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阿根廷神经性贪食症患者的人格障碍、抑郁及应对方式

Personality disorders, depression, and coping styles in Argentinean bulimic patients.

作者信息

Gongora Vanesa C, van der Staak Cees P F, Derksen Jan J L

机构信息

The Department of Clinical Psychology, University of Nijmegen, The Netherlands.

出版信息

J Pers Disord. 2004 Jun;18(3):272-85. doi: 10.1521/pedi.18.3.272.35449.

Abstract

This study investigates the coping styles of bulimic patients with personality disorders (PDs) and the effects of the level of depression on the relations between PDs and coping. The sample consisted of 75 Argentinean bulimic outpatients engaged in treatment. Patients completed the SCID II (Structural Interview for DSM IV-Personality Disorders), COPE (Coping Inventory), and the SCL-90-R (Symptom Checklist-90-Revised). No differences in the coping styles of bulimic patients with or without a PD were found. However, when three specific PDs were considered-Avoidant, Obsessive-Compulsive, or Borderline PDs-clear differences in the coping styles of the bulimics were found. However, the differences disappeared when depression was controlled. Regarding the severity of the three specific PDs, coping styles were only found to be associated with the Avoidant PD. Depression showed to affect the relations between coping styles and two specific PDs-Avoidant and Borderline PDs-in bulimic patients.

摘要

本研究调查了患有进食障碍并伴有边缘型人格障碍(PDs)患者的应对方式,以及抑郁程度对人格障碍与应对方式之间关系的影响。样本包括75名正在接受治疗的阿根廷神经性贪食症门诊患者。患者完成了SCID II(《精神疾病诊断与统计手册第四版人格障碍结构性访谈》)、COPE(应对方式量表)和SCL - 90 - R(症状自评量表-90修订版)。结果发现,患有或未患有边缘型人格障碍的神经性贪食症患者在应对方式上没有差异。然而,当考虑三种特定的人格障碍——回避型、强迫型或边缘型人格障碍时,神经性贪食症患者在应对方式上存在明显差异。然而,当控制抑郁因素后,这些差异消失了。关于三种特定人格障碍的严重程度,仅发现应对方式与回避型人格障碍有关。研究表明,抑郁会影响神经性贪食症患者应对方式与两种特定人格障碍——回避型和边缘型人格障碍——之间的关系。

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