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暴饮暴食和自尊水平可预测寻求减肥手术的肥胖男性和女性的身体意象不满。

Binge eating and self-esteem predict body image dissatisfaction among obese men and women seeking bariatric surgery.

作者信息

Grilo Carlos M, Masheb Robin M, Brody Michelle, Burke-Martindale Carolyn H, Rothschild Bruce S

机构信息

Department of Psychiatry, Yale Psychiatric Research, Yale University School of Medicine, New Haven, Connecticut 06520, USA.

出版信息

Int J Eat Disord. 2005 May;37(4):347-51. doi: 10.1002/eat.20130.

Abstract

OBJECTIVE

We examined body image dissatisfaction (BID) in extremely obese men and women seeking bariatric surgery.

METHODS

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.

RESULTS

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.

DISCUSSION

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.

摘要

目的

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。

方法

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。

结果

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%。

讨论

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。

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