Teasing history and eating disorder features: an age- and body mass index-matched comparison of bulimia nervosa and binge-eating disorder.
Teasing history and eating disorder features: an age- and body mass index-matched comparison of bulimia nervosa and binge-eating disorder.
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戏弄历史和饮食失调特征：神经性贪食症和暴食症的年龄和体重指数匹配比较。
DOI：
10.1053/comp.2002.30793
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发表时间：
2002
影响因子：
7.3
通讯作者：
Masheb,RobinM
中科院分区：
文献类型：
--
作者：
Jackson,TamaraD;Grilo,CarlosM;Masheb,RobinM
该研究检查了与暴食症（BED）患者相比，神经性贪食症（BN）患者的身体外观被取笑的历史是否与当前饮食学的差异模式相关。将32例BN成年女性患者与年龄和体重指数（BMI）匹配的32例BED成年女性患者进行比较。一组已建立的工具被用来评估身体外观[ndash ]相关的戏弄历史，当前的饮食失调特征，身体不满，和心理功能（抑郁和自尊）。BN患者报告了一个显着更高的频率被取笑的重量和大小（WST），但类似的频率被取笑的一般外观（GAT）的年龄和BMI匹配的BED患者。两个研究组在当前的饮食失调特征、身体不满或心理功能方面没有显著差异，唯一的例外是BN患者的特征是明显更大的饮食限制。在BN和BED研究组中分别进行的相关性分析显示，在任何一个研究组中，取笑史和饮食失调特征之间都没有显着的关联。对于BN组，WST和GAT与饮食失调特征或身体不满均无显著相关，但两者均与较低的自尊显著相关。对于年龄和BMI匹配的BED组，WST与进食障碍特征，身体不满或心理功能无关，但GAT与更高的饮食限制和抑郁症相关。虽然身体外观相关的戏弄历史是不相关的大多数饮食失调的功能，无论是研究组，它似乎与心理功能的不同形式的戏弄的关联可能会有所不同，这取决于饮食失调的类型。
The study examined whether a history of being teased about physical appearance is associated with differential patterns of current symptomatology in patients with bulimia nervosa (BN) as compared to patients with binge-eating disorder (BED). Thirty-two adult female patients with BN were compared with an age- and body mass index (BMI)-matched group of 32 adult female patients with BED. A battery of established instruments were used to assess physical appearance[ndash ]related teasing history, current eating disorder features, body dissatisfaction, and psychological functioning (depression and self-esteem). BN patients reported a significantly higher frequency of having been teased about weight and size (WST) but a similar frequency of having been teased about general appearance (GAT) as the age- and BMI-matched BED patients. The two study groups did not differ significantly on current eating disorder features, body dissatisfaction, or psychological functioning, with the one exception that BN patients were characterized by significantly greater dietary restraint. Correlational analyses conducted separately within the BN and BED study groups revealed few significant associations between teasing history and eating disorder features in either study group. For the BN group, neither WST nor GAT was significantly associated with eating disorder features or body dissatisfaction, but both were significantly associated with lower self-esteem. For the age- and BMI-matched BED group, WST was not associated with eating disorder features, body dissatisfaction, or psychological functioning, but GAT was associated with higher dietary restraint and depression. Although physical appearance related teasing history was not associated with most eating disorder features for either study group, it appears that the association of different forms of teasing with psychological functioning may vary depending on the type of eating disorder symptomatology.