Eating Disorders Program, Toronto General Hospital, University Health Network, Toronto, Canada.
Int J Eat Disord. 2011 Apr;44(3):220-4. doi: 10.1002/eat.20820.
The aim of this study was to compare patients admitted to a specialized inpatient program for anorexia nervosa (AN) with and without a fear of weight gain in terms of specific eating disorder symptoms, general psychopathology, and treatment outcome.
Measures of specific and general psychopathology were administered at admission to and discharge from the inpatient program. Of the 138 participants, 81% (n = 112) were categorized as having clinical levels of "fear of weight gain" and 19% (n = 26) were categorized as having subclinical levels of this feature.
The subclinical-level group had lower scores on measures of eating disorder psychopathology, depression, general psychiatric disturbance, and obsessive-compulsive symptomatology, but higher self-esteem scores. There were no differences found in terms of age of onset of AN, duration of illness, AN subtype, body mass index, or treatment outcome.
The current findings provide evidence that underweight patients who deny a fear of weight gain are less disturbed in terms of both eating disorder pathology and general psychopathology.
本研究旨在比较专门的神经性厌食症（AN）住院治疗项目中，存在和不存在对体重增加恐惧的患者在特定饮食障碍症状、一般精神病理学和治疗结果方面的差异。
在住院治疗项目开始时和出院时，对特定和一般精神病理学进行了评估。在 138 名参与者中，81%（n=112）被归类为具有“对体重增加的恐惧”的临床水平，19%（n=26）被归类为具有该特征的亚临床水平。
亚临床水平组在饮食障碍心理学、抑郁、一般精神障碍和强迫症状方面的得分较低，但自尊心得分较高。在 AN 的发病年龄、病程、AN 亚型、体重指数或治疗结果方面没有发现差异。
目前的研究结果提供了证据，表明否认对体重增加恐惧的体重不足患者在饮食障碍病理学和一般精神病理学方面的干扰程度较低。
