成年早期出现的人格障碍特质与中年期饮食和体重问题的风险
Personality disorder traits evident by early adulthood and risk for eating and weight problems during middle adulthood.
作者信息
Johnson Jeffrey G, Cohen Patricia, Kasen Stephanie, Brook Judith S
机构信息
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
出版信息
Int J Eat Disord. 2006 Apr;39(3):184-92. doi: 10.1002/eat.20223.
OBJECTIVE
The current article investigates the association of personality disorder (PD) with the subsequent development of eating and weight problems.
METHOD
Psychiatric interviews were administered to a community-based sample of 658 individuals at mean ages 14, 16, 22, and 33 years.
RESULTS
Individuals with PD by age 22 were at an elevated risk for eating disorders at mean age 33 years. PDs were associated with risk for onset of binge eating, purging, daily dietary restriction, and obesity among individuals without a history of these problems. Borderline and histrionic PD symptoms were associated with recurrent binging and purging at mean age 33 years. Antisocial and schizotypal symptoms were associated with recurrent binging and obesity at mean age 33 years. Depressive PD symptoms were associated with recurrent binging and dietary restriction at mean age 33 years.
CONCLUSION
PD symptoms, evident by early adulthood, may be associated with the risk for the development of eating and weight problems by middle adulthood.
目的
本文研究人格障碍（PD）与随后出现的饮食及体重问题之间的关联。
方法
对一个以社区为基础的658名个体样本进行了精神病学访谈，这些个体的平均年龄分别为14岁、16岁、22岁和33岁。
结果
到22岁时患有PD的个体在33岁时患饮食失调症的风险升高。在没有这些问题病史的个体中，人格障碍与暴饮暴食、清除行为、日常饮食限制和肥胖的发病风险相关。边缘型和表演型人格障碍症状与33岁时反复出现的暴饮暴食和清除行为有关。反社会型和分裂型人格障碍症状与33岁时反复出现的暴饮暴食和肥胖有关。抑郁型人格障碍症状与33岁时反复出现的暴饮暴食和饮食限制有关。
结论
成年早期出现的人格障碍症状可能与中年期饮食和体重问题发展的风险有关。
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