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首页> 外文期刊>Journal of Eating Disorders >Self-image and 12-month outcome in females with eating disorders: extending previous findings
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Self-image and 12-month outcome in females with eating disorders: extending previous findings

机译：患有饮食障碍的女性的自我形象和12个月的结果：延长以前的发现

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The interpersonal Structural Analysis of Social Behavior (SASB) model of self-image has repeatedly proven valuable in relation to eating disorder (ED) symptoms and in predicting ED outcome. We studied the association between initial self-image according to the SASB and 12-month outcome, in five diagnostic groups of female ED patients. Based on previous findings, we expected autonomy related variables (self-control/autonomy) would strongly predict outcome in anorexia nervosa (AN) groups, whereas variables related to affiliation (self-attack/love) would moderately predict outcome in bulimia nervosa (BN). Participants were adult female patients, of whom 457 had AN restrictive type, 228 AN binge/purge subtype, 861 BN, 505 other specified ED and 170 binge eating disorder. Data came from the Stepwise clinical database in Sweden. Outcomes were presence/absence of ED diagnosis and self-rated ED symptoms, and we controlled for baseline ED pathology, BMI, age and general psychiatric symptoms. Regression analyses showed that although the pattern differed somewhat between diagnostic groups, high initial self-love and low self-attack/self-blame predicted a more positive 12-month outcome. In some groups (AN/R in particular), these variables remained important even when baseline pathology and age were included in the analyses. Self-image aspects once again display substantial power in predicting outcome in EDs. In AN/R patients, self-love plays an almost as crucial a role as baseline ED pathology in relation to 12-month outcome.
机译：自我形象的社会行为（SASB）模型的人际关系结构分析一再被证明与进食障碍（ED）症状以及预测ED结果有价值。根据SASB和12个月的结果，在雌性ED患者的五个诊断组中，研究了初始自我形象之间的关联。基于以前的调查结果，我们预期的自治相关变量（自我控制/自主）将强烈预测厌食症（AN）群体的结果，而与隶属关系（自我攻击/爱）有关的变量将适度预测贪食症（BN） ）。参与者是成年女性患者，其中457名具有限制性型，228个泪液/吹扫亚型，861bn，505其他特定的ed和170个狂犬病疾病。数据来自瑞典的逐步临床数据库。结果是ED诊断和自我评价的ED症状的存在/不存在，我们控制了基线ED病理学，BMI，年龄和一般精神症状。回归分析表明，虽然这种模式在诊断群体之间有所不同，但高初始自爱和低自我攻击/自我责任预测了更积极的12个月结果。在某些群体（特别是AN / R）中，即使在分析中包含基线病理学和年龄，这些变量仍然是重要的。自我图像方面再次显示在预测EDS的结果时大量的力量。在AN / R患者中，自爱起到与12个月的结果相关的基线ED病理学的角色几乎是至关重要的。

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