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饮食失调康复后的人格特质:各亚型有差异吗?

Personality traits after recovery from eating disorders: do subtypes differ?

作者信息

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

机构信息

Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania 15213, USA.

出版信息

Int J Eat Disord. 2006 May;39(4):276-84. doi: 10.1002/eat.20251.

Abstract

OBJECTIVE

We compared individuals recovered from anorexia (AN) and bulimia nervosa (BN) to determine characteristics that are shared by or distinguish eating disorder (ED) subtypes.

METHOD

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

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