Clinic of Mental Illnesses & Brain Disorders, Sainte-Anne Hospital, University Paris V René Descartes, 100 Rue de la Santé, 75674 Paris Cedex 14, France.
Eat Weight Disord. 2012 Jun;17(2):e109-15. doi: 10.1007/BF03325334.
Few studies have examined the impact of weight gain on body image disturbance (BID) in patients suffering from anorexia nervosa (AN). This study aims to explore the evolution of body distortion and body dissatisfaction following inpatient treatment.
Sixty-four women suffering from AN enrolled in our inpatient Cognitive and Behavioural Therapy programme and undertook a body image perception test and completed the Eating Disorder Inventory (EDI). Thirty-four participants completed a total of four evaluations over a three-month period.
Patients' weight gain following treatment was significant. Weight regain was accompanied by significant reductions in both body distortion and body dissatisfaction. These reductions were complemented by improved scores for both EDI Drive for Thinness and Body Dissatisfaction. Perceived body image differed significantly between the onset and the completion of inpatient treatment whereas ideal body image did not.
The high severity of the included patients and the significant attrition rate should limit our conclusions for a subgroup of patients. New approaches are needed to facilitate changes in the way patients assess their ideal body image.
很少有研究探讨体重增加对神经性厌食症（AN）患者身体意象障碍（BID）的影响。本研究旨在探讨住院治疗后身体扭曲和身体不满的演变。
64 名患有 AN 的女性参加了我们的住院认知和行为治疗计划，并进行了身体意象感知测试和完成了饮食失调清单（EDI）。34 名参与者在三个月内完成了总共四次评估。
治疗后患者的体重增加显著。体重恢复伴随着身体扭曲和身体不满的显著减少。这些减少伴随着 EDI 对瘦的渴望和身体不满的得分的提高。在住院治疗开始和结束时，患者感知到的身体形象有显著差异，而理想的身体形象则没有。
纳入患者的严重程度较高，以及显著的流失率应限制我们对亚组患者的结论。需要新的方法来促进患者改变评估理想身体形象的方式。
