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父母人格特质与神经性厌食症和神经性贪食症女儿的人格及精神病理学特质之间的动态关系。

The dynamic relationship of parental personality traits with the personality and psychopathology traits of anorectic and bulimic daughters.

作者信息

Fassino Secondo, Amianto Federico, Abbate-Daga Giovanni

机构信息

Department of Neuroscience, Psychiatric Institute and Clinic, Turin University School of Medicine, Turin, Italy.

出版信息

Compr Psychiatry. 2009 May-Jun;50(3):232-9. doi: 10.1016/j.comppsych.2008.07.010. Epub 2008 Sep 23.

Abstract

OBJECTIVE

Parenting and family dynamics influence the emergence, development, and maintenance of eating disorders (EDs). Although family interventions are relevant for therapeutic programs, knowledge of the relationship between parental personality traits and the eating psychopathology of daughters is scarce. This study explored the personality and psychopathology of women with EDs and correlated them with parental personality traits.

METHOD

The personality and eating psychopathology traits of 38 restricter anorectics, 30 bingeing/purging anorectics, 37 bulimics, and their parents' personality traits (87 fathers and 97 mothers) were measured with the Temperament and Character Inventory, the Clinical Global Impression Scale, the Eating Disorders Inventory-2, and the Beck Depression Inventory. The results were compared with matched controls (54 women, 50 fathers, 54 mothers). Personality and psychopathology were correlated with multiple regression.

RESULTS

Women with ED displayed high harm avoidance and low self-directedness, whereas restricter anorectic women had high persistence. Low persistence was common in fathers of daughters across all EDs. Fathers of restricter anorectics were highly harm avoidant. Fathers of both anorectic subtypes and mothers of bulimic women displayed low self-directedness. Parental personality traits were linearly correlated with their daughter's personality and psychopathology, but the correlation differed among EDs.

CONCLUSION

Parents of eating-disordered participants displayed personality characteristics that differed from controls and, among ED subgroups, these differences were related to their daughter's personality and psychopathology. The linear correlation did not fully explain the relationship of the parental personality traits to the presence of their daughter's ED, suggesting that a more complex personality-based family dynamic is involved. A Temperament and Character Inventory profile of the entire family may be used in the planning of family treatment.

摘要

目的

养育方式和家庭动态会影响饮食失调症(EDs)的出现、发展和维持。尽管家庭干预对治疗方案很重要,但关于父母人格特质与女儿饮食心理病理学之间关系的了解却很少。本研究探讨了患有饮食失调症女性的人格和心理病理学,并将其与父母的人格特质进行关联。

方法

使用气质与性格量表、临床总体印象量表、饮食失调量表-2和贝克抑郁量表,对38名限制型厌食症患者、30名暴饮暴食/催吐型厌食症患者、37名贪食症患者及其父母(87名父亲和97名母亲)的人格和饮食心理病理学特质进行测量。将结果与匹配的对照组(54名女性、50名父亲、54名母亲)进行比较。人格和心理病理学通过多元回归进行关联。

结果

患有饮食失调症的女性表现出高回避伤害性和低自我导向性,而限制型厌食症女性具有高坚持性。在所有饮食失调症患者的父亲中,低坚持性很常见。限制型厌食症患者的父亲高度回避伤害。厌食症两个亚型患者的父亲和贪食症女性的母亲都表现出低自我导向性。父母的人格特质与女儿的人格和心理病理学呈线性相关,但在不同的饮食失调症中这种相关性有所不同。

结论

饮食失调症患者的父母表现出与对照组不同的人格特征,并且在饮食失调症亚组中,这些差异与女儿的人格和心理病理学有关。线性相关性并不能完全解释父母人格特质与女儿饮食失调症存在之间的关系,这表明涉及到一种更复杂的基于人格的家庭动态。整个家庭的气质与性格量表概况可用于家庭治疗的规划。

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