University of Texas Southwestern Medical Center at Dallas, USA.
Eur Eat Disord Rev. 2010 Sep-Oct;18(5):376-84. doi: 10.1002/erv.998.
This prospective study examined whether psychological variables related to the transdiagnostic theory of eating disorders measured at admission predicted length of time to reach 85 per cent of ideal body weight (IBW) among underweight adolescents hospitalized for an eating disorder.
Thirty-three girls (aged 12-17) weighing below 85 per cent of IBW, admitted to an inpatient and/or partial hospitalization eating disorder programme completed self-report measures at admission. Cox regression tested whether scores on admission measures predicted time to reach 85 per cent of IBW.
After controlling for IBW at admission, higher self-esteem and lower perfectionism predicted shorter time to reach 85 per cent of IBW, with emotion regulation as a marginally significant predictor.
Self-esteem and perfectionism may be predictors of responsiveness to weight-gain efforts during hospitalization. Further studies are necessary to determine whether these variables might be appropriate targets for intervention to promote weight gain in underweight girls with eating disorders.
本前瞻性研究旨在探讨入院时测量的与进食障碍跨诊断理论相关的心理变量是否能预测因进食障碍住院的消瘦青少年达到理想体重(IBW) 85%所需的时间。
33 名体重低于 IBW 85%的女孩(年龄 12-17 岁)入住院内和/或部分住院进食障碍治疗计划,在入院时完成了自我报告量表的测试。Cox 回归分析检验了入院时的得分是否能预测达到 IBW 85%的时间。
在控制入院时的 IBW 后,自尊得分较高和完美主义得分较低预示着达到 IBW 85%的时间更短,情绪调节则是一个边缘显著的预测因素。
自尊和完美主义可能是住院期间体重增加反应的预测因素。需要进一步的研究来确定这些变量是否可能成为促进患有进食障碍的消瘦女孩体重增加的干预目标。