Eating Disorders Unit, Institute of Psychiatry, King's College London, De Crespigny Park, London, SE5 8AF, UK.
Eat Weight Disord. 2009 Jun-Sep;14(2-3):e84-91. doi: 10.1007/BF03327804.
This study used multidimensional self report assessments to measure perfectionism, impulsivity and obsessive compulsive characteristics in females with anorexia nervosa (AN), bulimia nervosa (BN) and in matched healthy controls (HC). The Frost Multidimensional Perfectionism Scale (FMPS), Barrett Impulsivity Scale (BIS) and Obsessive Compulsive Inventory-Revised (OCI-R) scale were completed by 107 participants (AN=30, BN=26, HC=51), in parallel with clinical measures. Results show that people with AN have the highest scores on the dimensions of the FMPS as well as on the overall score; the AN and BN groups have the highest scores on the dimensions and on the overall score of the OCI-R; on the BIS, the AN and BN groups have the highest scores on the attention subscale, but there are no group differences on the overall BIS scores. In relation to the FMPS, the global score, and the subscales 'concern over mistakes' and 'doubts about actions' are all highly correlated with both eating pathology (Eating Disorder Examination Questionnaire, EDE-Q) and low global functioning (Structured Clinical Interview for DSM IV, SCID). The subscale 'obsessing' on the OCI-R shows a strong correlation with eating pathology. The overall score and also the subscales of the BIS do not show strong correlations with eating pathology or poor global functioning. In conclusion, therapies should seek to address these specific areas which are highly correlated with eating disorder pathology.
本研究使用多维自我报告评估来测量厌食症(AN)、贪食症(BN)女性患者和匹配的健康对照组(HC)的完美主义、冲动和强迫症特征。107 名参与者(AN=30,BN=26,HC=51)同时完成了弗罗斯特多维完美主义量表(FMPS)、巴雷特冲动量表(BIS)和强迫症清单修订版(OCI-R)。结果表明,AN 患者在 FMPS 的各个维度以及总分上得分最高;AN 和 BN 组在 OCI-R 的各个维度和总分上得分最高;在 BIS 上,AN 和 BN 组在注意力子量表上得分最高,但 BIS 的总分没有组间差异。与 FMPS、总分以及“对错误的关注”和“对行为的疑虑”两个子量表高度相关的是饮食病理学(饮食障碍检查问卷,EDE-Q)和整体功能较差(DSM-IV 结构临床访谈,SCID)。OCI-R 的“强迫”子量表与饮食病理学有很强的相关性。BIS 的总分以及子量表与饮食病理学或整体功能较差没有很强的相关性。总之,治疗方法应该针对与饮食障碍病理学高度相关的这些特定领域。