Gila Araceli, Castro Josefina, Cesena José, Toro Josep
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic Universitari of Barcelona, Barcelona, Spain.
J Adolesc Health. 2005 Mar;36(3):221-6. doi: 10.1016/j.jadohealth.2004.02.039.
To evaluate body image and its relationship with psychological and behavioral traits associated with anorexia nervosa in male patients.
Thirty male adolescents with anorexia nervosa (AN) were compared with 421 male adolescents from the general population. Body image was evaluated with the Subjective Body Dimensions Apparatus. Eating attitudes were evaluated by the Eating Attitudes Test in its 26-item version (EAT-26). In 19 AN patients and 200 boys from the comparison group, the Eating Disorders Inventory (EDI) was also administered.
AN patients had higher mean scores in the EAT-26 and the Body Dissatisfaction scale on the EDI, but not on the other EDI scales. Both groups overestimated all parts of their bodies but AN patients presented a greater overestimation of shoulders (p = .007), hips (p = .01) and thighs (p = .019). Correlations in the anorexic group were high and negative between body overestimation and body mass index and also high but positive between overestimation and the EAT and the Drive for Thinness scale on the EDI. Overestimation did not correlate significantly with other EDI scales.
Male patients with anorexia nervosa overestimate some parts of their bodies more often than controls; this overestimation is related to body mass index, abnormal eating attitudes and drive for thinness, but not to other psychological traits evaluated by the EDI.
评估男性神经性厌食症患者的身体意象及其与相关心理和行为特征的关系。
将30名患有神经性厌食症（AN）的男性青少年与421名普通人群中的男性青少年进行比较。使用主观身体维度仪器评估身体意象。通过26项版本的饮食态度测试（EAT-26）评估饮食态度。在19名AN患者和200名对照组男孩中，还进行了饮食失调问卷（EDI）测试。
AN患者在EAT-26和EDI的身体不满量表上的平均得分较高，但在其他EDI量表上则不然。两组均高估了自己身体的各个部位，但AN患者对肩部（p = 0.007）、臀部（p = 0.01）和大腿（p = 0.019）的高估更为明显。在厌食症组中，身体高估与体重指数之间呈高度负相关，与EAT以及EDI的追求瘦身量表之间呈高度正相关。高估与其他EDI量表无显著相关性。
男性神经性厌食症患者比对照组更常高估自己身体的某些部位；这种高估与体重指数、异常饮食态度和追求瘦身有关，但与EDI评估的其他心理特征无关。
