and relationship quality in dating couples.Journal of Personality and Social Psychology,58(4),644-663.
Cooper,M.L.,Shaver,P.R.,& Collins,N.L.(1998).Attachment styles,emotion regulation,and adjustment in adolescence.Journal of Personality and Social Psychology,74,1380-1397.
Crowell,J.A.,Treboux,D.,& Waters,E.(2002).Stability of attachment representations:The transition to marriage.Development Psychology,38(4),467-479.
Dittmer,N.,Jacobi,C.,& Voderholzer,U.(2018).Compulsive exercise in eating disorders:Proposal for a definition and a clinical assessment.Journal of Eating Disorders,6,42.
Faber,A.,Dubé,L.,& Kn?uper,B.(2018).Attachment and eating:A meta-analytic review of the relevance of attachment for unhealthy and healthy eating behaviors in the general population.Appetite,123,410-438.
Fairburn,C.G.,Cooper,Z.,& Shafran,R.(2003).Cognitive behaviour therapy for eating disorders:A “transdiagnostic” theory and treatment.Behaviour Research and Therapy,41,509-528.
Fuendeling,J.M.(1998).Affect regulation as a stylistic process within adult attachment.Journal for Social and Personal Relationships,15(3),291-322.
Gander,M.,Sevecke,K.,& Buchheim,A.(2015).Eating disorders in adolescence:Attachment issues from a developmental perspecitve.Frontiers in Psychology,6,1136.
Garner,D.M.,Olmstead,M.P.,& Polivy,J.(1983).Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia.International Journal of Eating Disorders,2(2),15-34.
Goodwin,H.,Haycraft,E.,& Meyer,C.(2012).The relationship between compulsive exercise and emotion regulation in adolescents.British Journal of Health Psychology,17(4),699-710.
Goodwin,H.,Haycraft,E.,& Meyer,C.(2014).Emotion regulation styles as longitudinal predictors of compulsive exercise:A twelve month prospective study.Journal of Adolescence,37,1399-1404.
Goodwin,H.,Haycraft,E.,Taranis,L.,& Meyer,C.(2011).Psychometric evaluation of the compulsive exercise test(CET)in an adolescent population:Links with eating psychopathology.European Eating Disorders Review,19,269-279.
Greenwood,D.,& Pietromonaco,P.(Eds.).(2003).The interplay among attachment orientation,idealized media images of women,and body dissatisfaction:A social psychological analysis.Hillsdale NJ:Lawrence Erlbaum Associates.
Huprich,S.K.,Stepp,S.D.,Graham,A.,& Johnson,L.(2004).Gender differences in dependency,separation,object relations and pathological eating behavior and attitudes.Personality and Individual Differences,36(4),801-811.
Jewell,T.,Collyer,H.,Gardner,T.,Tchanturia,K.,Simic,M.,Fonagy,P.,& Eisler,I.(2016).Attachment and mentalization and their association with child and adolescent eating pathology:A systematic review.International Journal of Eating Disorders,49(4),354-373.
Karen,R.(2017).不堪的需求,丑陋的我:焦虑型依恋与羞耻.依恋的形成:母婴关系如何塑造我们一生的情感(pp.221-229).北京:中国轻工业出版社.
Koskina,N.,& Giovazolias,T.(2010).The effect of attachment insecurity in the development of eating disturbances across gender:The role of body dissatisfaction.The Journal of Psychology,144(5),449-471.
Kuipers,G.S.,Loenhou,Z.V.,Ark,L.A.V.D.,& Bekker,M.H.J.(2018).Is reduction of symptoms in eating disorder patients after 1 year of treatment related to attachment security and mentalization?Eating Disorders,26(3),263-269.
Lawson,R.,Waller,G.,& Lockwood,R.(2007).Cognitive content and process in eating-disordered patients with obsessive-compulsive features.Eating Behaviors,8(3),305-310.
Levallius,J.,Collin,C.,& Birgega?rd,A.(2017).Now you see it,Now you don’t:Compulsive exercise in adolescents with an eating disorder.Journal of Eating Disorders,5,9.
Levine,M.P.,& Murnen,S.K.(2009).“Everybody knows that mass media are/are not [pick one] a cause of eating disorders”:A critical review of evidence for a causal link between media,negative body image,and disordered eating in females.Journal for Social and Clinical Psychology,28(1),9-42.
