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DOI: 10.1055/s-2006-951955
© Georg Thieme Verlag KG Stuttgart · New York
Körperbilder männlicher Patienten mit Essstörungen
Body Images of Male Patients with Eating DisordersPublication History
eingereicht 12. April 2006
akzeptiert 19. Dez. 2006
Publication Date:
14 March 2008 (online)
![](https://www.thieme-connect.de/media/ppmp/20070304/lookinside/thumbnails/10.1055-s-2006-951955-1.jpg)
Zusammenfassung
Männliche Körperideale haben sich in der Vergangenheit erheblich verändert. Den idealen männlichen Körper kennzeichnen heute wenig Fett und viel Muskelmasse. Ähnlich wie bei Frauen sollten sich diese normativen gesellschaftlichen Vorstellungen auch in der spezifischen Pathologie von Männern mit Essstörungen wiederfinden. In der vorliegenden Untersuchung wurden Männer mit und ohne Essstörungen hinsichtlich ihrer Körperzufriedenheit und ihrer Körperwahrnehmung mit nicht essgestörten Männern verglichen. Dabei kamen Fragebogenverfahren sowie ein Computerprogramm zur Modulation von Körperbildern zum Einsatz. Männer mit Bulimia nervosa wünschen sich einen schlankeren Körper, während Männer mit einer Anorexia nervosa sich trotz erheblichen Untergewichtes keinen wesentlich umfangreicheren Körper wünschen. Männer aller Gruppen wünschen sich mehr Muskulatur, Männer mit und ohne Essstörung unterscheiden sich in dieser Hinsicht nicht. Das Ausmaß des Wunsches nach weniger Körperfett und mehr Muskulatur geht mit dem Grad der Körperzufriedenheit einher. Ähnlich wie in der Behandlung der Essstörung bei Frauen sollte auch bei Männern dem Körperbild ein wichtiger Stellenwert eingeräumt werden. Anders als bei Frauen sollte die Muskulatur bei Männern zusätzlich Beachtung finden.
Abstract
Ideals of male attractiveness have changed considerably. The ideal male body at present is characterized by low body fat and pronounced muscles. Similar to what has been found for women, these normative societal conceptions should influence the pathology of men with eating disorders. In the present study, men with and without eating disorders are compared regarding body satisfaction and body perception. Both questionnaire data and a computer assisted approach are applied. Men with bulimia nervosa wish to have a body with less fat whereas men with anorexia do not wish for a bigger body although they are seriously underweight. Men in all groups wish to have more muscles. Men with and without an eating disorder do not differ in this respect. The wish for less body fat and more muscles is associated with body dissatisfaction in men. Treatment of men with eating disorders should focus on men's body images similar to how it is conceptualized in treatments for women with eating disorders. Different from women, a body image focused approach for men should emphasize the meaning of muscularity.
Key words
body perception image - anorexia nervosa - bulimia nervosa - men
Literatur
- 1 American Psychiatric Association .Diagnostic and statistical manual of mental disorders (4th ed). Washington DC; American Psychiatric Association 1994
- 2 Crisp A H, Burns T, Bhat A V. Primary anorexia nervosa in the male and female: A comparison of features and prognosis. British Journal of Medical Psychology. 1987; 59 123-132
- 3 Fichter M M, Daser C. Symptomatology, psychosoexual development and gender identity in 24 anorexic males. Journal of Psychological Medicine. 1987; 17 409-418
- 4 Pope H G, Olivardia R, Gruber A, Borowiecki J. Evolving ideals of male body image as seen through action toys. International Journal of Eating Disorders. 1999; 26 65-72
- 5 Baghurst T, Hollander D B, Nardella B, Haff G G. Change in sociocultural ideal male physique: An examination of past and present action figures. Body Image. 2006; 3 87-91
- 6 Leit R A, Pope H G, Gray J J. Cultural expectations of muscularity in men: the evolution of playgirl centerfolds. International Journal of Eating Disorders. 2001; 29 90-93
- 7 Frederick D A, Fessler D MI, Haselton M G. Do representations of male muscularity differ in men's and womens' magazines?. Body Image. 2005; 2 81-86
- 8 Hargreaves D A, Tiggemann M. Idealized media images and adolescent body image: „comparing boys and girls”. Body Image. 2004; 1 351-361
- 9 Leit R A, Gray J J, Pope H G. The media's representation of the ideal male body: a cause of muscle dysmorphia?. International Journal of Eating Disorders. 2002; 31 334-338
- 10 Olivardia R, Pope H G, Borowiecki J J, Cohane G H. Biceps and body image: The relationship between muscularity and self-esteem, depression, and eating disorder symptoms. Psychology of men and masculinity. 2004; 5 112-120
- 11 Pope H G, Gruber A, Mangweth B. et al . Body image perception among men in three countries. American Journal of Psychiatry. 2000; 157 1297-1301
- 12 Pope H G, Phillips K A, Olivardia R. The Adonis complex: The secret crisis of male body obsession. New York; Free Press 2000
- 13 Shroff H, Thompson K. The tripartite influence model of body image and eating disturbance: A replication with adolescent girls. Body Image. 2006; 3 17-23
- 14 Tiggemann M. Body dissatisfaction and adolescent self-esteem: Prospective findings. Body Image. 2005; 2 129-135
- 15 Stice E. Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin. 2002; 128 825-848
- 16 Benninghoven D, Tetsch N, Kunzendorf S, Jantschek G. Body-images of patients with anorexia or bulimia nervosa and their fathers. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. (im Druck)
- 17 Mangweth B, Hausmann A, Walch T. et al . Body fat perception in eating-disordered men. International Journal of Eating Disorders. 2004; 35 102-108
- 18 Cash T F, Deagle E A. The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: a meta-analysis. International Journal of Eating Disorders. 1997; 22 107-125
- 19 Stice E, Shaw H E. Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. Journal of Psychosomatic Research. 2002; 53 985-993
- 20 Benninghoven D, Jürgens E, Mohr A. et al . Different changes of body-images in patients with anorexia or bulimia nervosa during inpatient psychosomatic treatment. European Eating Disorders Review. 2006; 14 88-96
- 21 Clement U, Löwe B. Fragebogen zum Körperbild (FKB-20). Göttingen; Hogrefe 1996
- 22 Wittchen H-U, Wunderlich U, Gruschwitz S, Zaudig M. Strukturiertes Klinisches Interview für DSM-IV. Göttingen; Hogrefe 1997
- 23 Beck A T. Beck-Depressions-Inventar. Deutsche Bearbeitung: Hautzinger M, Bailer M, Worall H, Keller F. Göttingen; Hogrefe 1995
