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Originalia

Wie spezifisch sind Beeinträchtigungen des Selbstkonzepts bei Essstörungen?

Published Online:January 01, 2003https://doi.org/10.1026/0084-5345.32.1.31

Abstract

Zusammenfassung.Theoretischer Hintergrund: Selbstkonzeptbeeinträchtigungen gelten als zentrales Merkmal anorektischer und bulimischer Patientinnen. Untersuchungen an Patienten mit Binge Eating Störungen fehlen weitgehend. Fragestellung: Überprüfung der Spezifität von Selbstkonzeptbeeinträchtigungen bei drei diagnostischen Gruppen essgestörter Patientinnen und gesunden sowie weiteren klinischen Kontrollgruppen. Methode: Selbstkonzeptbeeinträchtigungen wurden bei essgestörten Patientinnen, parallelisierten gesunden Kontrollgruppen sowie Patientinnen mit Angststörungen und depressiven Störungen unter Berücksichtigung der Rolle der Depressivität untersucht. Ergebnisse: Alle drei Gruppen essgestörter Patientinnen wiesen ein schlechteres Selbstkonzept im Vergleich zu gesunden Kontrollpersonen auf, unabhängig vom Ausmaß ihrer Depressivität. Unterschiede zu den klinischen Kontrollgruppen bestanden v.a. hinsichtlich des globalen Selbstwertgefühls und waren im Vergleich zu Patientinnen mit Angststörungen ausgeprägter als gegenüber Depressiven. Schlussfolgerung: Selbstkonzeptdefizite können nicht als besonders spezifische Beeinträchtigungen essgestörter Patientinnen angesehen werden.


How specific are self-concept disturbances in eating disorders?

Abstract.Background: Self-concept disturbances are considered to be core features in anorexic and bulimic patients. Studies including patients with Binge Eating Disorder are rare. Objective: Examination of the specificity of self-concept disturbances in three groups of eating disordered patients, normal subjects, and additional clinical control groups. Methods: Self-concept disturbances, controlled for depression, were assessed in eating disordered patients, matched normal control groups, and patients with anxiety and depressive disorders. Results: All three groups of eating disorder patients displayed a more negative self-concept than did to normal controls, independent of depressive symptoms. Differences between eating disorder patients and clinical controls were found primarily in global self-esteem and were more prominent in patients with anxiety disorders than in depressive patients. Conclusions: Self-concept deficits cannot be conceived as highly specific characteristics of eating disorder patients.

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