Affective Lability and Impulsivity in a Clinical Sample of Women with Bulimia Nervosa: The Role of Affect in Severely Dysregulated Behavior

被引：62

作者：

Anestis, Michael D. ^{[1
]}

Peterson, Carol B. ^{[2
]}

Bardone-Cone, Anna M. ^{[3
]}

Klein, Marjorie H. ^{[4
]}

Mitchell, James E. ^{[5
,6
]}

Crosby, Ross D. ^{[5
,6
]}

Wonderlich, Stephen A. ^{[5
,6
]}

Crow, Scott J. ^{[2
]}

le Grange, Daniel ^{[7
]}

Joiner, Thomas E. ^{[1
]}

机构：

[1] Florida State Univ, Dept Psychol, Tallahassee, FL 32306 USA

[2] Univ Minnesota, Dept Psychiat, Minneapolis, MN 55455 USA

[3] Univ Missouri, Dept Psychol Sci, Columbia, MO USA

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

[5] Univ N Dakota, Sch Med, Dept Neurosci, Fargo, ND USA

[6] Neuropsychiat Res Inst, Fargo, ND USA

[7] Univ Chicago, Dept Psychiat, Chicago, IL 60637 USA

来源：

INTERNATIONAL JOURNAL OF EATING DISORDERS | 2009年 / 42卷 / 03期

关键词：

Bulimia nervosa; affective lability; emotion regulation; impulsivity; SELF-INJURIOUS-BEHAVIOR; REASSURANCE-SEEKING; AFFECTIVE INSTABILITY; PSYCHOPATHOLOGY; PERSONALITY; DEPRESSION; URGENCY; ESTEEM; MODEL; MOOD;

D O I：

10.1002/eat.20606

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective: The primary aim of this study was to examine the role of affective lability in maladaptive behaviors in a sample of women who meet DSM criteria for current bulimia nervosa (BN). Method: Participants were administered a semistructured diagnostic interview (SCID-P) and only those who currently met criteria for BN (N=134) were included in the analyses. All other data were collected through the use of self-report questionnaires. Results: Affective lability significantly predicted the Impulsive Behavior Scale score (sr=0.21, t=2.64, p<.009, f(2)=0.06) and excessive reassurance seeking (sr=0.21, t=2.74, p<.007, f(2=)0.06), even when controlling for age, depressive symptoms, state and trait anxiety, and general impulsivity. Discussion: The degree to which individuals with BN experience labile emotions is associated with several indicators of dysregulated behavior such that higher levels of affective lability predict a more severely dysregulated behavioral profile. (C) 2008 by Wiley Periodicals, Inc.

引用

页码：259 / 266

页数：8

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