Abstract
Zusammenfassung. Die vorliegende Arbeit gibt einen Überblick über Selbstkonzeptbeeinträchtigungen bei Patientinnen mit Eßstörungen (Anorexia nervosa und Bulimia nervosa). Aus theoretischer Sicht werden Selbstkonzeptbeeinträchtigungen 1. als charakteristisches beschreibendes oder diagnostisches Merkmal sowie 2. als ätiologisches Merkmal im Rahmen verschiedener theoretischer Modelle beschrieben. Auf dem Hintergrund dieser Modelle werden anschließend die prospektiven empirischen Befunde zur Rolle von Selbstkonzeptbeeinträchtigungen als Risikofaktor sowie Querschnittsbefunde bei Anorexia und Bulimia nervosa im Vergleich zu Gesunden und anderen klinischen Kontrollgruppen zusammengefaßt. Die Befunde bestätigen die theoretisch postulierten Beeinträchtigungen des Selbstkonzepts der Eßgestörten nur gegenüber gesunden Kontrollgruppen eindeutig und sind unabhängig von der Art der Operationalisierung.
Abstract. This article reviews the role of self-concept-disturbances in patients with eating disorders (anorexia nervosa and bulimia nervosa). From a theoretical point of view, self-concept disturbances are seen as 1. characteristic descriptive or diagnostic features and as 2. etiologic factors in different theoretical models. Against the background of these models empirical results concerning the role of self-concept-deficits as a risk factor for eating disorders in prospective studies as well as cross-sectional results of comparisons between patients with anorexia and bulimia nervosa in comparison to healthy controls and other clinical control groups are summarized. The results confirm the theoretically postulated self-concept-disturbances of the eating disordered patients only in comparison to healthy controls clearly and are independent of the kind of operationalization used.
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