Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, 37016 Garda, VR, Italy.
Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, 37016 Garda, VR, Italy.
Behav Res Ther. 2018 Jun;105:63-68. doi: 10.1016/j.brat.2018.04.001. Epub 2018 Apr 13.
The study aimed to evaluate the trajectories of change over time in body-image concern components in patients with anorexia nervosa treated by means of intensive enhanced cognitive behavioural therapy. Moreover, it aimed to study the role of body-image concern components in changes in eating and general psychopathology as well as work and social functioning.
Sixty-six adult patients with anorexia nervosa were recruited. Body mass index (BMI); Eating Disorder Examination 'Dietary Restraint' and 'Eating Concern' subscales; Brief Symptom Inventory (BSI); and Work and Social Adjustment Scale (WSAS) scores were recorded at admission, end of treatment, and at 6- and 12-month follow-ups. The trajectories of change of three components of body image concern, namely 'preoccupation with shape or weight', 'fear of weight gain' and 'feeling fat', were assessed.
The treatment was associated with a significant improvement in outcome variables and body-image concern components. Baseline 'preoccupation with shape or weight' predicted improvement in Eating Concern, BSI and WSAS scores, while the change in 'fear of weight gain' was associated with improvement in dietary restraint. Baseline and end-of-therapy scores for all three measured body-image concern components predicted achievement of BMI ≥18.5 kg/m at 6- and 12-month follow-ups.
These findings highlight the importance of assessing and addressing body-image concern in the management of patients with anorexia nervosa.
本研究旨在评估接受强化认知行为治疗的神经性厌食症患者的体像关注成分随时间的变化轨迹。此外，本研究还旨在研究体像关注成分在饮食和一般精神病理学以及工作和社会功能变化中的作用。
共招募了 66 名成年神经性厌食症患者。入院时、治疗结束时以及 6 个月和 12 个月随访时记录了体重指数（BMI）、饮食障碍检查“饮食限制”和“进食担忧”分量表、简明症状量表（BSI）和工作和社会调整量表（WSAS）的评分。评估了体像关注的三个成分（“对体型或体重的关注”、“对体重增加的恐惧”和“感到肥胖”）的变化轨迹。
治疗与结局变量和体像关注成分的显著改善相关。基线“对体型或体重的关注”预测了进食担忧、BSI 和 WSAS 评分的改善，而“对体重增加的恐惧”的变化与饮食限制的改善相关。所有三个测量的体像关注成分的基线和治疗结束时的评分均预测了在 6 个月和 12 个月随访时 BMI≥18.5kg/m2 的达成。
这些发现强调了在管理神经性厌食症患者时评估和解决体像关注的重要性。
