了解冲动、强迫观念和强迫行为与神经性厌食症中暴食和清除行为的关联。
Understanding the association of impulsivity, obsessions, and compulsions with binge eating and purging behaviours in anorexia nervosa.
机构信息
Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA.
出版信息
Eur Eat Disord Rev. 2012 May;20(3):e129-36. doi: 10.1002/erv.2161. Epub 2012 Feb 20.
Abstract
OBJECTIVE
To further refine our understanding of impulsivity, obsessions, and compulsions in anorexia nervosa (AN) by isolating which behaviours--binge eating, purging, or both--are associated with these features.
METHODS
We conducted regression analyses with binge eating, purging, and the interaction of binge eating with purging as individual predictors of scores for impulsivity, obsessions, and compulsions in two samples of women with AN (n = 1373).
RESULTS
Purging, but not binge eating, was associated with higher scores on impulsivity, obsessions, and compulsions. Purging was also associated with worst eating rituals and with worst eating preoccupations.
CONCLUSION
Our results suggest that purging, compared with binge eating, may be a stronger correlate of impulsivity, obsessions, and compulsions in AN.
摘要
目的
通过分离与暴食、催吐或两者都相关的行为，进一步深入了解神经性厌食症（AN）中的冲动、痴迷和强迫。
方法
我们对两个 AN 女性样本（n=1373）进行了回归分析，将暴食、催吐以及暴食与催吐的交互作用作为冲动、痴迷和强迫得分的个体预测因子。
结果
催吐而非暴食与冲动、痴迷和强迫得分较高有关。催吐还与更严重的饮食仪式和更严重的饮食困扰有关。
结论
我们的结果表明，与暴食相比，催吐可能与 AN 中的冲动、痴迷和强迫更相关。
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