Mallinckrodt,B.(2000).Attachment,social competencies,social support,and interpersonal process in psychotherapy.Psychotherapy Research,10(3),239-266.
Mantilla,E.F.,Clinton,D.,& Birgeg?rd,A.(2019).The unsafe haven:Eating disorders as attachment relationships.Psychology and Psychotherapy:Theory,Research and Practice,92,379-393.
Meyer,C.,Plateau,C.R.,Taranis,L.,Brewin,N.,Wales,J.,& Arcelus,J.(2016).The Compulsive Exercise Test:Confirmatory factor analysis and links with eating psychopathology among women with clinical eating disorders.Journal of Eating Disorders,4(1),22.
Meyer,C.,Taranis,L.,Goodwin,H.,& Haycraft,E.(2011).Compulsive exercise and eating disorders.European Eating Disorders Review,19(3),174-189.
Mikulincer,M.,Florian,V.,& Weller,A.(1993).Attachment styles,coping strategies,and posttraumatic psychological distress:The impact of the Gulf War in Israel.Journal of Personality and Social Psychology,64(5),817-826.
Mikulincer,M.,Gillath,O.,& Shaver,P.R.(2002).Activation of the attachment system in adulthood:Threat-related primes increase the accessibility of mental representations of attachment figures.Journal of Personality and Social Psychology,83(4),881-895.
Mikulincer,M.,& Shaver,P.R.(2012).An attachment perspective on psychopathology.World Psychiatry,11,11-15.
Mikulincer,M.,Shaver,P.R.,& Pereg,D.(2003).Attachment theory and affect regulation:The dynamics,development,and cognitive consequences of attachment-related strategies.Motivation and Emotion,27(2),77-102.
O’Shaughnessy,R.,& Dallos,R.(2009).Attachment research and eating disorders:A review of the literature.Clinical Child Psychology and Psychiatry,14(4),559-574.
Rowe,A.,& Carnelley,K.B.(2003).Attachment style differences in the processing of attachment-relevant information:Primed-style effects on recall,interpersonal expectations,and affect.Personal Relationships,10,59-75.
Scharmer,C.,Gorrell,S.,Schaumberg,K.,& Anderson,D.(2020).Compulsive exercise or exercise dependence?Clarifying conceptualizations of exercise in the context of eating disorder pathology.Psychology of Sport and Exercise,46,101-586
Taranis,L.,& Meyer,C.(2011).Associations between specific components of compulsive exercise and eating-disordered cognitions and behaviors among young women.International Journal of Eating Disorders,44,452-458.
Taranis,L.,Touyz,S.,& Meyer,C.(2011).Disordered eating and exercise:Development and preliminary validation of the compulsive exercise test(CET).European Eating Disorders Review,19,256-268.
Tasca,G.,Ritchie,K.,Demidenko,N.,Balfour,L.,Krysanski,V.,Weekes,K.,...& Bissada,H.(2013).Matching women with binge eating disorder to group treatment based on attachment anxiety:Outcomes and moderating effects.Psychotherapy Research,23(3),301-314.
Tasca,G.A.,& Balfour,L.(2014).Eating disorders and attachment:A compemporary psychodynamic perspective.Psychodydamic Psychiatry,42(2),257-276.
Tasca,G.A.,Mikail,S.,& Hewitt,P.(Eds.).(2005).Group psychodynamic interpersonal psychotherapy:A manual for time limited treatment of binge eating disorder.Hauppauge,NY:Nova.
Tasca,G.A.,Szadkowski,L.,Illing,V.,Trinneer,A.,Grenon,R.,Demidenko,N.,et al.(2009).Adult attachment,depression,and eating disorder symptoms:The mediating role of affect regulation strategies.Personality and Individual Differences,47,662-667.
Wang,K.,Liang,R.,Ma,Z.-L.,Chen,J.,Cheung,E.F.C.,Roalf,D.R.,et al.(2018).Body image attitude among Chinese college students.PsyCh Journal,7(1),31-40.
Ward,A.,Ramsay,R.,& Treasure,J.(2000).Attachment research in eating disorders.British Journal of Medical Psychology,73,35-51.
Welch,A.C.,Katzka,W.R.,& Dulawa,S.C.(2018).Assessing activity-based anorexia in mice.Journal of Visualized Experiments,135,e57395.

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更新日期/Last Update:  1900-01-01