Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.
Center for Psychosocial Medicine, Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.
Eur Eat Disord Rev. 2019 Jan;27(1):49-58. doi: 10.1002/erv.2623. Epub 2018 Jul 16.
This study investigates the role of body image self-appraisal in predicting the outcomes of outpatient psychotherapy in patients with anorexia nervosa (AN). Multiple linear regression analyses and a path-analysis model were applied to test the study hypotheses that body image at baseline predicts treatment outcomes of outpatient psychotherapy in patients with AN at follow-up measurement. The analyses were conducted as secondary analyses in a subgroup (n = 148) of the anorexia nervosa treatment of outpatient-cohort (ANTOP-study) (N = 242) of patients with AN. The results show that Negative Evaluation of the Body at baseline predicts perceived stress during psychotherapy, which in turn predicts depressive symptoms at the end of therapy which in turn predicts the outcomes body mass index and EDI-2 sum score at 12 months follow-up. The results underline the importance of body image disturbance in the course of AN and call for body image as a central target of psychotherapeutic interventions in patients with AN.
本研究探讨了身体意象自我评价在预测门诊心理治疗对神经性厌食症（AN）患者结局的作用。采用多元线性回归分析和路径分析模型检验了研究假设，即基线时的身体意象预测 AN 患者随访时门诊心理治疗的治疗结局。该分析作为神经性厌食症门诊队列治疗（ANTOP 研究）（n=242）的亚组（n=148）的二次分析进行。结果表明，基线时对身体的负面评价预测心理治疗过程中的感知压力，而感知压力又预测治疗结束时的抑郁症状，而抑郁症状又预测 12 个月随访时的 BMI 和 EDI-2 总分。结果强调了身体意象障碍在 AN 病程中的重要性，并呼吁将身体意象作为 AN 患者心理治疗干预的一个核心目标。
