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肥胖与精神分析

Obesity and psychoanalysis.

作者信息

Rand C, Stunkard A J

出版信息

Am J Psychiatry. 1978 May;135(5):547-51. doi: 10.1176/ajp.135.5.547.

DOI:10.1176/ajp.135.5.547
PMID:645947
Abstract

Seventy-two psychoanalysts collected information on 84 obese patients and on a control sample of 63 of their patients of normal weight. Despite the fact that obesity was the chief complaint of only 6% of the obese patients, weight losses at 42 months of psychoanalytic treatment compared favorably with those after traditional medical efforts: 47% of the obese psychoanalytic patients lost more than 9 kg, and 19% lost more than 18 kg. There was also a striking decrease in the percentage of obese patients suffering from body image disparagement--from 44% to 12%, an unexpectedly good result for this chronic and intractable disorder.

摘要

72位精神分析学家收集了84名肥胖患者以及63名体重正常的对照患者的信息。尽管肥胖仅为6%的肥胖患者的主要诉求,但经过42个月的精神分析治疗后,患者的体重减轻情况优于传统医学治疗后的效果:47%的接受精神分析治疗的肥胖患者体重减轻超过9千克,19%的患者体重减轻超过18千克。此外,患有身体形象贬低问题的肥胖患者比例也显著下降——从44%降至12%,对于这种慢性难治性疾病而言,这是一个出乎意料的良好结果。

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