Rupp Julian, Bürger Arne, Hammerle Florian
1 Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz.
2 Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Universitätsklinikum Würzburg.
Z Kinder Jugendpsychiatr Psychother. 2018 May;46(3):218-229. doi: 10.1024/1422-4917/a000537. Epub 2017 Aug 9.
There is presently a lack of instruments that measure the haptic-perceptive component of body-image distortion – a central criterion for the eating disorders anorexia nervosa and bulimia nervosa. We present a differential analysis for the Test for Body Image Distortion in Children and Adolescents (BID-CA, German: TEK-KJ) using a large child and adolescents sample, including for the first time male participants. We analyze convergent validity with the Contour Drawing Rating Scale (CDRS) as well as differences between children and adolescents from different type of schools and different BMI percentile groups. The sample size was N = 1,654 pupils (873 females and 781 males) with an average age of 13.35 years (SD = 0.76). We calculated a substantial convergent validity with the CDRS. Significant differences between children and adolescents from different type of schools and different BMI percentile groups were detected, with increased values for children and adolescents attending high school and underweight participants. The TEK-KJ seems to be an appropriate additional instrument for detecting the haptic-perceptive component of body-image distortion. The normative data presented improves the standardization of this instrument.
目前缺乏能够测量身体意象扭曲的触觉感知成分的工具,而身体意象扭曲是神经性厌食症和神经性贪食症这两种饮食失调症的核心标准。我们使用一个庞大的儿童和青少年样本,对儿童青少年身体意象扭曲测试(BID-CA,德语:TEK-KJ)进行了差异分析,样本首次纳入了男性参与者。我们分析了该测试与轮廓画评定量表(CDRS)的收敛效度,以及来自不同类型学校和不同BMI百分位数组的儿童和青少年之间的差异。样本量为N = 1654名学生(873名女性和781名男性),平均年龄为13.35岁(标准差 = 0.76)。我们计算得出该测试与CDRS具有较高的收敛效度。检测到来自不同类型学校和不同BMI百分位数组的儿童和青少年之间存在显著差异,就读高中的儿童和青少年以及体重过轻的参与者得分更高。TEK-KJ似乎是检测身体意象扭曲触觉感知成分的一种合适的辅助工具。所呈现的常模数据提高了该工具的标准化程度。