摂食障害患者の自尊感情についての検討  [in Japanese] Self-esteem in Eating Disorders  [in Japanese]

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Abstract

摂食障害患者103例について自尊感情と摂食態度,感情状態,罹病期間,BMIとの関連をローゼンバーグの自尊感情尺度,EAT,BITE,POMSを用いて検討し,さらに病型間の自尊感情の比較を行った.摂食障害患者の自尊感情は,摂食態度や感情状態との関連を認めたが,罹病期間やBMIとの関連は認めなかった.また重回帰分析において,自尊感情と摂食態度との関連が確認された.病型間の比較では,ANではむちゃ食い/排出行動のある群,BNでは排出行動のない群で自尊感情が低かった.摂食障害の本質として自己同一性の確立を巡る葛藤があり,この葛藤をうまく解決できないため自立が困難となり自己評価が低下し,その無力感や絶望感を体重のコンロトールによって処理し達成感を得ようとしていることはよく知られている.自己評価の基準は一般的な社会の中でコンセンサスが得られている価値よりも,むしろ自分自身がもっている価値ないし理想とされる.

"The purpose of this study was to investigate how self-esteem of patients with eating disorders correlates with their eating attitudes, mood states, duration of illness, and BMI. Their self-esteem was also compared across the all eating disorders subtypes. Subjects were 103 females with eating disorders : 29 with anorexia nervosa, restricting type (AN-R) , 21 with anorexia nervosa, binge eating/purging type (AN-BP), 41 with bulimia nervosa, purging type (BN-P) , 8 with bulimia nervosa, nonpurging type (BN-NP) and 4 with eating disorder not otherwise specified (NOS) . The subjects' self-esteem was measured with Rosenberg Self-Esteem Scale (RSES) . Other variables were measured using Eating Attitude Test-26 (EAT), Bulimic Investigatory Test, Edinburgh (BITE) and Profile of Mood States (POMS) . Correlations between RSES scores, on the one hand, and EAT scores, BITE scores. POMS scores, duration of illness, and BMI, on the other, were calculated, using the Pearson's product-moment correlation coefficient and multiple logistic regression analysis. T-test was used to compare the RSES across the all subtype groups. The results showed that the RSES scores correlated significantly with EAT and BITE scores and all POMS subscales. However, there was no significant correlation between the RSES scores and duration of illness or BMI. When multiple regression analysis was used, the partial correlation between RSES scores and the EAT scores, POMS scores for vigor and confusion was pronounced. The RSES score was highest in the AN-R group, and lowest in the BN-NP group. The RSES score of the AN-R group was significantly higher than the AN-BP and BN-NP groups. The BN-P group showed significantly higher RSES score than the BN-NP group."

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 45(3), 225-231, 2005

    Japanese Society of Psychosomatic Medicine

References:  22

Cited by:  1

Codes

  • NII Article ID (NAID)
    110001263507
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0385-0307
  • NDL Article ID
    7264309
  • NDL Source Classification
    ZS31(科学技術--医学--精神神経科学)
  • NDL Call No.
    Z19-26
  • Data Source
    CJP  CJPref  NDL  NII-ELS  J-STAGE 
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