Fassino Secondo, Leombruni Paolo, Pierò Andrea, Daga Giovanni Abbate, Amianto Federico, Rovera Giuseppe, Rovera Giovanni Giacomo
Department of Neuroscience, Psychiatry Section, Service for Eating Disorders, Turin University, Turin, Italy.
Compr Psychiatry. 2002 Nov-Dec;43(6):431-7. doi: 10.1053/comp.2002.35906.
Obesity is a serious disorder and its treatment involves dietitians, psychologists, and psychiatrists, often with a poor outcome. The role of psychiatric issues in obesity is equivocal, and so is the fact whether emotional and behavioral disturbances are causes or consequences of an individual's overweight condition. We performed a study that included 120 obese women (59 with binge eating disorder [BED] and 61 with non-BED) according to specific selection criteria, and compared to 80 healthy controls. Body mass index (BMI) was calculated for all patients and they were assessed with the Temperament and Character Inventory (TCI). Despite the fact that obese patients with BED and without BED display a similar personality profile, those with BED show lower scores in Self-Directedness (SD). Both groups of obese patients differ from nonobese controls in Novelty Seeking (NS), Harm Avoidance (HA), Cooperativeness (C), and SD. SD seems to be the strongest predictor for the development of BED. The idea that two distinct groups of obese patients exist is supported. Moreover, as regards personality, a lower SD and a higher risk of Personality Disorders were found in obese BED patients. Different severities of overweight do not seem to relate to a specific personality susceptibility.
肥胖是一种严重的病症，其治疗涉及营养师、心理学家和精神科医生，但往往效果不佳。精神问题在肥胖症中的作用尚不明确，情绪和行为障碍是个体超重状况的原因还是后果这一问题也不明确。我们开展了一项研究，根据特定的选择标准纳入了120名肥胖女性（59名患有暴饮暴食症[BED]，61名未患BED），并与80名健康对照者进行比较。为所有患者计算了体重指数（BMI），并用气质和性格量表（TCI）对他们进行评估。尽管患有BED和未患BED的肥胖患者表现出相似的性格特征，但患有BED的患者在自我导向（SD）方面得分较低。两组肥胖患者在寻求新奇（NS）、回避伤害（HA）、合作性（C）和自我导向方面与非肥胖对照者存在差异。自我导向似乎是暴饮暴食症发展的最强预测因素。存在两类不同肥胖患者群体这一观点得到了支持。此外，在性格方面，肥胖的暴饮暴食症患者自我导向较低，患人格障碍的风险较高。不同程度的超重似乎与特定的性格易感性无关。
