Vamos M, White G L, Caughey D E
Department of Psychiatry and Behavioural Science, School of Medicine, University of Auckland, New Zealand.
Br J Med Psychol. 1990 Sep;63(3):267-77. doi: 10.1111/j.2044-8341.1990.tb01619.x.
To investigate the importance of body image concerns relating to hand appearance in rheumatoid arthritis, a questionnaire was devised and administered to 80 female out-patients. Subjective judgements of hand attractiveness, feelings about hands, and behaviours relating to hand adornment and concealment were sought. Objective ratings of hand attractiveness were obtained from photographs taken at this time of the women's hands. Factor analysis indicated four principal orthogonal factors describe these body image items. Evaluative and affective elements were found to be independent of each other. The hypothesis that body image, thus rated, is relevant to desire for reparative hand surgery was tested using a two-stage general linear modelling procedure. Body image concerns, particularly negative feelings about hands, emerged as significant predictors of desire for surgery, and remained significant after the removal of variance accounted for by duration of arthritis, age, grip strength and objectively rated hand attractiveness. It is suggested that in rheumatoid arthritis, self-perception of hands and the associated emotional response, may be a covert agenda in women's decision to have surgery, and need specific clinical consideration.
为了调查类风湿关节炎患者对手部外观的身体形象关注的重要性，设计了一份问卷并对80名女性门诊患者进行了调查。研究旨在了解她们对手部吸引力的主观判断、对手部的感受以及与手部装饰和隐藏相关的行为。同时，从此时拍摄的女性手部照片中获得对手部吸引力的客观评分。因子分析表明，有四个主要的正交因子描述了这些身体形象项目。研究发现，评价性和情感性元素相互独立。使用两阶段一般线性建模程序检验了这样评分的身体形象与修复性手部手术愿望相关的假设。身体形象关注，特别是对手部的负面感受，成为手术愿望的重要预测因素，并且在去除由关节炎病程、年龄、握力和客观评分的手部吸引力所解释的方差后，仍然具有显著性。研究表明，在类风湿关节炎中，手部的自我认知和相关的情绪反应，可能是女性决定进行手术时隐藏的因素，需要临床给予特别考虑。
