Body image, emotions and thought control strategies in body dysmorphic disorder compared to eating disorders and healthy controls.

Body image, emotions and thought control strategies in body dysmorphic disorder compared to eating disorders and healthy controls.
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与饮食失调和健康对照相比,身体变形障碍的身体形象、情绪和思想控制策略。

DOI:
10.1016/j.jpsychores.2011.12.002
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发表时间:
2012
影响因子:
4.7
通讯作者:
Alexandra Martin
Alexandra Martin
中科院分区:
医学3区
文献类型:
--
作者:
Ines Kollei;Stefan Brunhoeber;E. Rauh;M. de Zwaan;Alexandra Martin

文献摘要

被引文献

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身体意象紊乱、羞耻和厌恶等情绪以及侵入性思维被描述为身体畸形障碍(BDD)的重要和相互依赖的特征。然而,在这一领域的研究是稀缺的,知识往往是基于临床observation.METHODSThe本研究探讨的身体形象尺寸,情绪和思想控制策略的个人:BDD(n=31),神经性厌食症(n=32),神经性贪食症(n=34),和健康对照组(n=33)。评估是基于结构化的诊断访谈和自我报告的问卷调查。与健康对照组相比,BDD患者在心理社会和外观操纵方面的身体形象得分更高。此外,他们报告了更高的社会心理障碍,由于外观比两个饮食失调组。在情绪方面,与健康对照组相比,BDD受试者报告了更高程度的负面情绪,而与进食障碍患者相比没有发现差异。与BDD个人报告使用适应不良的策略,如担心和对抗更经常比健康的控制,当遇到侵入性和不想要的thoughts.CONCLUSIONThe结果表明,个人与BDD经历大量的心理障碍,由于外观,高水平的各种负面情绪和经常使用适应不良的思想控制策略。
OBJECTIVEA disordered body image, emotions such as shame and disgust, and intrusive thoughts are described as important and interdependent features of body dysmorphic disorder (BDD). However, research in this field is scarce and knowledge is often based on clinical observation.METHODSThe present study examined body image dimensions, emotions, and thought control strategies in individuals with: BDD (n=31), anorexia nervosa (n=32), bulimia nervosa (n=34), and healthy controls (n=33). Assessment was based on structured diagnostic interviews and self-report questionnaires.RESULTSIndividuals with BDD scored higher on psychosocial and appearance manipulation dimensions of body image compared to healthy controls. Furthermore, they reported higher psychosocial impairment due to appearance than both eating disorder groups. In terms of emotions, BDD subjects reported a higher degree of negative emotions compared to healthy controls, whereas no differences were found in comparison to eating-disordered patients. Individuals with BDD reported using maladaptive strategies such as worrying and confrontation more often than healthy controls, when encountering intrusive and unwanted thoughts.CONCLUSIONThe results indicate that individuals with BDD experience substantial psychosocial impairment due to appearance, high levels of various negative emotions and frequently use maladaptive thought control strategies.