背景:越来越多的女性出于体像的困扰及自尊,希望减轻自己的体质量。目的:分析主动减肥女性的体像、自尊的特征及相关性。设计:横断面调查。单位:中南大学湘雅医院和湘雅二医院皮肤科。对象:2002-11/2003-09中南大学湘雅医院针灸科收治的减肥治疗者100人,作为实验组。排除心血管疾病、糖尿病等重大躯体疾病及其他慢性躯体疾病;排除各类精神障碍。近期内未服用精神活性药物。又根据体质量指数值≥24分为超体质量组,<24分为正常体质量组。对照组为同期健康自愿体检者100人,均为女性,排除标准同实验组,近期内未服用精神活性药物,并且5年内无任何减肥行为。方法:在讲解完指导语后由受试者填写以下问卷:体像障碍自评量表,自尊量表。体像障碍自评量表是个体对自己身体给予美丑、强弱等的主观感受的评价。自尊量表是关于自我价值和自我接纳的整体感受的评价。主要观察指标:减肥者体像量表、自尊量表的得分。结果:按意向处理分析,体像障碍自评量表总分:实验组(15.14±9.99)分,对照组(7.89±6.18)分,实验组高于对照组(t=6.15,P<0.001),正常体质量组(15.65±10.36)分,超体质量组(13.81±10.03)分,两组比较无差异(t=0.91,P>0.05)。自尊量表得分:实验组(27.01±4.19)分,对照组(28.23±3.65)分,实验组低于对照组(t=-2. Background: More and more women are experiencing distress and self-esteem in body image and want to reduce their body mass. Objective: To analyze the characteristics and relativity of body image and self-esteem of active weight-loss women. Design: Cross-sectional survey. Unit: Xiangya Hospital of Central South University and Second Xiangya Hospital Dermatology. Subject: 2002-11 / 2003-09 Xiangya Hospital, Central South University, acupuncture and moxibustion subjects treated 100 people, as the experimental group. To rule out cardiovascular diseases, diabetes and other major physical diseases and other chronic physical diseases; rule out all kinds of mental disorders. In the near future did not take psychoactive drugs. According to body mass index value ≥ 24 was divided into super body mass group, <24 was divided into normal body weight group. The control group consisted of 100 healthy voluntary volunteers during the same period, all of whom were female. Exclusion criteria were the same as those in the experimental group. In the near future, they did not take psychoactive drugs and did not have any weight loss behavior within 5 years. Methods: After explaining the instruction words, the subjects should fill in the following questionnaires: self-rating scale of body image disorder and self-esteem scale. Body image impairment self-rating scale is the individual to their own body to give beauty, ugliness, strength and other subjective feelings of evaluation. Self-esteem scales are an assessment of the overall feeling of self-worth and self-acceptance. MAIN OUTCOME MEASURES: Body weight scale, self-esteem scale score. Results: According to the analysis of intention-to-treat analysis, the total score of body image impairment self-rating scale was 15.14 ± 9.99 in the experimental group and 7.89 ± 6.18 in the control group, the experimental group was higher than the control group (t = 6.15, P <0.001) , Normal body weight group (15.65 ± 10.36), and overweight group (13.81 ± 10.03). There was no difference between the two groups (t = 0.91, P> 0.05). Self-esteem scale score: experimental group (27.01 ± 4.19) points, the control group (28.23 ± 3.65) points, the experimental group was lower than the control group (t = -2.