身体变形障碍男性的自我差异与阴茎尺寸担忧之间的关系。

Relationship between self-discrepancy and worries about penis size in men with body dysmorphic disorder.

作者信息

Veale David, Miles Sarah, Read Julie, Bramley Sally, Troglia Andrea, Carmona Lina, Fiorito Chiara, Wells Hannah, Wylie Kevan, Muir Gordon

机构信息

Institute of Psychiatry, Psychology, and Neurosciences, Kings College London and South London and Maudsley NHS Foundation Trust, London, United Kingdom.

出版信息

Body Image. 2016 Jun;17:48-56. doi: 10.1016/j.bodyim.2016.02.004. Epub 2016 Mar 4.

DOI:10.1016/j.bodyim.2016.02.004

PMID:26952016

Abstract

We explored self-discrepancy in men with body dysmorphic disorder (BDD) concerned about penis size, men without BDD but anxious about penis size, and controls. Men with BDD (n=26) were compared to those with small penis anxiety (SPA; n=31) and controls (n=33), objectively (by measuring) and investigating self-discrepancy: actual size, ideal size, and size they felt they should be according to self and other. Most men under-estimated their penis size, with the BDD group showing the greatest discrepancy between perceived and ideal size. The SPA group showed a larger discrepancy than controls. This was replicated for the perceptions of others, suggesting the BDD group internalised the belief that they should have a larger penis size. There was a significant correlation between symptoms of BDD and this discrepancy. This self-actual and self-ideal/self-should discrepancy and the role of comparing could be targeted in therapy.

摘要

我们探究了患有躯体变形障碍（BDD）且担心阴茎尺寸的男性、未患BDD但担心阴茎尺寸的男性以及对照组中的自我差异。将患有BDD的男性（n = 26）与有小阴茎焦虑（SPA；n = 31）的男性以及对照组（n = 33）进行比较，从客观上（通过测量）并研究自我差异：实际尺寸、理想尺寸以及他们认为自己根据自我和他人标准应有的尺寸。大多数男性低估了自己的阴茎尺寸，BDD组在感知尺寸与理想尺寸之间显示出最大差异。SPA组的差异比对照组更大。对于他人的看法也得到了同样的结果，这表明BDD组内化了他们应该拥有更大阴茎尺寸的信念。BDD症状与这种差异之间存在显著相关性。这种自我实际与自我理想/自我应该之间的差异以及比较的作用可以在治疗中作为目标。