Pitts C, Waller G
South Manchester District Health Authority, U.K.
Int J Eat Disord. 1993 May;13(4):407-10. doi: 10.1002/1098-108x(199305)13:4<407::aid-eat2260130409>3.0.co;2-7.
Reported sexual abuse is associated with bulimic symptomatology. It has been suggested that this association might be due to impaired self-esteem. However, from the evidence to date, it appears that general self-esteem may be too "blunt" a construct, and that more specific psychological mediators need to be considered. This study compares the values of a measure of general self-esteem and a measure of specific self-denigratory beliefs consequent upon sexual abuse in predicting levels of eating psychopathology in eating-disordered women. Self-esteem was associated with the level of general eating attitudes, whereas specific self-denigratory beliefs were associated with the frequency of vomiting. Neither variable adequately predicted the frequency of binging.
报告的性虐待与暴食症状相关。有人认为这种关联可能是由于自尊受损。然而，从目前的证据来看，一般自尊这个概念可能过于“笼统”，需要考虑更具体的心理调节因素。本研究比较了一般自尊测量指标和性虐待后产生的特定自我诋毁信念测量指标在预测饮食失调女性的饮食心理病理学水平方面的价值。自尊与总体饮食态度水平相关，而特定的自我诋毁信念与呕吐频率相关。这两个变量都不能充分预测暴饮暴食的频率。
