Buvat J, Buvat-Herbaut M
Ann Med Psychol (Paris). 1978 Apr;136(4):547-61.
We noted frequency of body-image disturbance (BID) and dismorphophobias (DPP) in 97 girls and 8 boys among 107 girls and 8 boys with Anorexia Nervosa (AN), seen since 1973 and coming up semiologic criterions of Laboucarie and Dally & Sargant. 91,5% of the girls and 7 out of 8 boys presented a BID at one time of their evolution. The other ones did not form a characteristic group. BID prevailed in no-perception of emaciation. No-perception of overweight was exceptional. That of variations of weight was frequent, explaining to need objective elements to measure real volume. BID seems to result from an incapacity to integrate well individually perceived details into a coherent image. Its apparition signals starting of AN, and it is a fundamental criterion of evolutivity. It's not frequent it's extended to body-image disperception of the close people, but it is often associated to an increase of mental representation of ingested feed volume.
自1973年起，我们依据拉布卡里以及达利和萨金特的症状学标准，对107名神经性厌食症（AN）女孩和8名男孩进行观察，记录了其中97名女孩和8名男孩的身体意象障碍（BID）及畸形恐惧症（DPP）发生频率。在其病程中的某个阶段，91.5%的女孩和8名男孩中的7名出现了身体意象障碍。其余患者未构成一个特征性群体。身体意象障碍主要表现为对消瘦无感知。对超重无感知的情况较为罕见。体重变化的感知较为常见，这解释了为何需要客观指标来衡量实际体重。身体意象障碍似乎源于无法将个体感知到的细节很好地整合为一个连贯的形象。它的出现标志着神经性厌食症的开始，并且是病情发展的一个基本标准。身体意象障碍扩展至对亲近之人身体意象的感知障碍并不常见，但它常与摄入食物量的心理表征增加相关。
