Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: A multisite study
Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: A multisite study
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DOI：
10.1016/j.bodyim.2009.03.001
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发表时间：
2009-06-01
期刊：
影响因子：
5.2
通讯作者：
Phillips, Katharine A.
中科院分区：
文献类型：
--
作者：
Hrabosky, Joshua I.;Cash, Thomas F.;Phillips, Katharine A.
体像障碍被认为是进食障碍和身体畸形障碍的核心特征，但其定义在文献中一直不清楚。本研究探讨了多维度的身体形象功能的神经性厌食症（AN; n = 35），神经性贪食症（BN; n = 26），或BDD（n = 56），相对于女性（n = 34）和男性（n = 36）的精神控制的个人。参与者从美国和英国的10个治疗中心招募，并完成了心理测量学验证和标准化的身体形象自我报告措施。总的来说，AN、BN和BDD组的特征是相对于其性别匹配的临床对照组，大多数身体形象维度的干扰显著升高。然而，在三组感兴趣的比较中存在差异，包括身体不满和身体形象应对模式的焦点。在体像障碍和体像生活质量的综合指标上，BDD患者报告的体像障碍比饮食障碍患者多。虽然AN，BN和BDD的特点是体像障碍，相似的和部分独特的认知，行为和情感元素的体像功能存在于这些群体之间。该研究的经验和临床意义被认为是。(C)2009爱思唯尔有限公司保留所有权利。
Body image disturbance is considered a core characteristic of eating disorders and body dysmorphic disorder (BDD), however its definition has been unclear within the literature. This study examined the multidimensional nature of body image functioning among individuals with either anorexia nervosa (AN; n = 35), bulimia nervosa (BN; n = 26), or BDD (n = 56), relative to female (n = 34) and male (n = 36) psychiatric controls. Participants were recruited from 10 treatment centers in the United States and England and completed psychometrically validated and standardized self-report measures of body image. Overall, the AN, BN, and BDD groups were characterized by significantly elevated disturbances in most body image dimensions relative to their gender-matched clinical controls. There was variability, however, in the comparisons among the three groups of interest, including foci of body dissatisfaction and body image coping patterns. On omnibus indices of body image disturbance and body image quality of life, patients with BDD reported more body image impairment than those with eating disorders. Although AN, BN, and BDD are characterized by body image disturbances, similar and partially distinctive cognitive, behavioral, and emotional elements of body image functioning exist among these groups. The study's empirical and clinical implications are considered. (C) 2009 Elsevier Ltd. All rights reserved.