Abraham S F, von Lojewski A, Anderson G, Clarke S, Russell J
Department of Psychological Medicine, University of Sydney, The Northside Clinic, Greenwich, NSW, Australia.
Eat Weight Disord. 2009 Mar;14(1):e6-10. doi: 10.1007/BF03354621.
This study explored feelings that discriminate between eating disorder and community groups of women. Responses to 25 questions about body image (9), eating (8) self-esteem (3) general psychology (5) were collected in 2002-2003 (N=268) and 2005-2006 (N=472). Wilk's lambda was used to test discrimination. The most discriminating psychological questions were: 'feeling unhappy and unable to cope as well as usual', 'unease attending social functions', 'fearing loss of control over emotions'; and for eating questions were: 'feeling uneasy if other people saw you eating', 'feeling preoccupied with food/eating', 'fearing loss of control over eating'. For body image only 'feeling preoccupied with body weight/shape' and 'fearing loss of control over your body' discriminated. Questions relating to weight and shape for self-esteem ('feeling fat', 'fearing weight gain' and 'wanting to lose weight') discriminated poorly. Results for both cohorts were consistent. Preoccupation with thoughts of eating or body image and fear of loss of control of these would be useful additions to eating disorders criteria. Psychological impairment should also be present.
本研究探讨了区分饮食失调女性群体和普通女性群体的情感因素。2002 - 2003年（N = 268）和2005 - 2006年（N = 472）收集了对25个关于身体意象（9个问题）、饮食（8个问题）、自尊（3个问题）、一般心理（5个问题）的问题的回答。使用威尔克斯λ检验进行区分。最具区分性的心理问题是：“感觉不开心且无法像往常一样应对”、“参加社交活动时感到不安”、“害怕情绪失控”；饮食方面的问题是：“如果别人看到你吃东西会感到不安”、“满脑子都是食物/饮食”、“害怕饮食失控”。对于身体意象，只有“满脑子都是体重/身材”和“害怕身体失控”具有区分性。与自尊相关的体重和身材问题（“感觉自己胖”、“害怕体重增加”和“想减肥”）区分性较差。两个队列的结果一致。对饮食或身体意象的过度关注以及对这些方面失去控制的恐惧，将是饮食失调标准中有用的补充内容。还应存在心理障碍。
