饮食失调与人格：方法学与实证综述

Eating disorders and personality: a methodological and empirical review.

作者信息

Lilenfeld Lisa R R, Wonderlich Stephen, Riso Lawrence P, Crosby Ross, Mitchell James

机构信息

Department of Psychology, Georgia State University, Atlanta 30302-5010, USA.

出版信息

Clin Psychol Rev. 2006 May;26(3):299-320. doi: 10.1016/j.cpr.2005.10.003. Epub 2005 Dec 5.

DOI:10.1016/j.cpr.2005.10.003

PMID:16330138

Abstract

Methodological approaches utilized to evaluate models of the relationship between personality and eating disorders, as well as empirical support for each model, are reviewed. Limited prospective research suggests that negative emotionality, perfectionism, drive for thinness, poor interoceptive awareness, ineffectiveness, and obsessive-compulsive personality traits are likely predisposing factors. Limited family study research suggests that obsessive-compulsive personality disorder (OCPD) and anorexia nervosa share a common familial liability. Potential pathoplastic personality factors include Cluster B personality disorders and OCPD, which predict a poorer course and/or outcome, and histrionic personality traits and self-directedness, which predict a more favorable course and/or outcome. Future research should focus upon sophisticated prospective and family study research in order to best evaluate competing models of the eating disorder-personality relationship.

摘要

本文回顾了用于评估人格与饮食失调之间关系模型的方法，以及每个模型的实证支持。有限的前瞻性研究表明，消极情绪、完美主义、对瘦的追求、内感受性意识差、无效感和强迫型人格特质可能是易感因素。有限的家族研究表明，强迫型人格障碍（OCPD）和神经性厌食症有共同的家族易感性。潜在的病理塑造人格因素包括B类人格障碍和强迫型人格障碍，它们预示着较差的病程和/或结果，而表演型人格特质和自我导向则预示着较好的病程和/或结果。未来的研究应集中在复杂的前瞻性和家族研究上，以便最好地评估饮食失调与人格关系的竞争模型。