Pendleton L, Tisdale M J, Moll S H, Marler M R
Department of Psychiatry, MetroHealth Medical Center, Cleveland, OH 44109.
J Clin Psychol. 1990 Nov;46(6):811-6. doi: 10.1002/1097-4679(199011)46:6<811::aid-jclp2270460620>3.0.co;2-k.
The 4-5-6 configuration on the MMPI for females has been associated with problems in the direct expression of anger, as well as excessive dependency and affectional needs (Greene, 1980). Because these characteristics frequently have been ascribed to bulimic women, we hypothesized that the incidence of the 4-5-6 configuration would be greater for bulimic women (n = 26) than for female outpatients (n = 40) or a nonpsychiatric population (n = 31). We did not find the predicted differences in incidence of the 4-5-6 configuration in a study that used conventional cut-offs and treated the configuration as a discrete variable. However, when the characteristic was measured as a continuous variable, the nonpsychiatric population differed significantly from both clinical populations. Results are discussed in terms of feminine role conflict as a factor that differentiates women who seek psychiatric treatment from those who do not.
明尼苏达多相人格调查表（MMPI）上女性的4-5-6构型与愤怒的直接表达问题、过度依赖和情感需求有关（格林，1980年）。由于这些特征经常被归因于神经性贪食症女性，我们假设神经性贪食症女性（n = 26）中4-5-6构型的发生率高于女性门诊患者（n = 40）或非精神科人群（n = 31）。在一项使用传统临界值并将该构型视为离散变量的研究中，我们没有发现4-5-6构型发生率的预测差异。然而，当将该特征作为连续变量测量时，非精神科人群与两个临床人群均有显著差异。结果从女性角色冲突的角度进行了讨论，女性角色冲突是区分寻求精神治疗的女性和不寻求精神治疗的女性的一个因素。
