Programa de Pós-Graduação em Endocrinologia, Faculdade de Medicina, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Centro de Estudos Ricardo A. T. Castilho, Associação Médica de Teresópolis, Teresópolis, RJ, Brazil.
Braz J Psychiatry. 2020 Jan-Feb;42(1):33-39. doi: 10.1590/1516-4446-2018-0325.
To evaluate body dissatisfaction and distorted body self-image in women with prolactinoma.
Body dissatisfaction and distorted body self-image were evaluated in 80 women with prolactinoma. All patients were in menacme, 34% had normal body mass index (BMI), and 66% were overweight. Most patients (56.2%) had normal prolactin (PRL) levels and no hyperprolactinemia symptoms (52.5%). The Body Shape Questionnaire (BSQ) was used to assess the patients' dissatisfaction with and concern about their physical form, and the Stunkard Figure Rating Scale (FRS) was used to assess body dissatisfaction and distorted body self-image. The patients were divided according to PRL level (normal vs. elevated) and the presence or absence of prolactinoma symptoms.
The normal and elevated PRL groups had similar incidences of body dissatisfaction and distorted body self-image. However, symptomatic patients reported a higher incidence of dissatisfaction than asymptomatic patients. Distorted body self-image was less common among symptomatic patients.
Symptomatic patients showed higher body dissatisfaction, but lower body self-image distortion. The presence of symptoms may have been responsible for increased body awareness. The perception of body shape could have triggered feelings of dissatisfaction compared to an ideal lean body. Therefore, a distorted body self-image might not necessarily result in body dissatisfaction in women with prolactinomas.
评估催乳素瘤女性的身体不满和扭曲的身体自我形象。
评估 80 名催乳素瘤女性的身体不满和扭曲的身体自我形象。所有患者均处于青春期，34%的患者体重指数（BMI）正常，66%的患者超重。大多数患者（56.2%）催乳素（PRL）水平正常，无高催乳素血症症状（52.5%）。使用身体形状问卷（BSQ）评估患者对身体形态的不满和关注，使用 Stunkard 体型评分量表（FRS）评估身体不满和扭曲的身体自我形象。根据 PRL 水平（正常与升高）和催乳素瘤症状的存在与否对患者进行分组。
PRL 水平正常和升高的组之间身体不满和扭曲的身体自我形象的发生率相似。然而，有症状的患者报告的不满发生率高于无症状患者。有症状的患者扭曲的身体自我形象较少。
有症状的患者表现出更高的身体不满，但身体自我形象扭曲程度较低。症状的存在可能导致身体意识增加。与理想的瘦体相比，对身体形状的感知可能会引发不满情绪。因此，催乳素瘤女性不一定会因为扭曲的身体自我形象而感到不满。
