Wagner Angela, Barbarich-Marsteller Nicole C, Frank Guido K, Bailer Ursula F, Wonderlich Stephen A, Crosby Ross D, Henry Shannan E, Vogel Victoria, Plotnicov Katherine, McConaha Claire, Kaye Walter H
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania 15213, USA.
Int J Eat Disord. 2006 May;39(4):276-84. doi: 10.1002/eat.20251.
We compared individuals recovered from anorexia (AN) and bulimia nervosa (BN) to determine characteristics that are shared by or distinguish eating disorder (ED) subtypes.
Sixty women recovered for > or = 1 year from AN or BN were compared with 47 control women (CW). Assessments included the Yale-Brown-Cornell Eating Disorder Scale, the Spielberger State-Trait Anxiety Inventory, the Beck Depression Inventory, the Yale-Brown Obsessive Compulsive Scale, the Temperament and Character Inventory, and Structured Clinical Interviews for DSM-IV.
Individuals recovered from an ED had similar scores for mood and personality variables that were significantly higher than the scores for CW. Few recovered subjects had Cluster B personality disorder. Most individuals recovered within 6 years of their ED onset. A latent profile analysis identified an "inhibited" and "disinhibited" cluster based on personality traits.
A wide range of symptoms persist after recovery and do not differ between subtypes of ED. These findings may aid in identifying traits that create vulnerabilities for developing an ED.
我们对从神经性厌食症（AN）和神经性贪食症（BN）中康复的个体进行比较，以确定饮食失调（ED）各亚型共有的或区分它们的特征。
将60名从AN或BN中康复≥1年的女性与47名对照女性（CW）进行比较。评估包括耶鲁-布朗-康奈尔饮食失调量表、斯皮尔伯格状态-特质焦虑量表、贝克抑郁量表、耶鲁-布朗强迫症量表、气质与性格量表以及DSM-IV结构化临床访谈。
从饮食失调中康复的个体在情绪和人格变量方面得分相似，且显著高于对照女性的得分。很少有康复者患有B类人格障碍。大多数个体在饮食失调发病后6年内康复。一项潜在剖面分析基于人格特质确定了一个“抑制型”和一个“非抑制型 ”类别。
康复后仍存在广泛的症状，且在饮食失调各亚型之间并无差异。这些发现可能有助于识别那些导致易患饮食失调症的特质。
