RESUMO
OBJECTIVE: This study had two goals. The first was to validate and examine the potential of the Hebrew version of the Cambridge Mindreading face task (CAMHeb )-an ecological measure of emotional theory of mind (eToM)-to assess eToM in individuals with anorexia nervosa (AN). The second goal was to examine whether interpersonal mistrust would mediate the relation between mentalizing and eToM and the severity of AN. METHOD: The validity of the CAMHeb was examined using well-established measures of mentalizing ability and eToM in 45 young female patients with AN and 53 control participants. Next, the mediation model was assessed using a subsample of 33 AN patients and 34 controls, in which interpersonal mistrust was additionally assessed. RESULTS: The CAMHeb correlated with the measures of mentalizing ability and eToM. The CAMHeb , along with the measure of general mentalizing, significantly differentiated between the AN and control groups. The associations of general mentalizing and CAMHeb with eating disorder (ED) symptoms were mediated by interpersonal mistrust. CONCLUSION: The CAMHeb is a valid measure of deficient eToM in AN. In therapy, an increase in mentalizing ability and accurate eToM may enhance interpersonal trust, which may further contribute to attenuation of AN symptoms.
Assuntos
Anorexia Nervosa , Transtornos da Alimentação e da Ingestão de Alimentos , Mentalização , Teoria da Mente , Anorexia Nervosa/psicologia , Emoções , Feminino , HumanosRESUMO
High levels of naturally occurring and carcinogenic radium isotopes have been measured in low-saline and oxic groundwater from the Rum Group of the Disi sandstone aquifer in Jordan. The combined 228Ra and 226Ra activities are up to 2000% higher than international drinking water standards. Analyses of the host sandstone aquifer rocks show 228Ra and 226Ra activities and ratios that are consistent with previous reports of sandstone rocks from different parts of the world. A compilation of previous data in groundwater from worldwide sandstone aquifers shows large variations in Ra activities regardless of the groundwater salinity. On the basis of the distribution of the four Ra isotopes and the ratios of the short- to long-lived Ra isotopes, we postulate that Ra activity in groundwater is controlled by the balance of radioactive decay of parent Th isotopes on aquifer solids, decay of the dissolved radium isotopes, and adsorption of dissolved Ra on solid surfaces. The availability of surface adsorption sites, which depends on the clay content in the aquifer rocks, is therefore an important constraint for Ra activity in sandstone aquifers. These findings raise concerns about the safety of this and similar nonrenewable groundwater reservoirs, exacerbating the already severe water crisis in the Middle East.