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Freier Beitrag

Körperbildstörungen bei Trauma und sozialer Ängstlichkeit

Published Online:March 06, 2015https://doi.org/10.1024/1661-4747/a000221

Abstract

Viele psychische Störungen können sich auf die eigene Körperwahrnehmung auswirken. So berichten manche Patienten mit Posttraumatischer Belastungsstörung (PTBS) wie auch mit sozialer Ängstlichkeit (SÄ) von einem negativen Körperbild. Bei PTBS ist der Einfluss des Geschlechts und der Traumaart auf das Körperbild unklar. Bezüglich SÄ ist unklar, welche Komponenten des Körperbildes gestört sind. Symptome der PTBS, SÄ und das Körperbild wurden in zwei Online Studien (N = 259) erfragt. Das Körperbild bei PTBS wird über Schwere der Symptomatik, nicht über Traumaart oder Geschlecht beeinflusst. Menschen mit SÄ berichten negativere Einstellungen und ausgeprägte Körpervermeidung im Vergleich zu Menschen mit geringer SÄ. Im Vergleich der Stichproben zeigen Probanden mit PTBS Symptomatik negativere Einstellungen gegenüber dem Körper als Probanden mit SÄ. PTBS und SÄ zeigen Auswirkungen der Symptomatik auf die Körperwahrnehmung, die auch in der Psychotherapie thematisiert werden sollten.


Body image in humans with trauma or social anxiety

Many psychological disorders may impact the perception of the own body. Individuals suffering from posttraumatic stress disorder (PTSD) and social anxiety (SA) report negative body images. The modulating effect of trauma type and gender on body image is unknown in individuals with PTSD. With regard to SA, it is unknown which body image components are affected. Symptoms of PTSD, SA and self-rated body image were assessed in two online studies (N = 259). In the PTSD group, the body image is affected by symptom severity, but not trauma type or gender. Individuals high in SA reported negative attitudes regarding their body and pronounced body avoidance. Individuals high in PTSD symptoms reported more pronounced negative attitudes as individuals in the high SA symptom group. Psychic symptomatology like in PTSD or SA negatively affects body image. Accordingly, a focus on body related modules in psychotherapy would be pertinent.

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