Berger Uwe, Weitkamp Katharina, Strauss Bernhard
Institute of Psychosocial Medicine and Psychotherapy, University Hospital, Friedrich-Schiller-University, Jena, Germany.
Eur Eat Disord Rev. 2009 Mar;17(2):128-36. doi: 10.1002/erv.898.
From a clinical point of view, a high 'objective' BMI or an early biological onset of puberty are well-known risk factors for eating disorders. In contrast, little is known about irrational beliefs and subjective meanings of body weight and pubertal timing.
Mostly using standardised questionnaires, 136 girls with an average age of 12 years were asked to report their eating behaviour, (body) self-esteem, body dissatisfaction, weight limits, estimations of future BMI, subjective pubertal timing and appearance-related social comparisons.
Results showed significant correlations between disturbed eating behaviour and the existence of a weight limit, which was reported by 45% of the girls. Twenty two per cent wished to have a future BMI beneath the 10th percentile. In terms of pubertal timing, girls who perceived themselves as either 'early starters' or 'late starters' reported significantly more risky eating behaviour.
Results are discussed with a focus on the psychotherapeutic use of our findings as well as the opportunity for the development of preventive strategies.
从临床角度来看，高“客观”体重指数或青春期的早期生物学 onset 是饮食失调的众所周知的风险因素。相比之下，对于体重和青春期时间的非理性信念及主观意义知之甚少。
主要使用标准化问卷，对136名平均年龄为12岁的女孩进行询问，了解她们的饮食行为、（身体）自尊、身体不满、体重限制、对未来体重指数的估计、主观青春期时间以及与外貌相关的社会比较。
结果显示，饮食行为紊乱与体重限制的存在之间存在显著相关性，45%的女孩报告了体重限制。22%的女孩希望未来的体重指数低于第10百分位。在青春期时间方面，认为自己是“早熟者”或“晚熟者”的女孩报告的危险饮食行为明显更多。
对结果进行了讨论，重点是我们的研究结果在心理治疗中的应用以及制定预防策略的机会。
