Glashouwer Klaske A, Meulman Charlotte, de Jong Peter J
Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, Netherlands.
Department of Eating Disorders, Accare Child and Adolescent Psychiatry, Groningen, Netherlands.
Front Psychol. 2019 Mar 26;10:580. doi: 10.3389/fpsyg.2019.00580. eCollection 2019.
Body image disturbance is a core characteristic of anorexia nervosa, which might be grounded in distortions in schematic body representations. In line with this, several studies showed that when walking through door-like apertures of different widths, individuals with anorexia nervosa move as if their bodies are larger than they actually are. They turn their body at a higher aperture/shoulder width ratio than healthy individuals. We examined whether oversized body-scaled motoric behaviors may not be restricted to anorexia nervosa but concern a general feature of negative body image attitudes. Therefore, we investigated the relation between negative body image as assessed with shape and weight concerns subscales of the Eating Disorder Examination Questionnaire and aperture/shoulder width turning ratios in women with a healthy weight ( = 62). We found that a more negative body image was unrelated to higher aperture/shoulder width turning ratios. Bayes analysis provided moderate evidence for the null hypothesis that spontaneous body-scaled motoric behaviors are not involved in negative body image. Future studies should disentangle whether being underweight per se is related to distinctive spontaneous body-scaled motoric behaviors or whether an "oversized" body schema is a unique characteristic of anorexia nervosa, potentially contributing to the persistence of this disorder.
身体意象障碍是神经性厌食症的核心特征,这可能基于身体图式表征的扭曲。与此一致的是,多项研究表明,当穿过不同宽度的门状孔径时,神经性厌食症患者的行动方式就好像他们的身体比实际更大。与健康个体相比,他们在孔径与肩宽比例更高时才转动身体。我们研究了身体比例过大的运动行为是否不仅限于神经性厌食症,而是负面身体意象态度的一个普遍特征。因此,我们调查了用《饮食失调检查问卷》中的体型和体重关注分量表评估的负面身体意象与体重正常的女性(n = 62)的孔径/肩宽转动比例之间的关系。我们发现,更负面的身体意象与更高的孔径/肩宽转动比例无关。贝叶斯分析为自发的身体比例运动行为与负面身体意象无关这一零假设提供了适度证据。未来的研究应该弄清楚体重过轻本身是否与独特的自发身体比例运动行为有关,或者“过大”的身体图式是否是神经性厌食症的一个独特特征,这可能导致这种疾病持续存在。