Benrud-Larson Lisa M, Heinberg Leslie J, Boling Christy, Reed Jeffrey, White Barbara, Wigley Fredrick M, Haythornthwaite Jennifer A
Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Health Psychol. 2003 Mar;22(2):130-9.
Body image dissatisfaction and its relationship to psychosocial function were investigated in 127 women with scleroderma Results indicated elevated body image dissatisfaction, with participants reporting higher levels than a sample of patients with severe burn injuries. Age, skin tightening above the elbows, and functional disability were related to heightened body image dissatisfaction, suggesting that younger patients with more severe disease may be at greatest risk for developing body image concerns. Path analysis revealed that depression mediated the relationship between body image dissatisfaction and psychosocial function. Results suggest that body image dissatisfaction is a significant concern in women with scleroderma and should be assessed routinely. Early identification and treatment of body image dissatisfaction may help prevent the development of depression and psychosocial impairment in this population.
对127名硬皮病女性患者的身体意象不满及其与心理社会功能的关系进行了调查。结果显示身体意象不满程度升高，参与者报告的水平高于严重烧伤患者样本。年龄、肘部以上皮肤紧绷和功能残疾与身体意象不满程度升高有关，这表明病情更严重的年轻患者可能最容易出现身体意象问题。路径分析表明，抑郁在身体意象不满与心理社会功能之间起中介作用。结果表明，身体意象不满是硬皮病女性患者的一个重要问题，应定期进行评估。早期识别和治疗身体意象不满可能有助于预防该人群中抑郁症和心理社会障碍的发生。
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