van de Kamp Minke M, Scheffers Mia, Emck Claudia, Cuijpers Pim, Beek Peter J
Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Human Movement and Education, Windesheim University of Applied Sciences, Zwolle, The Netherlands.
J Clin Psychol. 2025 May;81(5):334-344. doi: 10.1002/jclp.23776. Epub 2025 Feb 12.
While body experience is a key focus of treatment in psychomotor therapy (PMT), research has largely overlooked this important topic. In this study we explored three domains of body experience-body satisfaction, body attitude, and interoceptive awareness-in individuals with mental disorders in a clinical sample receiving PMT. We expected these patients to have a more negative body experience than nonclinical controls, with PTSD, mood disorders, personality disorders, and sex negatively affecting all three domains of body experience. The study involved 235 participants aged 18-59 with various mental disorders that were referred to PMT between 2008 and 2017 at a mental health center in the Netherlands. They completed questionnaires on all three of the body experience domains of interest. One sample t-tests revealed that patients had significantly greater negative body satisfaction and body attitude than nonclinical control samples obtained from the literature, with no significant difference in interoceptive awareness. Regression analyses within the patient sample revealed that female patients and patients with mood disorders or PTSD, displayed more negative body satisfaction than patients with other mental disorders. Additionally, female patients and patients with mood disorders displayed more negative body attitude. Although the total patient group and controls had comparable interoceptive awareness, only PTSD had significantly lower interoceptive awareness. Age and personality disorders did not predict differences on any domain of body experience. This research demonstrates that body experience is disturbed in patients with mental disorders who received PMT, and that there are disorder-specific disturbances on domains of body experience domains.
虽然身体体验是心理运动疗法（PMT）治疗的关键重点，但研究在很大程度上忽略了这个重要主题。在本研究中，我们在接受PMT治疗的临床样本中，探索了患有精神障碍个体的身体体验的三个领域——身体满意度、身体态度和内感受觉知。我们预计这些患者的身体体验比非临床对照者更消极，创伤后应激障碍（PTSD）、情绪障碍、人格障碍和性别会对身体体验的所有三个领域产生负面影响。该研究纳入了235名年龄在18至59岁之间、患有各种精神障碍的参与者，他们于2008年至2017年期间被转介到荷兰一家心理健康中心接受PMT治疗。他们完成了关于所有三个感兴趣的身体体验领域的问卷。单样本t检验显示，与从文献中获取的非临床对照样本相比，患者的身体满意度和身体态度明显更消极，在内感受觉知方面没有显著差异。患者样本中的回归分析显示，女性患者以及患有情绪障碍或PTSD的患者，其身体满意度比患有其他精神障碍的患者更消极。此外，女性患者和患有情绪障碍的患者身体态度更消极。尽管患者总组和对照组的内感受觉知相当，但只有PTSD患者的内感受觉知显著较低。年龄和人格障碍并不能预测身体体验任何领域的差异。这项研究表明，接受PMT治疗的精神障碍患者的身体体验受到干扰，并且在身体体验领域存在特定障碍的干扰。
