Clinical and Temperamental Correlates of Body Image Disturbance in Eating Disorders
Clinical and Temperamental Correlates of Body Image Disturbance in Eating Disorders
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DOI：
10.1002/erv.2190
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发表时间：
2013-01-01
影响因子：
5.3
通讯作者：
Favaro, Angela
中科院分区：
文献类型：
--
作者：
Zanetti, Tatiana;Santonastaso, Paolo;Favaro, Angela
目的虽然身体意象障碍（BID）被认为是神经性厌食症（AN）和神经性贪食症（BN）的核心症状，但对其精神病理相关性知之甚少。本研究旨在分析BID各方面与精神病理和气质特征的相关性。方法采用结构化诊断访谈、进食障碍量表和人格三维度问卷对1288例患者（538例AN， 750例BN）进行评估。在访谈过程中通过具体问题评估对身体形象扭曲的认知、体重检查、对体重增加的恐惧和对身体的不满。结果在AN和BN中，BID各方面形成相似但不完全相同的尺寸。在两组中，预期焦虑和内感受性意识与身体形象扭曲显著且独立相关，而无效与体重检查相关。身体形象障碍是一种多维度的特征，与心理特征有关，如预期焦虑、无效和内感受性意识。这些发现具有科学和治疗意义，临床医生在采用成功的治疗策略时应予以考虑。版权所有(c) 2012约翰威利父子有限公司和饮食失调协会。
Objective Although body image disturbance (BID) is considered a core symptom in anorexia nervosa (AN) and bulimia nervosa (BN), little is known about its psychopathological correlates. The present study aimed at analysing the correlation of aspects of BID with psychopathological and temperamental characteristics. Method A sample of 1288 patients (538 AN and 750 BN) were assessed through a structured diagnostic interview, the Eating Disorders Inventory and Tridimensional Personality Questionnaire. Cognition of body image distortion, weight checking, fear of weight gain and body dissatisfaction were assessed by specific questions during the interview. Results Various aspects of BID formed similar, but not identical, dimensions in AN and BN. In both groups, anticipatory anxiety and interoceptive awareness were significantly and independently associated with body image distortion, whereas ineffectiveness was associated with weight checking. Discussion Body image disturbance is a multidimensional characteristic linked to psychological features, such as anticipatory anxiety, ineffectiveness and interoceptive awareness. These findings have scientific and treatment implications, and should be considered by clinicians in adopting successful treatment strategies. Copyright (c) 2012 John Wiley & Sons, Ltd and Eating Disorders Association.