Self-esteem in Eating Disorders

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  • 摂食障害患者の自尊感情についての検討
  • セッショク ショウガイ カンジャ ノ ジソン カンジョウ ニ ツイテ ノ ケントウ

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Abstract

"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."

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