饮食失调康复前后女性的人格特征。

Personality characteristics of women before and after recovery from an eating disorder.

作者信息

Klump Kelly L, Strober Michael, Bulik Cynthia M, Thornton Laura, Johnson Craig, Devlin Bernie, Fichter Manfred M, Halmi Katherine A, Kaplan Allan S, Woodside D Blake, Crow Scott, Mitchell James, Rotondo Alessandro, Keel Pamela K, Berrettini Wade H, Plotnicov Katherine, Pollice Christine, Lilenfeld Lisa R, Kaye Walter H

机构信息

Department of Psychology, Michigan State University, East Lansing, MI 48824-1116, USA.

出版信息

Psychol Med. 2004 Nov;34(8):1407-18. doi: 10.1017/s0033291704002442.

DOI:10.1017/s0033291704002442

PMID:15724872

Abstract

BACKGROUND

Previous studies of personality characteristics in women with eating disorders primarily have focused on women who are acutely ill. This study compares personality characteristics among women who are ill with eating disorders, recovered from eating disorders, and those without eating or other Axis I disorder pathology.

METHOD

Female participants were assessed for personality characteristics using the Temperament and Character Inventory (TCI): 122 with anorexia nervosa (AN; 77 ill, 45 recovered), 279 with bulimia nervosa (BN; 194 ill, 85 recovered), 267 with lifetime histories of both anorexia and bulimia nervosa (AN + BN; 194 ill, 73 recovered), 63 with eating disorder not otherwise specified (EDNOS; 31 ill, 32 recovered), and 507 without eating or Axis I disorder pathology.

RESULTS

Women ill with all types of eating disorders exhibited several TCI score differences from control women, particularly in the areas of novelty-seeking, harm avoidance, self-directedness, and cooperativeness. Interestingly, women recovered from eating disorders reported higher levels of harm avoidance and lower self-directedness and cooperativeness scores than did normal control women.

CONCLUSIONS

Women with eating disorders in both the ill and recovered state show higher levels of harm avoidance and lower self-directedness and cooperativeness scores than normal control women. Although findings suggest that disturbances may be trait-related and contribute to the disorders' pathogenesis, additional research with more representative community controls, rather than our pre-screened, normal controls, is needed to confirm these impressions.

摘要

背景

以往关于饮食失调女性人格特征的研究主要集中在重症女性患者身上。本研究比较了患有饮食失调症的女性、已从饮食失调症中康复的女性以及没有饮食或其他轴I障碍病理的女性之间的人格特征。

方法

使用气质与性格问卷（TCI）对女性参与者的人格特征进行评估：122例神经性厌食症（AN；77例患病，45例康复），279例神经性贪食症（BN；194例患病，85例康复），267例有神经性厌食症和神经性贪食症终生病史（AN + BN；194例患病，73例康复），63例未另行规定的饮食失调症（EDNOS；31例患病，32例康复），以及507例没有饮食或轴I障碍病理的女性。