De Berardis Domenico, Carano Alessandro, Gambi Francesco, Campanella Daniela, Giannetti Paola, Ceci Anna, Mancini Enrico, La Rovere Raffaella, Cicconetti Alessandra, Penna Laura, Di Matteo Danilo, Scorrano Barbara, Cotellessa Carla, Salerno Rosa Maria, Serroni Nicola, Ferro Filippo Maria
Department of Oncology and Neurosciences, Institute of Psychiatry, University G. d'Annunzio of Chieti, Italy.
Eat Behav. 2007 Aug;8(3):296-304. doi: 10.1016/j.eatbeh.2006.11.005. Epub 2006 Dec 5.
The aim of the present study was to evaluate in a non-clinical sample of undergraduate women, the relationships between alexithymia, body checking and body image, identifying predictive factors associated with the possible risk of developing an Eating Disorder (ED). The Toronto Alexithymia Scale (TAS-20), Body Checking Questionnaire (BCQ), Eating Attitudes Test (EAT-26), Body Shape Questionnaire (BSQ), Interaction Anxiousness Scale (IAS), Rosenberg Self-Esteem Scale (RSES) and the Beck Depression Inventory (BDI) were completed by 254 undergraduate females. We found that alexithymics had more consistent body checking behaviors and higher body dissatisfaction than nonalexithymics. In addition, alexithymics also reported a higher potential risk for ED (higher scores on EAT-26) when compared to nonalexithymics. Difficulty in identifying and describing feelings subscales of TAS-20, Overall appearance and Specific Body Parts subscales of BCQ as well as lower self-esteem was associated with higher ED risk in a linear regression analysis. Thus, a combination of alexithymia, low self-esteem, body checking behaviors and body dissatisfaction may be a risk factor for symptoms of ED at least in a non-clinical sample of university women.
本研究的目的是在本科女生的非临床样本中，评估述情障碍、身体检查与身体意象之间的关系，识别与可能患饮食失调症（ED）风险相关的预测因素。254名本科女性完成了多伦多述情障碍量表（TAS-20）、身体检查问卷（BCQ）、饮食态度测试（EAT-26）、身体形状问卷（BSQ）、交往焦虑量表（IAS）、罗森伯格自尊量表（RSES）和贝克抑郁量表（BDI）。我们发现，与非述情障碍者相比，述情障碍者有更一致的身体检查行为，对身体的不满程度更高。此外，与非述情障碍者相比，述情障碍者报告的患ED的潜在风险也更高（EAT-26得分更高）。在一项线性回归分析中，TAS-20的识别和描述情感子量表、BCQ的整体外观和特定身体部位子量表以及较低的自尊与较高的ED风险相关。因此，述情障碍、低自尊、身体检查行为和身体不满的综合作用可能是至少在大学女生的非临床样本中出现ED症状的一个风险因素。
