暴食症患者回避和强迫人格病理的精神、行为和态度相关性。

Psychiatric, behavioral, and attitudinal correlates of avoidant and obsessive-compulsive personality pathology in patients with binge-eating disorder.

机构信息

Department of Psychiatry, University of California, San Francisco, CA 94143, USA.

出版信息

Compr Psychiatry. 2010 Sep-Oct;51(5):531-7. doi: 10.1016/j.comppsych.2009.11.005. Epub 2010 Jan 8.

DOI:10.1016/j.comppsych.2009.11.005

PMID:20728012

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2927363/

Abstract

OBJECTIVE

We examined correlates of avoidant and obsessive-compulsive personality pathology--with respect to psychiatric comorbidity, eating disorder psychopathology, and associated psychologic factors--in patients with binge-eating disorder (BED).

METHOD

Three hundred forty-seven treatment-seeking patients who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), research criteria for BED were reliably assessed with semistructured interviews to evaluate DSM-IV Axis I disorders, personality disorders, and behavioral and attitudinal features of eating disorder psychopathology.

RESULTS

Fifteen percent of subjects had avoidant personality disorder features, 12% had obsessive-compulsive personality disorder features, 8% had features of both disorders, and 66% had features of neither. These groups differed significantly in the frequencies of depressive and anxiety disorders, as well as on measures of psychologic functioning (negative/depressive affect and self-esteem) and eating disorder attitudes (shape and weight concerns). There were no group differences on measures of eating behaviors. The avoidant and obsessive-compulsive groups had more psychiatric comorbidity than the group without these personality features but less than the combined group. The group without these features scored significantly lower than all other groups on negative/depressive affect and significantly higher than the avoidant and combined groups on self-esteem. The combined group had the greatest severity on shape and weight concerns.

CONCLUSIONS

Avoidant and obsessive-compulsive personality features are common in patients with BED. Among BED patients, these forms of personality psychopathology--separately and in combination--are associated with clinically meaningful diagnostic, psychologic, and attitudinal differences. These findings have implications for the psychopathologic relationship between BED and personality psychopathology and may also have implications for assessment and treatment.

摘要

目的

我们研究了回避型和强迫型人格病理与暴食障碍（BED）患者的精神病共病、饮食障碍心理病理学以及相关心理因素的相关性。

方法

347 名符合DSM-IV 诊断标准的 BED 患者采用半结构式访谈进行了可靠评估，以评估 DSM-IV 轴 I 障碍、人格障碍以及饮食障碍心理病理学的行为和态度特征。

结果

15%的受试者存在回避型人格障碍特征，12%存在强迫型人格障碍特征，8%存在两种障碍的特征，66%不存在这两种障碍的特征。这些组在抑郁和焦虑障碍的频率以及心理功能（负性/抑郁情绪和自尊）和饮食障碍态度（体型和体重关注）的测量上存在显著差异。在饮食行为的测量上没有组间差异。回避和强迫组的精神共病率高于无这些人格特征的组，但低于两组合并的组。无这些特征的组在负性/抑郁情绪上的得分明显低于所有其他组，在自尊上的得分明显高于回避组和合并组。合并组在体型和体重关注上的严重程度最大。