Department of Nutrition and Bromatology, Pablo de Olavide University, Seville, Spain.
Int J Gen Med. 2012;5:823-30. doi: 10.2147/IJGM.S36324. Epub 2012 Oct 5.
The aim of this study was to analyze the relationships among thought-shape fusion (TSF), specific instruments to assess body image disturbances, and body image quality of life in eating disorder patients in order to improve the understanding of the links between body image concerns and a specific bias consisting of beliefs about the consequences of thinking about forbidden foods.
The final sample included 76 eating disorder patients (mean age 20.13 ± 2.28 years; 59 women and seven men). After having obtained informed consent, the following questionnaires were administered: Body Appreciation Scale (BAS), Body Image Quality of Life Inventory (BIQLI-SP), Body Shape Questionnaire (BSQ), Eating Disorders Inventory-2 (EDI-2), State-Trait Anxiety Inventory (STAI), Symptom Checklist-90-Revised (SCL-90-R) and Thought-Shape Fusion Questionnaire (TSF-Q).
Significant correlations were found between TSF-Q and body image-related variables. Those with higher scores in TSF showed higher scores in the BSQ (P < 0.0001), Eating Disorder Inventory - Drive for Thinness (EDI-DT) (P < 0.0001), and Eating Disorder Inventory - Body Dissatisfaction (EDI-BD) (P < 0.0001). The same patients showed lower scores in the BAS (P < 0.0001). With respect to the psychopathological variables, patients with high TSF obtained higher scores in all SCL-90-R subscales as well as in the STAI.
The current study shows the interrelations among different body image-related variables, TSF, and body image quality of life.
本研究旨在分析思维形合（TSF）、评估身体意象障碍的特定工具以及饮食障碍患者的身体意象生活质量之间的关系，以提高对身体意象问题与特定偏见（包括对思考禁食的后果的信念）之间联系的理解。
最终样本包括 76 名饮食障碍患者（平均年龄 20.13 ± 2.28 岁；59 名女性和 7 名男性）。在获得知情同意后，对以下问卷进行了评估：身体欣赏量表（BAS）、身体意象生活质量量表（BIQLI-SP）、身体形状问卷（BSQ）、饮食障碍量表-2（EDI-2）、状态特质焦虑量表（STAI）、症状清单-90 修订版（SCL-90-R）和思维形合问卷（TSF-Q）。
在 TSF-Q 和与身体意象相关的变量之间发现了显著的相关性。那些 TSF 得分较高的人在 BSQ（P < 0.0001）、饮食障碍量表-瘦身驱动（EDI-DT）（P < 0.0001）和饮食障碍量表-身体不满（EDI-BD）（P < 0.0001）上的得分更高。同样的患者在 BAS 上的得分更低（P < 0.0001）。就心理病理变量而言，TSF 得分较高的患者在 SCL-90-R 的所有子量表以及 STAI 上的得分都较高。
本研究显示了不同的身体意象相关变量、TSF 和身体意象生活质量之间的相互关系。
