Sansone Randy A, Sansone Lori A
R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, OH, and Director of Psychiatry Education at Kettering Medical Center in Kettering, OH. L. Sansone is a civilian family medicine physician and Medical Director of the Family Health Clinic at Wright-Patterson Air Force Base Medical Center in WPAFB, OH. The views and opinions expressed in this article are those of the authors and do not reflect the official policy or position of the United States Air Force, Department of Defense, or United States Government.
Innov Clin Neurosci. 2013 Apr;10(4):36-40.
Obesity is a significant health problem in the United States. Therefore, it is extremely important to understand potential clinical associations with obesity, including personality pathology. From studies of personality disorders in other types of eating pathology, it appears that restrictive personality disorders (e.g., obsessive-compulsive disorder) are associated with restrictive eating pathology (e.g., anorexia nervosa, restricting type) whereas impulsive personality disorders (e.g., borderline personality disorder) are associated with impulsive eating pathology (e.g., anorexia nervosa, binge-eating/purging type; bulimia nervosa, binge eating disorder). Because binge eating disorder is oftentimes associated with an obese status, it seems likely that borderline personality disorder may also be associated with obesity. At the present time, there appear to be nine accessible studies in this area, comprising 639 obese individuals. While rates of borderline personality disorder in these studies vary from 2.2 to 94.1 percent, 10 of 19 measures detected this disorder at rates of 25 percent or higher, and the average of all percentages is 26.9 percent. Findings appear to support the association between impulsive personality pathology and impulsive eating pathology, and underscore that a significant minority of obese individuals may suffer from borderline personality disorder.
肥胖在美国是一个重大的健康问题。因此，了解与肥胖相关的潜在临床关联，包括人格病理学，极为重要。从对其他类型饮食病理学中人格障碍的研究来看，似乎限制性人格障碍（如强迫症）与限制性饮食病理学（如神经性厌食症，限制型）相关，而冲动性人格障碍（如边缘型人格障碍）与冲动性饮食病理学（如神经性厌食症，暴饮暴食/清除型；神经性贪食症，暴饮暴食障碍）相关。由于暴饮暴食障碍常与肥胖状态相关，边缘型人格障碍似乎也可能与肥胖有关。目前，该领域似乎有九项可获取的研究，涉及639名肥胖个体。虽然这些研究中边缘型人格障碍的发生率在2.2%至94.1%之间，但19项测量中有10项检测到该障碍的发生率为25%或更高，所有百分比的平均值为26.9%。研究结果似乎支持冲动性人格病理学与冲动性饮食病理学之间的关联，并强调相当一部分肥胖个体可能患有边缘型人格障碍。
