Grilo Carlos M, Masheb Robin M, Brody Michelle, Burke-Martindale Carolyn H, Rothschild Bruce S
Department of Psychiatry, Yale Psychiatric Research, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
Int J Eat Disord. 2005 May;37(4):347-51. doi: 10.1002/eat.20130.
We examined body image dissatisfaction (BID) in extremely obese men and women seeking bariatric surgery.
The following predictors of BID were examined in a consecutive series of 260 (44 men and 216 women) gastric bypass candidates: gender, ethnicity, body mass index (BMI), age at onset of overweight, childhood maltreatment, binge eating, depression, and self-esteem.
Women reported significantly higher levels of BID than men. Stepwise multiple regression analyses revealed that gender, binge eating, and self-esteem levels accounted for 41% of the variance in BID. In predicting BID levels separately by gender, binge eating and self-esteem accounted for 56% of the variance among men and for 33% of the variance among women.
Among bariatric surgery candidates, women reported significantly higher BID than men. Our findings suggest the importance of binge eating and lower self-esteem for understanding BID in both men and women who are extremely obese.
我们研究了寻求减肥手术的极度肥胖男性和女性的身体意象不满（BID）情况。
在连续的260名（44名男性和216名女性）胃旁路手术候选者中，对以下BID预测因素进行了研究：性别、种族、体重指数（BMI）、超重起始年龄、童年期受虐经历、暴饮暴食、抑郁和自尊。
女性报告的BID水平显著高于男性。逐步多元回归分析显示，性别、暴饮暴食和自尊水平占BID变异的41%。按性别分别预测BID水平时，暴饮暴食和自尊占男性变异的56%，占女性变异的33%。
在减肥手术候选者中，女性报告的BID显著高于男性。我们的研究结果表明，暴饮暴食和较低的自尊对于理解极度肥胖的男性和女性的BID具有重要意义。
