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Diagnostik der Körperbildstörung

Messinstrumente zur Quantifizierung der kognitiv-affektiven, perzeptiven und behavioralen Komponenten

Diagnostics of body image disorders

Measurement instruments for quantification of cognitive-affective, perceptual and behavioral components

  • Schwerpunkt: Psychotherapie bei Essstörungen: Neue Forschungsergebnisse - Übersichten
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An Erratum to this article was published on 08 September 2017

This article has been updated

Zusammenfassung

Die Körperbildstörung lässt sich in kognitiv-affektive, perzeptive und behaviorale Komponenten unterteilen. Sie ist ein transdiagnostisches Phänomen, da sie nicht nur mit Essstörungen, sondern darüber hinaus auch mit anderen psychischen Störungsbildern, wie z. B. der Körperdysmorphen Störung, der Posttraumatischen Belastungsstörung, der Borderline-Persönlichkeitsstörung und der Sozialen Angststörung assoziiert ist. Der vorliegende Beitrag gibt einen Überblick über die für den deutschen Sprachraum psychometrisch überprüften Diagnoseinstrumente zur Erfassung der einzelnen Komponenten der Körperbildstörung. Darüber hinaus wird der Status quo zu den Messinstrumenten kritisch reflektiert, und Ausblicke auf künftige Forschungsfragen im Bereich der Diagnostik des Körperbilds und dessen Störungen werden gegeben. So wird deutlich, dass – trotz der großen Zahl deutschsprachiger Messinstrumente zur Erfassung des Körperbilds – Defizite hinsichtlich der Heterogenität der Zielgruppen (u. a. Geschlecht, Alter, kultureller Hintergrund) vorliegen sowie inhaltlich ein Mangel besteht, beispielsweise an „State“-Fragebogen, transdiagnostisch einsetzbaren Fragebogen und Instrumenten, die positive Aspekte des Körperbilds erfragen.

Abstract

Body image disorder can be subdivided into cognitive-affective, perceptual and behavioral components. It is a transdiagnostic phenomenon, as it is associated not only with eating disorders but also with other mental disorders, such as body dysmorphic disorder, posttraumatic stress disorder and social anxiety disorder. The present article provides an overview of the diagnostic instruments for measuring the different components of body image disorder, which have been psychometrically tested for German-speaking areas. Furthermore, the status quo of the measurement instruments is critically examined and perspectives on future research questions for improving the diagnostics of body image disorders are outlined. Despite numerous German language instruments for measuring body image, deficits are apparent with respect to the heterogeneity of the target groups (in terms of sex, age and cultural background among other factors) and with respect to content, including a lack of state questionnaires, questionnaires that can be applied transdiagnostically and instruments which assess positive aspects of body image.

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Change history

  • 08 September 2017

    An erratum to this article has been published.

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Steinfeld, B., Bauer, A., Waldorf, M. et al. Diagnostik der Körperbildstörung. Psychotherapeut 62, 164–182 (2017). https://doi.org/10.1007/s00278-017-0188-6

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