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神经性厌食症中的身体意象扭曲——真的存在感知缺陷吗?

Body image distortion in Anorexia Nervosa--is there really a perceptual deficit?

作者信息

Hennighausen K, Enkelmann D, Wewetzer C, Remschmidt H

机构信息

Department of Child and Adolescent Psychiatry, Philipps University Marburg, Hans-Sachs-Str. 6, 35033 Marburg, Germany.

出版信息

Eur Child Adolesc Psychiatry. 1999 Sep;8(3):200-6. doi: 10.1007/s007870050130.

DOI:10.1007/s007870050130
PMID:10550702
Abstract

Perceived and ideal body image were analysed in 36 inpatients with Anorexia Nervosa (AN) and 18 control patients (age 11-23 years). A computer-based image distortion technique allowed distortion of the whole body and of body parts. Subjects rated their own image. A body perception index (BPI) was calculated by dividing estimated dimension with real dimension. There was no general overestimation of body dimensions in AN patients in comparison to controls but AN patients more often under- or overestimated their body dimensions. Control patients showed a significant lower ideal BPI than AN patients, whose ideal body shape was similar to the observed body shape. Profile analyses of the body part estimation procedure revealed significant differences between groups in the ideal body shape at the body regions thigh, hip, waist and chest with control patients again showing a lower BPI.

摘要

对36名神经性厌食症(AN)住院患者和18名对照患者(年龄11 - 23岁)的感知身体形象和理想身体形象进行了分析。一种基于计算机的图像变形技术能够对全身和身体部位进行变形。受试者对自己的形象进行评分。通过将估计尺寸除以实际尺寸来计算身体感知指数(BPI)。与对照组相比,AN患者并没有普遍高估身体尺寸,但AN患者更常低估或高估自己的身体尺寸。对照患者的理想BPI显著低于AN患者,AN患者的理想身体形状与观察到的身体形状相似。对身体部位估计程序的轮廓分析显示,在大腿、臀部、腰部和胸部等身体区域的理想身体形状上,两组之间存在显著差异,对照患者的BPI再次较低。

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