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饮食失控儿童与非饮食失控儿童的个性与精神病理学

Personality and psychopathology in children with and without loss of control over eating.

机构信息

Philipps University of Marburg, Department of Psychology Gutenbergstr. 18 D-35032 Marburg, Germany.

出版信息

Compr Psychiatry. 2010 Nov-Dec;51(6):572-8. doi: 10.1016/j.comppsych.2010.03.001. Epub 2010 Mar 31.

Abstract

BACKGROUND

In children with loss of control (LOC) over eating, recent research has revealed evidence for distinct personality features, such as more impulsivity. The aim of this study was to assess parent- and child-report personality profiles in children with and without LOC over eating and to relate these profiles to general and eating-disorder psychopathology.

METHOD

A total of 120 children (60 with LOC over eating; 68 girls) aged 8 to 13 years were recruited from the community. Clinical interview, self-report, and parent-report questionnaires were administered to assess personality as well as both general and eating-disorder psychopathology.

RESULTS

The group with LOC over eating showed lower self-directedness and cooperativeness compared to the group without LOC. The children with LOC were significantly more impulsive. Personality dimensions were significantly correlated with greater general but not eating-disorder psychopathology and frequency of LOC over eating.

CONCLUSION

A distinct pattern of personality traits in children with LOC over eating was found that is partly in line with research on binge-eating disorder, bulimia nervosa, and obesity in adulthood. The findings suggest that longitudinal studies should examine whether certain patterns of personality in children with LOC over eating account for differences in psychopathology later in life.

摘要

背景

在无法控制饮食的儿童中,最近的研究揭示了其具有明显的人格特征,例如更冲动。本研究旨在评估有无饮食失调的儿童的父母和儿童报告的人格特征,并将这些特征与一般和饮食失调的精神病理学相关联。

方法

总共招募了 120 名年龄在 8 至 13 岁之间的儿童(60 名饮食失调;68 名女孩),他们来自社区。进行了临床访谈,自我报告和父母报告的问卷调查,以评估人格以及一般和饮食失调的精神病理学。

结果

与无饮食失调的儿童相比,无法控制饮食的儿童的自我指导和合作性较低。饮食失调的儿童表现出明显的冲动性。人格维度与更大的一般精神病理学但与饮食失调精神病理学和饮食失调频率无关。

结论

在无法控制饮食的儿童中发现了独特的人格特质模式,这在一定程度上与暴食症,神经性贪食症和成年肥胖症的研究一致。研究结果表明,纵向研究应检查无法控制饮食的儿童中是否存在某些人格模式,这些模式是否可以解释他们在以后的生活中存在的精神病理学差异。

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