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进食障碍中的体像问题:在神经性厌食症和贪食症中,检验体像与饮食障碍测量指标之间的独特关系。

Feeling fat in eating disorders: Testing the unique relationships between feeling fat and measures of disordered eating in anorexia nervosa and bulimia nervosa.

机构信息

School of Psychology, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia.

Centre for Mental Health, Swinburne University of Technology, Australia; Department of Psychiatry, The University of Melbourne, Australia; Department of Psychiatry, St Vincent's Hospital, Australia; Department of Mental Health, The Austin Hospital, Australia.

出版信息

Body Image. 2018 Jun;25:163-167. doi: 10.1016/j.bodyim.2018.04.001. Epub 2018 Apr 10.

DOI:10.1016/j.bodyim.2018.04.001
PMID:29653375
Abstract

Although widely discussed in theories of eating disorders, the experience of "feeling fat" in this population has received little research attention. This study tested the unique relationships between feeling fat and measures of problematic eating behaviours and attitudes. Data were analysed from individuals with anorexia nervosa (AN; n = 123) and bulimia nervosa (BN; n = 51). Correlations revealed considerable unshared variance between feeling fat and shape and weight over-evaluation and depressive symptoms. Moreover, when over-evaluation and depressive symptoms were controlled, feeling fat predicted unique variance in restraint and eating concerns. Findings offer some support for the idea that feeling fat is a distinct and important component of body image concerns in eating disorders. Further research that develops a standardized measure of feeling fat is required. Further research that examines whether feeling fat is an important treatment mechanism is also needed.

摘要

尽管在饮食失调理论中被广泛讨论,但该人群的“感觉肥胖”体验却很少受到研究关注。本研究检验了“感觉肥胖”与各种饮食行为和态度问题的衡量标准之间的独特关系。研究数据来自神经性厌食症(AN;n=123)和神经性贪食症(BN;n=51)患者。相关性分析显示,“感觉肥胖”与对体型和体重的过度评价以及抑郁症状之间存在大量不共享的差异。此外,当控制了过度评价和抑郁症状后,“感觉肥胖”可预测节食和进食担忧方面的独特差异。研究结果为“感觉肥胖”是饮食障碍中身体意象问题的一个独特且重要的组成部分这一观点提供了一定支持。需要进一步研究开发“感觉肥胖”的标准化衡量标准。此外,还需要研究“感觉肥胖”是否是一个重要的治疗机制。

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