Department of Psychology, Michigan State University, East Lansing, Mich 48824-1116, USA.
Compr Psychiatry. 2010 Nov-Dec;51(6):585-91. doi: 10.1016/j.comppsych.2010.03.006.
This study examined evidence for personality variability in adolescents with eating disorder features in light of previous evidence that personality variability in adult women with eating disorder symptoms carries important clinical implications.
Millon Adolescent Clinical Inventory personality data from adolescent girls with disturbed eating who were psychiatrically hospitalized were cluster analyzed, and resulting groups were compared in eating and comorbid psychopathology.
Three subgroups were identified among the 153 patients with eating disorder features: high functioning, internalizing, and externalizing. The internalizing group was marked by eating-related and mood dysfunction; the externalizing group by elevated eating and mood psychopathology as well as impulsivity, aggression, and substance use; and the high-functioning group by lower levels of psychopathology and relatively high self-esteem.
These findings converge with previous research using different personality models in adult samples and highlight the clinical use of considering personality heterogeneity among adolescent and adult women with disturbed eating.
本研究旨在探讨具有饮食障碍特征的青少年人格变异性的证据，鉴于先前有研究表明，具有饮食障碍症状的成年女性人格变异性具有重要的临床意义。
对精神科住院的有饮食障碍的青少年女孩的 Millon 青少年临床量表人格数据进行聚类分析，并对不同饮食和共病精神病理学的聚类结果进行比较。
在 153 名具有饮食障碍特征的患者中，发现了三个亚组：高功能型、内化型和外化型。内化型组以饮食相关和情绪功能障碍为特征；外化型组以较高的饮食和情绪病理学以及冲动、攻击和物质使用为特征；高功能型组以较低的精神病理学水平和相对较高的自尊心为特征。
这些发现与先前使用不同人格模型在成年样本中进行的研究相吻合，并强调了在考虑有饮食障碍的青少年和成年女性的人格异质性时，临床应用的重要性。
