Rø Øyvind, Martinsen Egil W, Hoffart Asle, Sexton Harold, Rosenvinge Jan H
Modum Bad, Research Institute, Vikersund, Norway.
Int J Eat Disord. 2005 Sep;38(2):106-11. doi: 10.1002/eat.20166.
The current study aimed to investigate the relation between personality disorders and symptoms of both eating disorders and general psychopathology over time.
Seventy-four patients, with a mean age of 30 years and admitted to a hospital for treatment of a chronic eating disorder, were assessed using the Eating Disorder Inventory (EDI), the Eating Disorder Examination (EDE), the Symptom Check List-90-Revised (SCL-90-R), and the Structured Clinical Interview for DSM-IV Axis II disorders (SCID-II) at admission, and after 1 and 2 years.
At the 2-year follow-up, there was considerable reduction in both personality and symptoms (effect size = 0.83-0.94). Panel modeling using structural equation modeling techniques indicated that symptomatic changes generally preceded changes in the personality disorder.
Eating disorder symptoms and general symptomatology had direct effects on a dimensional personality disorder index. Thus, personality disorders may be at least partially a consequence of general symptomatology in chronic eating disorders. Symptom improvement appears to precede changes in personality in this sample of patients with chronic eating disorders.
本研究旨在探讨人格障碍与饮食失调症状及一般精神病理学症状随时间的关系。
74名平均年龄为30岁、因慢性饮食失调入院治疗的患者，在入院时、1年后和2年后，使用饮食失调量表（EDI）、饮食失调检查（EDE）、症状自评量表-90修订版（SCL-90-R）以及DSM-IV轴II障碍的结构化临床访谈（SCID-II）进行评估。
在2年的随访中，人格和症状均有显著减轻（效应量=0.83-0.94）。使用结构方程建模技术的面板建模表明，症状变化通常先于人格障碍的变化。
饮食失调症状和一般症状对维度人格障碍指数有直接影响。因此，人格障碍可能至少部分是慢性饮食失调中一般症状的结果。在这个慢性饮食失调患者样本中，症状改善似乎先于人格变化。
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