主动减肥女性的体像与自尊的相关性

摘要

BACKGROUND: Due to the trouble of body image and self-esteem, more and more women hope to reduce their body mass.OBJECTIVE: To assay the characters and correlation between body image and self-esteem in women who reduce weight positively.DESIGN: Transect investigation.SETTING: Department of Dermatology of Xiangya Hospital and Xiangya Second Hospital of Central South University. PARTICIPANTS: Totally 100 patients for weight loss was collected in Department of Acupuncture and Moxibustion of Xiangya Hospital Affiliated to Central South University from November 2002 to September 2003 and they were included in experimental group. Severe physical disorders or other chronic physical disorders were excluded, such as cardiac vascular disease and diabetes and various metal disturbances were excluded too. In addition,the patients did not taken psychoactive drugs recently. Those were in over-body-mass group if body mass index(BMI) ≥ 24 and those were in normal body mass group if BMI＜24. In the control, there were 100 healthy women participating in the study in volunteer at the same time. The exclusive standards for them were same as the experimental group and they did not taken psychoactive drugs recently and had done nothing for weight loss in 5 years.METHODS: After instructed, the receptors filled up the following questionnaire: a self-rating scale of body image(SRSBI) and the self-esteem scale (SES). SRSBI is the subjective assessment on the beauty and strength of the body individually. SES is the assessment on holistic perception of self-value and self-acceptance.MAIN OUTCOME MEASURES: Results of SRSBI and SES in weight loss women.RESULTS: According to intention, general results of SRSBI: The score in experimental group(15.14±9.99) was higher than that in the control (7.89±6.18) (t= 6.15, P＜0.001) . The score was(15.65±10.36) in normal body mass group and was(13.81 ±10.03) in over-body-mass group. By the comparison between both, no difference presented(t=0.91, P ＞0.05) . Results of SES: the score in experimental group (27.01±4.19)was lower than that in the control(28.23±3.65) (t= 2.16, P＜0.05).The score was(27.31±4.50) in normal body mass group and was (26.86±3.82) in over-body-mass group. By the comparison between both,no difference presented (t=0.54, P＞0.05) . It was indicated in linear correlation analysis on SRSBI and SES in experimental group that the correlation coefficient between SRSBI and SES was-0. 088(P＞0.05).CONCLUSION: The people who seek for weight loss actively present inferior subjective perception of body image and low level of self-esteem, and there is no correlation between both of them and neither of them is relevant t.o obesity.%背景:越来越多的女性出于体像的困扰及自尊,希望减轻自己的体质量.目的:分析主动减肥女性的体像、自尊的特征及相关性.设计:横断面调查.单位:中南大学湘雅医院和湘雅二医院皮肤科.对象:2002-11/2003-09中南大学湘雅医院针灸科收治的减肥治疗者100人,作为实验组.排除心血管疾病、糖尿病等重大躯体疾病及其他慢性躯体疾病;排除各类精神障碍.近期内未服用精神活性药物.又根据体质量指数值≥24分为超体质量组,＜24分为正常体质量组.对照组为同期健康自愿体检者100人,均为女性,排除标准同实验组,近期内未服用精神活性药物,并且5年内无任何减肥行为.方法:在讲解完指导语后由受试者填写以下问卷:体像障碍自评量表,自尊量表.体像障碍自评量表是个体对自己身体给予美丑、强弱等的主观感受的评价.自尊量表是关于自我价值和自我接纳的整体感受的评价.主要观察指标:减肥者体像量表、自尊量表的得分.结果:按意向处理分析,体像障碍自评量表总分:实验组(15.14±9.99)分,对照组(7.89±6.18)分,实验组高于对照组(t=6.15,P＜0.001),正常体质量组(15.65±10.36)分,超体质量组(13.81±10.03)分,两组比较无差异(t=0.91,P＞0.05).自尊量表得分:实验组(27.01±4.19)分,对照组(28.23±3.65)分,实验组低于对照组(t=-2.16,P＜0.05),正常体质量组(27.31±4.50)分,超体质量组(26.86±3.82)分,两组比较无差异(t=0.54,P＞0.05).实验组体像障碍自评量表与自尊量表直线相关分析结果显示,体像障碍自评量表与自尊量表的相关系数为-0.088(P＞0.05).结论:主动寻求减肥者,体像的主观感受差和自尊水平低,但两者之间无相关性,与是否肥胖无关.