Claes Laurence, Vandereycken Walter, Luyten Patrick, Soenens Bart, Pieters Guido, Vertommen Hans
Department of Psychology, Catholic University of Leuven, Belgium.
J Pers Disord. 2006 Aug;20(4):401-16. doi: 10.1521/pedi.2006.20.4.401.
A three factor model of personality pathology was investigated in a clinical sample of 335 female eating disordered patients. Cluster analysis of the Big Five NEO-FFI scales (Costa & McCrae, 1992) yielded three distinct personality profiles, which were consistent with previous studies: (1) a resilient/high functioning cluster with no clinical elevations on the NEO-FFI scales; (2) an undercontrolled/emotionally dysregulated cluster with elevated scores on the Neuroticism scale and low scores on Conscientiousness and Agreeableness; (3) an overcontrolled/constricted cluster showing high scores on Neuroticism and Conscientiousness and low scores on Openness to Experience. Comparing the three personality prototypes with respect to Axis I and Axis II disorders,resilients reported systematically less clinical and personality problems than both undercontrollers and overcontrollers. Compared to the latter, undercontrollers showed more impulsive personality features and behaviors. Finally, cluster membership was not clearly associated with eating disorder subtypes, suggesting that there is considerable variance in personality features and/or pathology within the various eating disorder categories.
在一个由335名患有饮食失调症的女性患者组成的临床样本中，对一种人格病理学的三因素模型进行了研究。对大五人格NEO-FFI量表（科斯塔和麦克雷，1992年）进行聚类分析，得出了三种不同的人格特征，这与之前的研究一致：（1）一个具有复原力/功能良好的类别，在NEO-FFI量表上没有临床升高；（2）一个控制不足/情绪失调的类别，在神经质量表上得分较高，在尽责性和宜人性量表上得分较低；（3）一个过度控制/受限的类别，在神经质和尽责性量表上得分较高，在开放性体验量表上得分较低。就轴I和轴II障碍而言，将这三种人格原型进行比较，具有复原力的人报告的临床和人格问题比控制不足者和过度控制者都要少。与后者相比，控制不足者表现出更多冲动性的人格特征和行为。最后，聚类成员身份与饮食失调亚型没有明显关联，这表明在各种饮食失调类别中，人格特征和/或病理学存在相当大的差异。
