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神经性厌食症和神经性贪食症患者身体意象的计算机化评估:与标准化身体意象评估工具的比较

Computerized assessment of body image in anorexia nervosa and bulimia nervosa: comparison with standardized body image assessment tool.

作者信息

Caspi Asaf, Amiaz Revital, Davidson Noa, Czerniak Efrat, Gur Eitan, Kiryati Nahum, Harari Daniel, Furst Miriam, Stein Daniel

机构信息

Department of Psychiatry, The Chaim Sheba, Medical Center, Tel Hashomer, Israel.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Arch Womens Ment Health. 2017 Feb;20(1):139-147. doi: 10.1007/s00737-016-0687-4. Epub 2016 Oct 29.

Abstract

UNLABELLED

Body image disturbances are a prominent feature of eating disorders (EDs). Our aim was to test and evaluate a computerized assessment of body image (CABI), to compare the body image disturbances in different ED types, and to assess the factors affecting body image. The body image of 22 individuals undergoing inpatient treatment with restricting anorexia nervosa (AN-R), 22 with binge/purge AN (AN-B/P), 20 with bulimia nervosa (BN), and 41 healthy controls was assessed using the Contour Drawing Rating Scale (CDRS), the CABI, which simulated the participants' self-image in different levels of weight changes, and the Eating Disorder Inventory-2-Body Dissatisfaction (EDI-2-BD) scale. Severity of depression and anxiety was also assessed. Significant differences were found among the three scales assessing body image, although most of their dimensions differentiated between patients with EDs and controls. Our findings support the use of the CABI in the comparison of body image disturbances in patients with EDs vs.

CONTROLS

Moreover, the use of different assessment tools allows for a better understanding of the differences in body image disturbances in different ED types.

摘要

未标注

身体意象障碍是进食障碍(EDs)的一个突出特征。我们的目的是测试和评估一种计算机化身体意象评估方法(CABI),比较不同类型进食障碍中的身体意象障碍,并评估影响身体意象的因素。使用轮廓图评定量表(CDRS)、CABI(它模拟了参与者在不同体重变化水平下的自我形象)以及进食障碍量表-2-身体不满(EDI-2-BD)量表,对22名因节食型神经性厌食症(AN-R)接受住院治疗的个体、22名因暴饮暴食/清除型神经性厌食症(AN-B/P)接受住院治疗的个体、20名神经性贪食症(BN)患者以及41名健康对照者的身体意象进行了评估。还评估了抑郁和焦虑的严重程度。在评估身体意象的三个量表之间发现了显著差异,尽管它们的大多数维度在进食障碍患者和对照者之间有所区分。我们的研究结果支持在比较进食障碍患者与对照者的身体意象障碍时使用CABI。此外,使用不同的评估工具有助于更好地理解不同类型进食障碍中身体意象障碍的差异。

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