Wu Kevin D
311 Psychology-Computer Science Building, Department of Psychology, Northern Illinois University, DeKalb, IL 60115, United States.
J Anxiety Disord. 2008 Dec;22(8):1412-20. doi: 10.1016/j.janxdis.2008.02.003. Epub 2008 Feb 29.
The purpose of this research was to investigate the specificity of purported relations between symptoms of eating disorders (ED) and obsessive-compulsive disorder (OCD). Whereas most research has focused on diagnostic comorbidity or between-groups analyses, this study took a dimensional approach to investigate specific relations among symptoms of anorexia, bulimia, and OCD, as well as panic, depression, and general distress in a student sample (N=465). Results were that all symptoms showed significant zero-order correlations, including all ED-OCD pairings. After removing general distress variance, however, none of three OCD scales significantly predicted anorexia; only compulsive washing among OCD scales significantly predicted bulimia. Hierarchical multiple regression demonstrated that panic and depression out-performed OCD in predicting bulimia symptoms. Overall, symptoms of ED and OCD did not show unique relations at the level of core dimensions of each construct. A possible link between bulimia and compulsive washing is worth further study.
本研究的目的是调查饮食失调(ED)症状与强迫症(OCD)之间所谓关系的特异性。尽管大多数研究都集中在诊断共病或组间分析上,但本研究采用维度方法来调查厌食症、贪食症和强迫症症状之间的具体关系,以及学生样本(N = 465)中的恐慌、抑郁和一般困扰。结果是所有症状都显示出显著的零阶相关性,包括所有饮食失调与强迫症的配对。然而,在去除一般困扰方差后,三个强迫症量表中没有一个能显著预测厌食症;在强迫症量表中,只有强迫洗涤能显著预测贪食症。分层多元回归表明,在预测贪食症症状方面,恐慌和抑郁比强迫症表现更好。总体而言,饮食失调和强迫症的症状在每个结构的核心维度层面上并未显示出独特的关系。贪食症与强迫洗涤之间的可能联系值得进一步研究。