进食障碍患者的体象障碍:概念及研究进展
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摘要
进食障碍患者的体象障碍概念自被提出以来一直是精神病学界研究与争论的焦点。在临床进食障碍患者中开展的实验研究使人们对体象障碍的成分、机制及其在疾病过程中扮演的角色有了更深入的认识,也促进了相关理论的演变及概念的更新。该文对进食障碍患者体象障碍的有关理论与实验研究进行回顾,并对该领域主要进展及未来发展方向进行总结与分析。
Body image disturbance (BID) in eating disorders (ED) has always been a focus of intense investigations and debates since its concept was brought out. Experimental studies conducted in clinical ED patients have not only provided insights into the components, mechanisms and roles of BID in ED psychopathology, but also brought changes to relevant theories and concepts. This article provided a review of theoretical and empirical literatures on BID in ED, as well as a summary and analysis of recent developments and future prospects in this field.
Body image disturbance (BID) in eating disorders (ED) has always been a focus of intense investigations and debates since its concept was brought out. Experimental studies conducted in clinical ED patients have not only provided insights into the components, mechanisms and roles of BID in ED psychopathology, but also brought changes to relevant theories and concepts. This article provided a review of theoretical and empirical literatures on BID in ED, as well as a summary and analysis of recent developments and future prospects in this field.
引文
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[3]Crisp AH.Primary anorexia nervosa[J].Gut,1968,9(4):370-372.
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[2]Bruch H.Perceptual and conceptual disturbances in anorexia nervosa[J].Psychosom Med,1962,24:187-194.
[3]Crisp AH.Primary anorexia nervosa[J].Gut,1968,9(4):370-372.
[4]Russell G.Bulimia nervosa:an ominous variant of anorexia nervosa[J].Psychol Med,1979,9(3):429-448.
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[6]American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].4th ed.Washington DC:American Psychiatric Association,1994.
[7]Lee S,Ho TP,Hsu LG.Fat phobic and non-fat phobic anorexia nervosa:a comparative study of 70 Chinese patients in Hong Kong[J].Psychol Med,1993,23(4):999-1017.
[8]Thomas JJ,Eddy KT,Ruscio J,et al.Do recognizable lifetime eating disorder phenotypes naturally occur in a culturally Asian population?A combined latent profile and taxometric approach[J].Eur Eat Disord Rev,2015,23(3):199-209.
[9]Zheng Y,Kang Q,Huang J,et al.The latent class structure of Chinese patients with eating disorders in Shanghai[J].Shanghai Arch Psychiatry,2017,29(4):200-207.
[10]Hsu LKG,Lee S.Is weight phobia always necessary for a diagnosis of anorexia nervosa?[J].Am J Psychiatry,1993,150:1466-1471.
[11]Lee S.Self-starvation in context:towards a culturally sensitive understanding of anorexia nervosa[J].Soc Sci Med,1995,41(1):25-36.
[12]Katzman MA,Lee S.Beyond body image:the integration of feminist and transcultural theories in the understanding of self-starvation[J].Int J Eat Disord,1997,22(4):385-394.
[13]Slade PD,Russell GF.Awareness of body dimensions in anorexia nervosa:cross-sectional and longitudinal studies[J].Psychol Med,1973,3(2):188-199.
[14]Thompson JK,Spana RE.The adjustable light beam method for the assessment of size estimation accuracy:description,psychometric,and normative data[J].Int J Eat Disord,1988,7(4):521-526.
[15]Pierloot RA,Houben ME.Estimation of body dimensions in anorexia nervosa[J].Psychol Med,1978,8(2):317-324.
[16]Garner DM,Garfinkel PE,Stancer HC,et al.Body image disturbances in anorexia nervosa and obesity[J].Psychosom Med,1976,38(5):327-336.
[17]Hennighausen K,Enkelmann D,Wewetzer C,et al.Body image distortion in anorexia nervosa:is there really a perceptual deficit?[J].Eur Child Adolesc Psychiatry,1999,8(3):200-206.
[18]Meermann R.Experimental investigation of disturbances in body image estimation in anorexia nervosa patients,and ballet and gymnastics pupils[J].Int J Eat Disord,1983,2(4):91-100.
[19]M?lbert SC,Thaler A,Mohler BJ,et al.Assessing body image in anorexia nervosa using biometric self-avatars in virtual reality:attitudinal components rather than visual body size estimation are distorted[J].Psychol Med,2018,48(4):642-653.
[20]Thompson JK,Altabe MN.Psychometric qualities of the figure rating scale[J].Int J Eat Disord,1991,10(5):615-619.
[21]Thompson MA,Gray JJ.Development and validation of a new body-image assessment scale[J].J Pers Assess,1995,64(2):258-269.
[22]Gardner RM,Jappe LM,Gardner L.Development and validation of a new figural drawing scale for body-image assessment:the BIAS-BD[J].J Clin Psychol,2009,65(1):113-122.
[23]Moussally JM,Grynberg D,Goffinet S,et al.Novel assessment of own and ideal body perception among women:validation of the computer-generated figure rating scale[J].Cogn Ther Res,2017,41(4):632-644.
[24]Horndasch S,Heinrich H,Kratz O,et al.Perception and evaluation of women's bodies in adolescents and adults with anorexia nervosa[J].Eur Arch Psychiatry Clin Neurosci,2015,265(8):677-687.
[25]Moody TD,Shen VW,Hutcheson NL,et al.Appearance evaluation of others'faces and bodies in anorexia nervosa and body dysmorphic disorder[J].Int J Eat Disord,2017,50(2):127-138.
