OBJECTIVE Emotion regulation, perfectionism, and rumination are perpetuating factors in anorexia nervosa (AN). Mindfulness can be protective and therapeutic. We aimed to understand the relationship between these factors and mindfulness in AN. METHODS 20 adolescent girls in the acute phase of the AN, 16 in remission, and 40 in the control group were evaluated. RESULTS Mindfulness was lowest in the acute AN group. The difference in the acute AN group regarding body dissatisfaction, emotion dysregulation, perfectionism, and mindfulness disappeared after controlling for the effects of depression and anxiety. The predictors of disordered eating in the entire study population were body dissatisfaction and depressive symptoms. Emotion regulation and perfectionism were the predictors of mindfulness in the acute AN group and the entire study population. When mindfulness decreased, concerns about body shape increased in both acute AN and remission groups, while dietary restriction and disordered eating behaviors increased only in the remission group. DISCUSSION Emotion regulation difficulties in acute AN could be related to depression and anxiety. Mindfulness interventions for emotion regulation could be used for depression during the acute phase while for perfectionism in remission. Early intervention for depression and body dissatisfaction seems protective, and mindfulness could be an appropriate intervention.

中文翻译：

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正念对神经性厌食症心理方面的作用。

目的 情绪调节、完美主义和沉思是神经性厌食症 (AN) 的持续因素。正念可以起到保护和治疗作用。我们的目的是了解这些因素与 AN 中的正念之间的关系。方法 对 20 名 AN 急性期少女、16 名缓解期少女和 40 名对照组少女进行了评估。结果 急性 AN 组的正念最低。在控制抑郁和焦虑的影响后，急性AN组在身体不满意、情绪失调、完美主义和正念方面的差异消失了。整个研究人群饮食失调的预测因素是身体不满意和抑郁症状。情绪调节和完美主义是急性 AN 组和整个研究人群正念的预测因素。当正念下降时，急性 AN 组和缓解组对体形的担忧都会增加，而饮食限制和饮食失调行为仅在缓解组中增加。讨论 急性 AN 的情绪调节困难可能与抑郁和焦虑有关。情绪调节的正念干预可用于治疗急性期的抑郁症，以及缓解期的完美主义。对抑郁和身体不满的早期干预似乎具有保护作用，而正念可能是一种适当的干预措施。