Rost Geteilte Erstautorenschaft Silke, Sarrar Geteilte Erstautorenschaft Lea, Schneider Nora, Klenk Vera, Staab Doris, Pfeiffer Ernst, Lehmkuhl Ulrike, Jaite Charlotte
Institute for Health and Behaviour, INSIDE, University of Luxembourg.
Klinik für Audiologie und Phoniatrie, Charité - Universitätsmedizin Berlin.
Z Kinder Jugendpsychiatr Psychother. 2015 Jan;43(1):57-67. doi: 10.1024/1422-4917/a000333.
Body image disturbance (BID) is a central feature of anorexia nervosa (AN), but evidence for bodily-related disorders also exists for patients with cystic fibrosis (CF), who are frequently underweight. A comparison of BID in patients with AN, CF and controls serves to clarify the specificity of BID for AN.
22 patients with AN, 10 patients with CF, and 23 controls were tested with regard to perceptual and cognitive-affective components of BID. Further data concerning eating-disorder-related psychopathology were assessed.
BID occurred in all patients with AN. Patients with CF perceived themselves as thinner than the controls did, and three of them exhibited BID. Patients with AN and CF did not differ regarding body satisfaction, and only controls showed higher satisfaction than patients with CF. Patients with AN and CF differed on desire for thinness, dissatisfaction with their body, and interoceptive awareness, with higher scores occurring in patients with AN.
Our pilot study reveals no severe psychopathology concerning body image in patients with CF. However, we did observe a general body dissatisfaction among these patients, probably associated with their being underweight. BID still seems to be a central diagnostic criterion for AN and should be carefully considered during therapeutic interventions.
身体意象障碍（BID）是神经性厌食症（AN）的核心特征，但囊性纤维化（CF）患者也存在与身体相关的障碍证据，这些患者经常体重过轻。比较AN、CF患者和对照组的BID有助于明确BID对AN的特异性。
对22例AN患者、10例CF患者和23名对照组进行了BID的感知和认知情感成分测试。评估了与饮食失调相关的精神病理学的进一步数据。
所有AN患者均出现BID。CF患者认为自己比对照组瘦，其中3人表现出BID。AN患者和CF患者在身体满意度方面没有差异，只有对照组的满意度高于CF患者。AN患者和CF患者在追求瘦的欲望、对自己身体的不满和内感受觉意识方面存在差异，AN患者得分更高。
我们的初步研究表明，CF患者在身体意象方面没有严重的精神病理学问题。然而，我们确实观察到这些患者普遍对自己的身体不满意，这可能与他们体重过轻有关。BID似乎仍然是AN的核心诊断标准，在治疗干预期间应仔细考虑。
