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[神经性厌食症和神经性贪食症中的依恋模式、自尊及性别图式]

[Attachment patterns, self-esteem, gender schema in anorexia and bulimia nervosa].

作者信息

Józefik Barbara, Iniewicz Grzegorz, Ulasińska Romualda

机构信息

Klinika Psychiatrii Dzieci i Młodziezy UJ CM.

出版信息

Psychiatr Pol. 2010 Sep-Oct;44(5):665-76.

Abstract

AIM

The aim of the study was comparison of perception of attachment patterns between adolescent girls suffering from anorexia nervosa (restrictive type), bulimia nervosa and healthy peers. Moreover, we tried to find the differences between the groups in self-esteem and identification with the culture-defined sex role.

METHOD

We examined 40 patients with anorexia, 32 with bulimia and 63 girls from the comparison group. Three questionnaires were used: Parental Bonding Instrument, The Culture-Free Self-Esteem Inventory and Psychological Sex Inventory.

RESULTS

Results indicate that the parents' emotional commitment in relations with daughters from the clinical sample is weaker, and they are controlled by parents more then those from the control group. In all groups, the mothers' emotional commitment correlates positively with daughters' social self-esteem. In the anorectic group, fathers' control correlates negatively with daughters' identification with the culture-defined feminine role. In the bulimic group, fathers' emotional commitment correlates positively with self-esteem as well as daughters' identification with the culture-defined masculine role.

CONCLUSIONS

The results concerning the bonds between the ED patients and their parents indicating dysfunctions of the bonds are generally consistent with the data from literature. Additionally they show the relationship between quality of the bonds between the patients and parents and its influence on development of self-evaluation and a sense of feminity/masculinity in anorectic and bulimic girls.

摘要

目的

本研究旨在比较神经性厌食症(限制型)少女、神经性贪食症少女与健康同龄少女对依恋模式的认知。此外,我们试图找出这些组在自尊以及与文化定义的性别角色认同方面的差异。

方法

我们对40名厌食症患者、32名贪食症患者以及63名来自对照组的女孩进行了检查。使用了三份问卷:父母教养方式问卷、无文化背景自尊量表和心理性别量表。

结果

结果表明,临床样本中女儿与父母关系中的父母情感投入较弱,且她们比对照组的女孩更多地受到父母的控制。在所有组中,母亲的情感投入与女儿的社会自尊呈正相关。在厌食症组中,父亲的控制与女儿对文化定义的女性角色的认同呈负相关。在贪食症组中,父亲的情感投入与自尊以及女儿对文化定义的男性角色的认同呈正相关。

结论

关于进食障碍患者与其父母之间关系存在功能障碍的研究结果总体上与文献数据一致。此外,这些结果还显示了患者与父母之间关系质量及其对厌食症和贪食症女孩自我评价发展以及女性气质/男性气质观念的影响。

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