Mond Jonathan, Mitchison Deborah, Latner Janet, Hay Phillipa, Owen Cathy, Rodgers Bryan
Research School of Psychology, Australian National University, Canberra ACT 0200, Australia.
BMC Public Health. 2013 Oct 3;13:920. doi: 10.1186/1471-2458-13-920.
In order to elucidate the individual and community health burden of body dissatisfaction (BD), we examined impairment in quality of life associated with BD in a large, general population sample of women.
Self-report measures of BD, health-related quality of life (SF-12 Physical and Mental Component Summary scales) and subjective quality of life (WHOQOL-BREF Psychological Functioning and Social Relationships subscales) were completed by 5,255 Australian women aged 18 to 42 years.
Most participants (86.9%) reported some level of dissatisfaction with their weight or shape and more than one third (39.4%) reported moderate to marked dissatisfaction. Higher levels of BD were associated with poorer quality of life for all items of both quality of life measures, the degree of impairment being proportional to the degree of BD. Associations were strongest for items tapping mental health and psychosocial functioning, although greater BD was associated with substantially increased risk of impairment in certain aspects of physical health even when controlling for body weight. Post-hoc analysis indicated that the observed associations between BD and quality of life impairment were not accounted for by an association between BD and eating disorder symptoms.
In women, BD is associated with marked impairment in aspects of quality of life relating to mental health and psycho-social functioning and at least some aspects of physical health, independent of its association with body weight and eating disorder symptoms. Greater attention may need to be given to BD as a public health problem. The fact that BD is "normative" should not be taken to infer that it is benign.
为了阐明身体意象不满（BD）对个体和社区健康的负担，我们在一个大型的普通女性人群样本中，研究了与BD相关的生活质量损害情况。
5255名年龄在18至42岁的澳大利亚女性完成了关于BD、健康相关生活质量（SF-12身体和心理成分汇总量表）以及主观生活质量（世界卫生组织生活质量简表心理功能和社会关系分量表）的自我报告测量。
大多数参与者（86.9%）报告对自己的体重或体型存在一定程度的不满，超过三分之一（39.4%）报告有中度至重度不满。对于两种生活质量测量的所有项目，较高水平的BD都与较差的生活质量相关，损害程度与BD程度成正比。对于涉及心理健康和心理社会功能的项目，关联最为强烈，尽管即使在控制体重的情况下，更大程度的BD与身体健康某些方面损害风险的大幅增加也相关。事后分析表明，观察到的BD与生活质量损害之间的关联不能用BD与饮食失调症状之间的关联来解释。
在女性中，BD与心理健康、心理社会功能以及至少某些身体健康方面的生活质量显著损害相关，独立于其与体重和饮食失调症状的关联。可能需要更加关注BD作为一个公共卫生问题。BD是“正常现象”这一事实不应被推断为它是无害的。
