饮食失调个体中完美主义、强迫型人格障碍与强迫症之间的关系。
The relation among perfectionism, obsessive-compulsive personality disorder and obsessive-compulsive disorder in individuals with eating disorders.
作者信息
Halmi Katherine A, Tozzi Federica, Thornton Laura M, Crow Scott, Fichter Manfred M, Kaplan Allan S, Keel Pamela, Klump Kelly L, Lilenfeld Lisa R, Mitchell James E, Plotnicov Katherine H, Pollice Christine, Rotondo Alessandro, Strober Michael, Woodside D Blake, Berrettini Wade H, Kaye Walter H, Bulik Cynthia M
机构信息
New York Presbyterian Hospital-Westchester Division, Weill Medical College of Cornell University, White Plains, New York, USA.
出版信息
Int J Eat Disord. 2005 Dec;38(4):371-4. doi: 10.1002/eat.20190.
OBJECTIVE
Perfectionism and obsessionality are core features of eating disorders (ED), yet the nature of their relation remains unknown. Understanding the relation between these traits may enhance our ability to identify relevant behavioral endophenotypes for ED.
METHOD
Six-hundred seven individuals with anorexia and bulimia nervosa from the International Price Foundation Genetic Study were assessed for perfectionism, obsessive-compulsive personality disorder (OCPD), and obsessive-compulsive disorder (OCD).
RESULTS
No differences were found across ED subtypes in the prevalence of OCPD and OCD, nor with the association between OCD and OCPD. Perfectionism scores were highest in individuals with OCPD whether alone or in combination with OCD.
CONCLUSION
Perfectionism appears to be more closely associated with obsessive-compulsive personality symptoms rather than OCD. The pairing of perfectionism with OCPD may be a relevant core behavioral feature underlying vulnerability to ED.
目的
完美主义和强迫观念是进食障碍（ED）的核心特征，但其关系的本质尚不清楚。了解这些特质之间的关系可能会增强我们识别ED相关行为内表型的能力。
方法
对国际价格基金会基因研究中的607名神经性厌食症和神经性贪食症患者进行了完美主义、强迫型人格障碍（OCPD）和强迫症（OCD）评估。
结果
在OCPD和OCD的患病率方面，各ED亚型之间未发现差异，OCD与OCPD之间的关联也无差异。无论单独患有OCPD还是合并OCD，完美主义得分在这些个体中都是最高的。
结论
完美主义似乎与强迫型人格症状而非OCD联系更为紧密。完美主义与OCPD的配对可能是ED易感性的一个相关核心行为特征。
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