饮食失调中的负面自我形象与结果：3年随访结果
Negative self-image and outcome in eating disorders: results at 3-year follow-up.
作者信息
Björck Caroline, Clinton David, Sohlberg Staffan, Norring Claes
机构信息
Karolinska Institutet, Department of Clinical Neuroscience/Section for Psychiatry, Karolinska University Hospital-Huddinge, M57, S-141 86 Stockholm, Sweden.
出版信息
Eat Behav. 2007 Aug;8(3):398-406. doi: 10.1016/j.eatbeh.2006.12.002. Epub 2006 Dec 30.
INTRODUCTION
Negative self-image has been hypothesised to be of aetiological significance in eating disorders; however, its relationship to outcome remains unclear. The present study examined the relationship between self-image and follow-up status in a heterogeneous sample of eating disorder patients (N=246).
METHODS
Patients were assessed at intake and after 36 months. Self-image was measured using SASB, and a general outcome measure was calculated comprising eating disorder symptoms, occupational status, interpersonal relationships and general psychopathology.
RESULTS
SASB self-hate was the most important variable for predicting poor outcome, followed by occupational status, interpersonal relationships, eating disorder symptoms, SASB self-emancipation and general psychiatric symptoms. Together these variables predicted 23% of the variance in outcome.
DISCUSSION
High levels of self-hate may increase the risk of poor outcome in eating disorders by adversely affecting interpersonal relationships and making it difficult for patients to engage in treatment.
引言
消极的自我形象被认为在饮食失调的病因学中具有重要意义；然而，其与预后的关系仍不明确。本研究在一组异质性饮食失调患者样本（N = 246）中考察了自我形象与随访状态之间的关系。
方法
在患者入院时和36个月后进行评估。使用SASB测量自我形象，并计算一个综合结局指标，包括饮食失调症状、职业状况、人际关系和一般精神病理学。
结果
SASB自我厌恶是预测不良预后的最重要变量，其次是职业状况、人际关系、饮食失调症状、SASB自我解放和一般精神症状。这些变量共同预测了结局变异的23%。
讨论
高度的自我厌恶可能通过对人际关系产生不利影响并使患者难以参与治疗，从而增加饮食失调患者预后不良的风险。
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