Psychiatric Clinic Ljubljana, Studenec 48, 1260 Ljubljana, Slovenia.
Psychiatr Danub. 2011 Mar;23(1):27-33.
The study aimed to compare purgative anorexia and bulimia nervosa patients in regard of their level of aggression and impulsivity traits, as well as dynamics of selected impulsive behaviours over time-course of eating disorder treatment.
30 females with purgative anorexia nervosa, 33 females with purgative bulimia nervosa and 31 controls were included. Impulsive behaviours were assessed upon hospital admission, discharge, and three and six months after, using the internal ward questionnaire. Aggression and impulsivity traits were evaluated three months after discharge using Buss-Durkee Hostility Inventory and Barratt Impulsiveness Scale, 11th Revision.
In all patients, the expressed impulsive behaviours were most frequent upon admission, when bingeing, striking and quarrelling were more expressed in bulimic patients. Later, patient groups did not differ regarding any impulsive behaviour. These all substantially resolved till discharge, and showed further decline at later assessments. All patients had a higher level of aggression and impulsivity traits and lower overt and higher covert aggression than controls. Patient groups had similar within group distribution of aggression and impulsivity intensity levels. Regarding individual dimensions of these traits no difference was found between them, except for the higher level of suspiciousness in anorectic individuals.
Purgative anorectic and bulimic patients show similar dynamics of impulsive behaviours which substantially decline over time-course of eating disorder treatment. They both present similarly heightened levels of aggression and impulsivity traits, with some minor differences regarding their individual dimensions, possibly reflecting higher overt aggression in bulimic and higher covert aggression in anorectic patients.
本研究旨在比较泻剂性厌食症和泻剂性暴食障碍患者的攻击性和冲动特质水平，以及随着进食障碍治疗过程的时间推移，选择的冲动行为的动态变化。
纳入 30 名泻剂性神经性厌食症女性、33 名泻剂性暴食障碍女性和 31 名对照组女性。入院时、出院时和出院后 3 个月和 6 个月，使用内部病房问卷评估冲动行为。出院后 3 个月，使用 Buss-Durkee 敌意量表和 Barratt 冲动量表第 11 版评估攻击性和冲动特质。
所有患者入院时表达的冲动行为最频繁，此时暴食症患者更易表现出冲动行为，如狂欢、打人、吵架。之后，患者组之间在任何冲动行为方面都没有差异。所有这些行为在出院时都明显得到缓解，并且在以后的评估中进一步下降。所有患者的攻击性和冲动特质水平均高于对照组，并且表现出的外显攻击性较低，内隐攻击性较高。患者组的攻击性和冲动特质强度水平的组内分布相似。关于这些特质的个别维度，除了厌食症个体的怀疑程度较高外，它们之间没有发现差异。
泻剂性厌食症和暴食障碍患者表现出相似的冲动行为动态变化，这些变化随着进食障碍治疗过程的时间推移而显著下降。他们都表现出类似的攻击性和冲动特质水平，在个别维度上存在一些细微差异，这可能反映出暴食症患者的外显攻击性较高，而厌食症患者的内隐攻击性较高。
