Shafran Roz, Fairburn Christopher G, Robinson Paul, Lask Bryan
Department of Psychiatry, Oxford University, Warneford Hospital, Oxford, England.
Int J Eat Disord. 2004 Jan;35(1):93-101. doi: 10.1002/eat.10228.
One expression of the core psychopathology of eating disorders is the repeated checking and avoidance of shape or weight. Two studies are reported. The primary purpose of the first was to describe the phenomenology of such body checking and avoidance. The aim of the second was to compare body checking and avoidance in women with and without a clinical eating disorder.
In Study 1, 64 female patients with clinical eating disorders participated in a semistructured interview assessing the features of body checking and avoidance. In the second study, a self-report questionnaire was used to compare body checking and avoidance in women with and without a clinical eating disorder (n = 110).
The majority (92%) of the patients in Study 1 checked their bodies to assess their shape or weight and this was associated significantly with eating disorder symptoms. In Study 2, the clinical group had significantly more body checking and avoidance than the comparison group, and there was a strong association between eating disorder psychopathology and body checking and avoidance.
These findings support the view that body checking and avoidance are direct expressions of the overevaluation of shape and weight. Further work is needed to determine whether these expressions contribute to the maintenance of eating disorders.
饮食失调核心精神病理学的一种表现是反复检查和回避体型或体重。本文报告两项研究。第一项研究的主要目的是描述此类身体检查和回避行为的现象学。第二项研究的目的是比较有和没有临床饮食失调的女性的身体检查和回避行为。
在研究1中，64名患有临床饮食失调的女性患者参与了一项半结构化访谈，评估身体检查和回避行为的特征。在第二项研究中，使用一份自我报告问卷来比较有和没有临床饮食失调的女性（n = 110）的身体检查和回避行为。
研究1中的大多数患者（92%）会检查自己的身体以评估体型或体重，这与饮食失调症状显著相关。在研究2中，临床组的身体检查和回避行为明显多于对照组，饮食失调精神病理学与身体检查和回避行为之间存在强烈关联。
这些发现支持这样一种观点，即身体检查和回避行为是对体型和体重过度评估的直接表现。需要进一步开展研究以确定这些表现是否会促使饮食失调持续存在。
