神经性厌食症患者进食障碍与家庭功能关系的研究  

Correlation between Eating Disorders and Family Function of Anorexia Nervosa Patients

作　　者：赖平妹[1] 彭敏[1] 陈向一[1] 

机构地区：[1]中国.广东医学院附属南山医院精神卫生科,深圳518052

出　　处：《中国健康心理学杂志》2011年第2期148-150,共3页China Journal of Health Psychology

基　　金：国家科技支撑计划项目资助(2009BAI77B05)

摘　　要：目的探讨神经性厌食症(AN)患者进食障碍及其与家庭功能的关系。方法使用进食障碍调查量表(EDI),家庭功能量表(FAD)对29例AN患者的进食障碍及其家庭功能进行评定,对其身高体重指数(BMI)进行计算,并与大学生样本进行对照研究。结果 AN患者EDI对瘦的追求,贪食,对身体不满意,无效感,完美主义,对他人不信任,内省评分均高于正常对照组(P<0.05);FAD中问题解决,沟通,情感反应,情感介入以及总的功能评分均显著高于正常对照组(P<0.05)。EDI各因子与FAD各因子存在相关,身高体重指数也与家庭功能中的情感反应,行为控制,总的功能存在相关(P<0.05)。结论 AN患者不仅在对瘦的追求,贪食,对身体不满意,无效感,完美主义,对他人不信任等存在不恰当的信念,并且存在家庭功能的失调,家庭功能的失调不仅在心理上与AN患者求瘦等信念有关,在生理上与身高体重指数有关。Objective To explore the relationship of eating disorder and family function of anorexia nervosa patients.Methods A total of 29 anorexia nervosa patients and 29 normal controls were assessed with Eating Disorder Inventory（EDI） and Family Assessment Device（FAD）,Body Mass Index （BMI） was calculated.Results AN patients had higher scores in drive for thinness,bulimia,body dissatisfaction,ineffectiveness,perfectionism,interpersonal distrust and interoceptive awareness in EDI（P0.05）,and higher scores in problem solving,communication,affective responsiveness,affective involvement,general functioning in FAD（P0.05）.The factors in EDI were correlated with the FAD factors（P0.05）,and BMI were correlated with affective responsiveness,behavior control,and general functioning（P0.05）.Conclusion Anorexia nervosa patients have irrational convictions about drive for thinness,bulimia,body dissatisfaction,ineffectiveness,perfectionism,interpersonal distrust,interoceptive awareness,and the disturbance of family function.,the disturbance of family function were correlated with the irrational convictions about eating disorder and BMI.

关 键 词：神经性厌食 家庭功能失调 进食障碍调查量表 家庭功能量表 身高体重指数 

分 类 号：R749.7[医药卫生—神经病学与精神病学]