Research School of Psychology, Australian National University, Acton, Australian Capital Territory, Australia.
Eat Disord. 2013;21(4):310-27. doi: 10.1080/10640266.2013.797321.
Self-recognition of eating-disordered behavior was examined among female college students (n = 94) with a high level of bulimic-type eating disorder symptoms. A vignette was presented describing a fictional young woman with bulimia nervosa. Participants were asked whether they might currently have a problem such as the one described, while also completing self-report measures of eating disorder symptoms, general psychological distress, and functional impairment. Less than half (47.9%) of participants believed that they currently had a problem with their eating. In both bivariate and multivariable analysis, the variables most strongly associated with self-recognition were overall levels of eating disorder psychopathology, prior treatment for an eating problem, and the use of self-induced vomiting as a means of controlling weight or shape. No other eating disorder behaviors were independently associated with self-recognition. The findings support the hypothesis that young women with eating disorder symptoms may be unlikely, or at least less likely, to recognize a problem with their eating behavior when that behavior does not entail self-induced vomiting. Health promotion and early intervention programs for eating disorders may need to address the perception that, among young women of normal or above-average body weight, only problems with eating that involve self-induced vomiting are pathological.
本研究旨在调查具有暴食症饮食障碍症状的女性大学生（n=94）对自身饮食障碍行为的识别情况。研究呈现了一个虚构的患有神经性贪食症的年轻女性的案例，参与者被问到他们目前是否可能存在案例中描述的问题，同时完成了饮食障碍症状、一般心理困扰和功能障碍的自我报告测量。不到一半（47.9%）的参与者认为他们目前存在饮食问题。在单变量和多变量分析中，与自我识别最相关的变量是整体饮食障碍心理病理学水平、以前因饮食问题接受的治疗以及使用自我诱导呕吐作为控制体重或体型的手段。其他饮食障碍行为与自我识别无关。研究结果支持了这样一种假设，即有饮食障碍症状的年轻女性可能不太可能或至少不太可能意识到自己的饮食行为存在问题，除非这种行为涉及自我诱导呕吐。饮食障碍的健康促进和早期干预计划可能需要解决这样一种观念，即在正常或超重的年轻女性中，只有涉及自我诱导呕吐的饮食问题才是病理性的。
