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厌食症神经症中体重关注的影响:多少来自'体重'和多少来自'关注'?
J Ingrid Friedman1, Michael R Lowe1
1Department of Psychological and Brain Sciences, Drexel University, Philadelphia, Pennsylvania, USA.
概括
在神经性厌食症 (AN) 和非典型的AN (AAN) 中,身体质量指数 (BMI) 和BMI z分数与饮食问题有关. 然而,控制体重问题反转了这些关联,表明了超越简单体重关注的复杂相互作用.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 饮食障碍 研究 研究 研究
背景情况:
- 神经性厌食症 (AN) 的认知行为模型认为,高估体重和形状会导致瘦身.
- 身体质量指数 (BMI) 和BMI z分数可能会影响超出与体重问题的直接关系的精神病理学.
研究的目的:
- 调查BMI/z-BMI与试图改变饮食/体重 (克制,饮食问题) 在AN和非典型AN (AAN) 之间的关系.
- 为了检查这些关系之前和之后控制体重问题.
主要方法:
- 对1666名患有AN或AAN的女性住院患者的分析.
- 检查了z-BMI和EDE-Q限制/饮食问题 (青少年) 和BMI和限制/饮食问题 (成年人) 之间的相关性.
- 对体重的关注进行了分析,包括控制和不控制.
主要成果:
- 体重指数和z-BMI与体重问题,克制和饮食问题有积极的关联.
- 在控制体重问题后,z-BMI和克制/饮食问题之间的积极关系变成了显著的负面关系.
- 在成年人中观察到类似的模式,尽管BMI与限制的联系并不显著.
结论:
- 体重指数/z-BMI与AN频谱障碍的体重和饮食问题有关,即使有显著的体重减轻.
- 控制体重问题在很大程度上扭转了BMI/z-BMI和这些疾病中的克制/饮食问题之间的关联.
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