Abbate-Daga G, Pierò A, Rigardetto R, Gandione M, Gramaglia C, Fassino S
Department of Neurosciences, Section of Psychiatry, University of Turin Eating Disorders Center, Ospedale San Giovanni Battista-Molinette, Turin, Italy.
Psychopathology. 2007;40(4):261-8. doi: 10.1159/000101731. Epub 2007 Apr 17.
To investigate the relationship between age of onset and clinical and personality features of patients with anorexia nervosa (AN).
We assessed 250 outpatients with AN with the Temperament and Character Inventory, the Eating Disorder Inventory 2, the Beck Depression Inventory and the Body Shape Questionnaire. The patients were subdivided into 3 groups: early (n=73), intermediate (n=96) and late onset (n=81), based on age of onset of symptoms.
The early-onset group shows higher body dissatisfaction, maturity fear, impulsivity and asceticism than the other 2 groups. This group shows a greater character fragility, as described in particular by a lower self-directedness, than the other 2 groups.
Even several years after the onset of the disorder, early-onset subjects affected by AN seem characterized by a more disturbed personality, with a higher body dissatisfaction than late-onset subjects affected by AN and a pursuit of thinness based on an ascetic drive.
探讨神经性厌食症（AN）患者的发病年龄与临床及人格特征之间的关系。
我们使用气质与性格量表、进食障碍问卷2、贝克抑郁量表和体型问卷对250名AN门诊患者进行了评估。根据症状发作年龄，将患者分为3组：早发组（n = 73）、中发组（n = 96）和晚发组（n = 81）。
早发组比其他两组表现出更高的身体不满、成熟恐惧、冲动性和禁欲主义。与其他两组相比，该组表现出更大的性格脆弱性，尤其表现为较低的自我导向性。
即使在疾病发作数年之后，早发的AN患者似乎仍具有更紊乱的人格特征，与晚发的AN患者相比，他们对身体的不满程度更高，且基于禁欲驱力追求消瘦。
