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[神经性厌食症自评量表(ANIS)(作者译)]

[The anorexia nervosa inventory for self-rating (ANIS) (author's transl)].

作者信息

Fichter M M, Keeser W

出版信息

Arch Psychiatr Nervenkr (1970). 1980;228(1):67-89. doi: 10.1007/BF00365746.

Abstract

The Anorexia Nervosa Inventory for Self-Rating (ANIS) was developed as a reliable and valid instrument for diagnostic purposes and for longitudinal assessments in the course of therapy of anorexic patients. Appropriate items, which were selected from a larger pool of items by expert ratings, were subjected to factor analyses. The analyses were based on self-ratings of a sample of 101 patients suffering from anorexia nervosa and a sample of 118 high school students comparable in sex and age. The factor analytic studies based on maximum likelihood procedures resulted in a 31-item self-rating scale consisting of six interpretable factors. The rotated factor structure was stable for the different patient and student samples. The factors identified were labeled: (1) figure consciousness; (2) feeling of insufficiency; (3) anancasm; (4) adverse effect of meals; (5) sexual anxieties and (6) bulimia. The first two factors are discussed in the context of concepts formulated by Bruch (1973) concerning 'disturbances in body image' and an 'all-pervasive feeling of ineffectiveness' in anorexic patients. The usefulness of the ANIS scale to discriminate between healthy and anorexic subjects and for self-assessment of patients during the process of therapy is demonstrated.

摘要

神经性厌食自评量表(ANIS)是作为一种可靠且有效的工具而开发的,用于诊断目的以及在神经性厌食症患者的治疗过程中进行纵向评估。通过专家评级从大量项目中选出的合适项目进行了因子分析。分析基于101名神经性厌食症患者样本和118名年龄及性别匹配的高中生样本的自评数据。基于最大似然法的因子分析研究得出了一个由31个项目组成的自评量表,该量表包含六个可解释的因子。旋转后的因子结构在不同的患者和学生样本中是稳定的。所确定的因子被标记为:(1)体型意识;(2)不足感;(3)强迫观念;(4)进食的不良影响;(5)性焦虑;(6)暴食症。前两个因子是在布鲁赫(1973年)提出的关于神经性厌食症患者“身体意象障碍”和“普遍存在的无效感”的概念背景下进行讨论的。文中展示了ANIS量表在区分健康人和神经性厌食症患者以及在治疗过程中对患者进行自我评估方面的有用性。

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