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Reactivity to interpersonal stress in patients with eating disorders: A systematic review and meta-analysis of studies using an experimental paradigm
Neuroscience & Biobehavioral Reviews ( IF 8.2 ) Pub Date : 2018-02-08 , DOI: 10.1016/j.neubiorev.2018.02.002
Alessio Maria Monteleone , Janet Treasure , Carol Kan , Valentina Cardi

Reactivity to interpersonal stress in patients with eating disorders: A systematic review and meta-analysis of studies using an experimental paradigm. NEUROSCI BIOBEHAV REV XXX-XXX, 2018.- Social difficulties have been implicated in the development and maintenance of eating disorder symptoms. The aim of this work was to conduct a systematic review and meta-analysis of experimental studies testing patientsö reactivity to interpersonal stress, compared to healthy controls. Thirty-four studies were included. Meta-analyses were conducted on 16 studies and on following outcomes: attention bias and interference to threatening faces, cortisol, heart rate and negative affect before and after exposure to interpersonal stress. Patients showed heightened attention bias and interference to threatening faces. Lower heart rate after exposure to interpersonal stress and greater negative affect before and after interpersonal stress were observed in the clinical group compared to controls. Surprisingly, only a small minority of studies included measures of abnormal eating behaviour and attitudes. This seems a missed opportunity for testing the causal and maintaining role that abnormalities in interpersonal stress response play in eating disorders. Nonetheless, findings corroborate the hypothesis that patients' response to interpersonal stress differs from that of healthy controls.



中文翻译:

饮食失调患者对人际压力的反应性:使用实验范式对研究进行系统的回顾和荟萃分析

饮食失调患者对人际压力的反应性:使用实验范式对研究进行系统的回顾和荟萃分析。NEUROSCI BIOBEHAV REV XXX-XXX,2018.-进食障碍症状的发展和维持涉及社会困难。这项工作的目的是对与健康对照相比测试患者对人际压力的反应性的实验研究进行系统的回顾和荟萃分析。包括三十四项研究。对16项研究和以下结果进行了荟萃分析:注意偏见和对威胁性面孔的干扰,皮质醇,心率以及在暴露于人际压力之前和之后的负面影响。患者表现出高度的注意力偏见和对威胁性面孔的干扰。与对照组相比,在临床组中,暴露于人际压力后的心率降低,以及在人际压力之前和之后的较大负面影响。令人惊讶的是,只有极少数的研究包括了异常饮食行为和态度的测量。这似乎是错过机会来检验人际压力反应异常在饮食失调中所起的因果关系和维持作用。尽管如此,研究结果证实了以下假设:患者对人际压力的反应与健康人的反应有所不同。这似乎是错过机会来检验人际压力反应异常在饮食失调中所起的因果关系和维持作用。但是,研究结果证实了以下假设:患者对人际压力的反应与健康对照的反应不同。这似乎是错过机会来检验人际压力反应异常在饮食失调中所起的因果关系和维持作用。但是,研究结果证实了以下假设:患者对人际压力的反应与健康对照的反应不同。

更新日期:2018-02-08
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