-
24 Gruber A J, Pope H G, Borowiecki J J, Cohane G.
The development of the somatomorphic matrix: a bi-axial instrument for measuring body image in men and women. In: Norton K, Olds T, Kollman J (Hrsg) Kinanthropometry VI. Adelaide; International Society for the Advancement of Kinanthropometry 2000: 217-231 - 25 Hausmann A, Mangweth B, Walch T. et al . Body image dissatisfaction in gay versus heterosexual men: is there really a difference?. Journal of Clinical Psychiatry. 2004; 65 1555-1558
- 26 Grabhorn R, Köpp W, Gitzinger I. et al . Unterschiede zwischen weiblichen und männlichen Patienten mit einer Essstörung. Psychotherapie Psychosomatik medizinische Psychologie. 2003; 53 15-22
- 27 Cafri G, Strauss J, Thompson J K. Male body image: Satisfaction and its relationship to well-being using the somatomorphic matrix. International Journal of Men's Health. 2002; 1 215-231
- 28 Lipinski J, Pope H G. Body ideal in young samoan men: A comparison with men in North America and Europe. International Journal of Men's Health. 2002; 1 163-171
- 29 Yang C F, Gray P, Pope H G. Male body image in Taiwan versus the West: Yanggang Zhiqi meets the Adonis complex. American Journal of Psychiatry. 2005; 162 263-269
- 30 Gruber A J, Pope H G, Lalonde J K, Hudson J I. Why do young women diet? The roles of body fat, body perception, and body ideal. Journal of Clinical Psychiatry. 2001; 62 609-611
- 31 Benninghoven D, Tetsch N, Kunzendorf S, Jantschek G. Body image in eating disorder patients and their mothers, and the role of family functioning. Comprehensive Psychiatry. 2006; , DOI: DOI: 10.1016/j.comppsych.2006.08.003
- 32 Cafri G, Roehrig M, Thompson J K. Reliability assessment of the somatomorphic matrix. International Journal of Eating Disorders. 2004; 35 597-600
- 33 Cafri G, Thompson J K. Measuring male body image: A review of the current methodology. Psychology of Men and Masculinity. 2004; 5 18-29
- 34 Jürgens E, Benninghoven D. Adaptierte Version der Somatomorph Matrix. Forschungsbericht der Klinik für Psychosomatische Medizin und Psychotherapie. Lübeck; Universitätsklinikum Schleswig-HolsteinCampus 2002
- 35 Carlat D J, Camargo C A, Herzog D B. Eating disorders in males: A report on 135 patients. American Journal of Psychiatry. 1997; 154 1127-1132
- 36 Bortz J, Lienert G A. Kurzgefasste Statistik für die klinische Forschung. Leitfaden für die verteilungsfreie Analyse kleiner Stichproben. Berlin; Springer 2003
- 37 Keel P K, Mitchell J E, Miller K B. et al . Long-term outcome of bulimia nervosa. Archives of General Psychiatry. 1999; 56 63-69
- 38 Williamson D A. Body image disturbance in eating disorders: A form of cognitive bias? Eating disorders. The Journal of Treatment and Prevention. 1997; 4 47-58
-
39 Williamson D A, Stewart T M, White M A, York-Crowe E.
An information-processing perspective on body image. In: Cash TF, Pruzinsky T (eds) Body image: A handbook of theory, research and clinical practice. New York; Guilford Press 2002: 47-54 - 40 Skrzypek S, Wehmeier P M, Remschmidt H. Body image assessment using body size estimation in recent studies on anorexia nervosa. A brief review. European Child & Adolescent Psychiatry. 2001; 10 215-221
Dr. phil. Dieter Benninghoven, Dipl.-Psych.
Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Klinik für Psychosomatische Medizin und Psychotherapie
Ratzeburger Allee 160
23538 Lübeck
Email: benningh@medinf.mu-luebeck.de