神经性贪食症患者的全球自尊取决于身体满意度：缺乏诊断特异性？
Global self-esteem as contingent on body satisfaction among patients with bulimia nervosa: lack of diagnostic specificity?
作者信息
Joiner T E, Schmidt N B, Wonderlich S A
机构信息
Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch at Galveston 77555-0425, USA.
出版信息
Int J Eat Disord. 1997 Jan;21(1):67-76. doi: 10.1002/(sici)1098-108x(199701)21:1<67::aid-eat8>3.0.co;2-1.
OBJECTIVE
To examine whether the self-esteem of patients with bulimia nervosa was more contingent on body satisfaction than that of nonpsychiatric control and of depressed participants.
METHODS
Patients with bulimia nervosa (selected according to DSM-III-based structured clinical interviews), those with depression (selected based on chart diagnoses), and nonpsychiatric control samples completed measures of body dissatisfaction and of global self-esteem.
RESULTS
Consistent with past work, we found that body dissatisfaction accounted for a greater amount of global self-esteem among bulimia nervosa patients, as compared to nonpsychiatric control subjects. However, the relation between global self-esteem and body dissatisfaction was similar in patients with bulimia nervosa as in those with depression. Although our depressed group possessed bulimic characteristics, this did not appear to account for our findings, in that the correlation between body dissatisfaction and self-esteem was highest among the nonbulimic depressed participants.
DISCUSSION
Our results raise questions about the specific pathognomonic quality of body satisfaction-dependent self-esteem in bulimia nervosa.
目的
研究神经性贪食症患者的自尊是否比非精神科对照者及抑郁症患者更取决于身体满意度。
方法
神经性贪食症患者（根据基于《精神疾病诊断与统计手册》第三版的结构化临床访谈选出）、抑郁症患者（根据病历诊断选出）以及非精神科对照样本完成了身体不满和总体自尊的测量。
结果
与过去的研究一致，我们发现，与非精神科对照者相比，身体不满在神经性贪食症患者的总体自尊中占比更大。然而，神经性贪食症患者中总体自尊与身体不满之间的关系与抑郁症患者相似。尽管我们的抑郁症组具有贪食特征，但这似乎并不能解释我们的研究结果，因为在非贪食的抑郁症参与者中，身体不满与自尊之间的相关性最高。
讨论
我们的研究结果对神经性贪食症中依赖身体满意度的自尊的特定病理特征提出了疑问。
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