Examining the role of self-discrepancy and self-directed style in bulimia nervosa

PSYCHIATRY RESEARCH

卷:244

Article

Mason, Tyler B.¹  Pearson, Carolyn M.²  Lavender, Jason M.^1,3  Wonderlich, Stephen A.^1,3  Crosby, Ross D.^1,3  Erickson, Ann L.¹  Mitchell, James E.^1,3  Crow, Scott J.^2,4  Smith, Tracey L.^5,6,7  Klein, Marjorie H.⁸  Peterson, Carol B.^2,4 

[1] Neuropsychiat Res Inst, Dept Clin Res, Fargo, ND USA

[2] Univ Minnesota, Sch Med, Minneapolis, MN 55455 USA

[3] Univ North Dakota, Sch Med & Hlth Sci, Dept Psychiat & Behav Sci, Fargo, ND USA

[4] Emily Program, St Paul, MN USA

[5] Baylor Univ, Coll Med, VA South Cent Mental Illness Res Educ & Clin Ctr, Houston, TX 77030 USA

[6] Baylor Univ, Coll Med, VA HSR&D Ctr Innovat Qual Effectiveness & Safety, Houston, TX 77030 USA

[7] Baylor Univ, Coll Med, Dept Psychiat & Behav Sci, Houston, TX 77030 USA

[8] Univ Wisconsin, Dept Psychiat, Madison, WI 53706 USA

关键词: Bulimia nervosa;    Self-discrepancy;    Self-directed style;    Integrative cognitive affective therapy;   

DOI  :  10.1016/j.psychres.2016.07.056

来源: Elsevier

【 摘 要 】

Two of the primary components within Integrative Cognitive Affective Therapy (ICAT) are self-discrepancy and self-directed style. Self-discrepancy includes both actual:ideal (discrepancy between oneself and who one wishes they were) and actual:ought (discrepancy between oneself and who one believes they ought to be). Self-directed style in ICAT refers to a variety of behaviors emitted by a person toward the self including self-blaming and self-affirming. This study explored main effects and interactions between self discrepancy and self-directed style in relation to global eating disorder (ED) psychopathology, depressive symptoms, and anxiety. Eighty treatment-seeking adults from the Midwest with BN or subthreshold BN completed interviews and self-report measures. Self-affirm and self-blame were associated with ED psychopathology, depressive symptoms, and anxiety. Actual:ideal discrepancy was related to anxiety and actual:ought discrepancy was related to anxiety and depressive symptoms. Interactions were found between self-affirm and actual:ought discrepancy as well as self-blame and actual:ought discrepancy for depressive symptoms. High actual:ought was related to increased depressive symptoms regardless of levels of self-affirm or self-blame. Effect sizes for models were medium-to-large with anxiety models demonstrating the largest effects. This study provides further evidence supporting the ICAT model and treatment, which targets self-discrepancies, self-directed styles, and related emotional states. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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