Jackson Tamara D, Grilo Carlos M, Masheb Robin M
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520, USA.
Compr Psychiatry. 2002 Mar-Apr;43(2):108-13. doi: 10.1053/comp.2002.30793.
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-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.
该研究考察了与暴饮暴食症（BED）患者相比，曾因外貌被取笑的经历是否与神经性贪食症（BN）患者当前不同的症状模式有关。32名成年女性BN患者与32名年龄和体重指数（BMI）匹配的成年女性BED患者进行了比较。使用一系列既定工具来评估与外貌相关的被取笑经历、当前的饮食失调特征、身体不满以及心理功能（抑郁和自尊）。与年龄和BMI匹配的BED患者相比，BN患者报告称因体重和身材被取笑（WST）的频率显著更高，但因整体外貌被取笑（GAT）的频率相似。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患者的饮食限制明显更强。在BN和BED研究组中分别进行的相关分析显示，在任何一个研究组中，被取笑经历与饮食失调特征之间几乎没有显著关联。对于BN组，WST和GAT均与饮食失调特征或身体不满无显著关联，但二者均与较低的自尊显著相关。对于年龄和BMI匹配的BED组，WST与饮食失调特征、身体不满或心理功能无关，但GAT与更高的饮食限制和抑郁有关。尽管外貌相关的被取笑经历与两个研究组的大多数饮食失调特征均无关联，但不同形式的取笑与心理功能之间的关联似乎可能因饮食失调症状类型而异。