[26]Gardner RM,Moncrieff C.Body image distortion in anorexics as a non-sensory phenomenon:a signal detection approach[J].J Clin Psychol,1988,44(2):101-107.
[27]Smeets MA,Ingleby JD,Hoek HW,et al.Body size perception in anorexia nervosa:a signal detection approach[J].J Psychosom Res,1999,46(5):465-477.
[28]Baker JD,Williamson DA,Sylve C.Body image disturbance,memory bias,and body dysphoria:effects of negative mood induction[J].Behav Ther,1995,26(4):747-759.
[29]Thompson JK,Coovert MD,Stormer SM.Body image,social comparison,and eating disturbance:a covariance structure modeling investigation[J].Int J Eat Disord,1999,26(1):43-51.
[30]Thompson JK,Stice E.Thin-ideal internalization:mounting evidence for a new risk factor for body-image disturbance and eating pathology[J].Curr Dir Psychol Sci,2001,10(5):181-183.
[31]Thompson JK,Heinberg LJ.The media's influence on body image disturbance and eating disorders:we've reviled them,now can we rehabilitate them?[J].J Soc Issues,1999,55(2):339-353.
[32]Garner DM.EDI-3,eating disorder inventory-3:professional manual[M].Lutz:Psychological Assessment Resources Inc,2004.
[33]Greenwald AG,Banaji MR.Implicit social cognition:attitudes,self-esteem,and stereotypes[J].Psychol Rev,1995,102(1):4-27.
[34]Cserjési R,Vermeulen N,Luminet O,et al.Explicit vs.implicit body image evaluation in restrictive anorexia nervosa[J].Psychiat Res,2010,175(1-2):148-153.
[35]Parling T,Cernvall M,Stewart I,et al.Using the implicit relational assessment procedure to compare implicit pro-thin/anti-fat attitudes of patients with anorexia nervosa and non-clinical controls[J].Eat Disord,2012,20(2):127-143.
[36]Smith AR,Joiner Jr TE,Dodd DR.Examining implicit attitudes toward emaciation and thinness in anorexia nervosa[J].Int J Eat Disord,2014,47(2):138-147.
[37]Spring VL,Bulik CM.Implicit and explicit affect toward food and weight stimuli in anorexia nervosa[J].Eat Behav,2014,15(1):91-94.
[38]Smith AR,Forrest LN,Velkoff EA,et al.Implicit attitudes toward eating stimuli differentiate eating disorder and non-eating disorder groups and predict eating disorder behaviors[J].Int J Eat Disord,2018,51(4):343-351.
[39]De Vignemont F.Body schema and body image:pros and cons[J].Neuropsychologia,2010,48(3):669-680.
[40]Guardia D,Lafargue G,Thomas P,et al.Anticipation of body-scaled action is modified in anorexia nervosa[J].Neuropsychologia,2010,48(13):3961-3966.
[41]Guardia D,Conversy L,Jardri R,et al.Imagining one's own and someone else's body actions:dissociation in anorexia nervosa[J].PLoS One,2012,7(8):e43241.
[42]Engel MM,Keizer A.Body representation disturbances in visual perception and affordance perception persist in eating disorder patients after completing treatment[J].Sci Rep,2017,7(1):16184.
[43]Keizer A,Smeets MA,Dijkerman HC,et al.Too fat to fit through the door:first evidence for disturbed body-scaled action in anorexia nervosa during locomotion[J].PLoS One,2013,8(5):e64602.
[44]Keizer A,Smeets MA,Dijkerman HC,et al.Tactile body image disturbance in anorexia nervosa[J].Psychiat Res,2011,190(1):115-120.
[45]Keizer A,Smeets MA,Dijkerman HC,et al.Aberrant somatosensory perception in anorexia nervosa[J].Psychiat Res,2012,200(2-3):530-537.
[46]Spitoni GF,Serino A,Cotugno A,et al.The two dimensions of the body representation in women suffering from anorexia nervosa[J].Psychiat Res,2015,230(2):181-188.
[47]Epstein J,Wiseman CV,Sunday SR,et al.Neurocognitive evidence favors“top down”over“bottom up”mechanisms in the pathogenesis of body size distortions in anorexia nervosa[J].Eat Weigt Disord,2001,6(3):140-147.
[48]Guardia D,Cottencin O,Thomas P,et al.Spatial orientation constancy is impaired in anorexia nervosa[J].Psychiat Res,2012,195(1-2):56-59.
[49]Guardia D,Carey A,Cottencin O,et al.Disruption of spatial task performance in anorexia nervosa[J].PLoS One,2013,8(1):e54928.
[50]Case LK,Wilson RC,Ramachandran VS.Diminished size-weight illusion in anorexia nervosa:evidence for visuo-proprioceptive integration deficit[J].Exp Brain Res,2012,217(1):79-87.
[51]Eshkevari E,Rieger E,Longo MR,et al.Increased plasticity of the bodily self in eating disorders[J].Psychol Med,2012,42(4):819-828.
[52]Keizer A,Smeets MA,Postma A,et al.Does the experience of ownership over a rubber hand change body size perception in anorexia nervosa patients?[J].Neuropsychologia,2014,62:26-37.
[53]Castro-Fornieles J,BargallóN,Lázaro L,et al.A cross-sectional and followup voxel-based morphometric MRI study in adolescent anorexia nervosa[J].J Psychiatr Res,2009,43(3):331-340.
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