Button E J, Sonuga-Barke E J, Davies J, Thompson M
Department of Psychiatry, University of Leicester, UK.
Br J Clin Psychol. 1996 May;35(2):193-203. doi: 10.1111/j.2044-8260.1996.tb01176.x.
A number of authors have emphasized the importance of self-esteem in the aetiology of the eating disorders anorexia nervosa and bulimia nervosa. Evidence for such theorizing, however, mainly derives from clinical observations on people being treated for eating disorders. This study is the first prospective study to investigate the role of self-esteem in aetiology prior to the onset of an eating disorder. Self-esteem was measured in 594 schoolgirls aged 11-12 using the Rosenberg Self-Esteem Scale (Rosenberg, 1965). Almost 400 of these girls were successfully followed up at age 15-16 and they completed a questionnaire examining eating and other psychological problems. Results showed that girls with low self-esteem at age 11-12 were at significantly greater risk of developing the more severe signs of eating disorders, as well as other psychological problems, by the age of 15-16. It is argued that more research is needed to replicate and extend these findings. The results also give weight to the case for examining the potential role of self-esteem enhancement in the prevention of eating disorders.
许多作者强调了自尊在神经性厌食症和神经性贪食症病因学中的重要性。然而，这种理论化的证据主要来自对饮食失调患者的临床观察。本研究是第一项前瞻性研究，旨在调查自尊在饮食失调发病前病因学中的作用。使用罗森伯格自尊量表（罗森伯格，1965年）对594名11至12岁的女学生进行了自尊测量。其中近400名女孩在15至16岁时成功接受了随访，她们完成了一份调查问卷，调查饮食和其他心理问题。结果显示，11至12岁自尊较低的女孩在15至16岁时出现更严重饮食失调症状以及其他心理问题的风险显著更高。有人认为需要更多的研究来重复和扩展这些发现。研究结果也支持了研究自尊增强在预防饮食失调中的潜在作用这一观点。
