Preoccupation with shape or weight, fear of weight gain, feeling fat and treatment outcomes in patients with anorexia nervosa: A longitudinal study
Preoccupation with shape or weight, fear of weight gain, feeling fat and treatment outcomes in patients with anorexia nervosa: A longitudinal study
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DOI：
10.1016/j.brat.2018.04.001
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发表时间：
2018-06-01
影响因子：
4.1
通讯作者：
Dalle Grave, Riccardo
中科院分区：
文献类型：
--
作者：
Calugi, Simona;El Ghoch, Marwan;Dalle Grave, Riccardo
目的：该研究旨在评估神经性厌食症患者通过强化认知行为疗法治疗的身体形象关注成分随时间变化的轨迹。此外，它的目的是研究的作用，身体形象的关注组件在饮食和一般精神病理学的变化，以及工作和社会functioning.Method：66名成人神经性厌食症患者被招募。体重指数（BMI）;在入院、治疗结束、6个月和12个月随访时记录进食障碍检查“饮食限制”和“进食问题”分量表、简明症状量表（BSI）和工作与社会适应量表（WSAS）评分。的轨迹的变化的三个组成部分的身体形象的关注，即“专注于形状或重量”，“体重增加的恐惧”和“感觉胖”，进行了assessed.Results：治疗与一个显着改善的结果变量和身体形象的关注组件。基线“关注形状或体重”预测饮食问题，BSI和WSAS评分的改善，而“体重增加恐惧”的变化与饮食限制的改善相关。基线和治疗结束时所有三个测量的身体形象关注部分的评分预测在6个月和12个月随访时BMI ≥ 18.5 kg/m2。讨论：这些发现强调了评估和解决神经性厌食症患者身体形象关注的重要性。
Objective: The study aimed to evaluate the trajectories of change over time in body-image concern components in patients with anorexia nervosa treated by means of intensive enhanced cognitive behavioural therapy. Moreover, it aimed to study the role of body-image concern components in changes in eating and general psychopathology as well as work and social functioning.Method: Sixty-six adult patients with anorexia nervosa were recruited. Body mass index (BMI); Eating Disorder Examination 'Dietary Restraint' and 'Eating Concern' subscales; Brief Symptom Inventory (BSI); and Work and Social Adjustment Scale (WSAS) scores were recorded at admission, end of treatment, and at 6- and 12-month follow-ups. The trajectories of change of three components of body image concern, namely 'preoccupation with shape or weight', 'fear of weight gain' and 'feeling fat', were assessed.Results: The treatment was associated with a significant improvement in outcome variables and body-image concern components. Baseline 'preoccupation with shape or weight' predicted improvement in Eating Concern, BSI and WSAS scores, while the change in 'fear of weight gain' was associated with improvement in dietary restraint. Baseline and end-of-therapy scores for all three measured body-image concern components predicted achievement of BMI >= 18.5 kg/m(2) at 6- and 12-month follow-ups.Discussion: These findings highlight the importance of assessing and addressing body-image concern in the management of patients with anorexia nervosa.