ABSTRACT

The present study aimed to examine gender differences in the experience of eating disorder-related intrusive thoughts (EDITs; i.e., frequency, content, emotional consequences, & control strategies). In addition, differences in the experience of EDITs across those atrisk of developing an eating disorder and those who are not atrisk were investigated. Six hundred and seventy-one adults completed self-report measures assessing the experience of EDITs, disordered eating attitudes and behaviours, and body dissatisfaction. It was found that females experienced EDITs more frequently and with higher levels of distress compared with males. With regard to control strategies, females tended to use distraction and thought suppression, whereas males were likely to do nothing in response. Participants in the at-risk group experienced EDITs more frequently, with higher distress, and responded by using obsessive-compulsive rituals or doing what the intrusion dictated significantly more than non-risk participants. Relationships between body dissatisfaction and EDITs related to bodily appearance were found to be stronger for men, whereas women revealed a stronger relationship between disordered eating and purging EDITs. The findings of this study support the growing literature regarding EDITs as a distinct clinical feature of eating disorders, and the developing evidence base regarding intrusive thoughts as a transdiagnostic mechanism.

摘要

本研究旨在检查饮食失调相关侵入性想法（编辑；即频率、内容、情绪后果和控制策略）体验中的性别差异。此外，还调查了有发生饮食失调风险的人和没有发生饮食失调风险的人的 EDIT 经验差异。671 名成年人完成了评估 EDIT 经历、饮食态度和行为紊乱以及身体不满意的自我报告措施。结果发现，与男性相比，女性更频繁地经历 EDITs 并且具有更高程度的痛苦。在控制策略方面，女性倾向于使用分心和抑制思想，而男性则可能什么都不做。高风险组的参与者更频繁地经历编辑，有更高的痛苦，并通过使用强迫性仪式或做入侵所要求的事情来做出回应，这比非风险参与者要多得多。发现身体不满意和与身体外观相关的 EDIT 之间的关系对男性来说更强，而女性则发现饮食失调和清除 EDIT 之间的关系更强。这项研究的结果支持越来越多的文献将 EDITs 视为饮食失调的一个独特临床特征，以及将侵入性思维作为一种跨诊断机制的发展证据基础。而女性则发现饮食失调与清除 EDIT 之间的关系更为密切。这项研究的结果支持越来越多的文献将 EDITs 视为饮食失调的独特临床特征，以及将侵入性思维作为一种跨诊断机制的发展证据基础。而女性则发现饮食失调与清除 EDIT 之间的关系更为密切。这项研究的结果支持越来越多的文献将 EDITs 视为饮食失调的独特临床特征，以及将侵入性思维作为一种跨诊断机制的发展证据基础。