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在神经性厌食症的完全康复中,转换能力及其与临床和人格变量的关系。

Set-shifting and its relation to clinical and personality variables in full recovery of anorexia nervosa.

机构信息

Department of Psychiatry, University of Munich (LMU), Munich, Germany.

出版信息

Eur Eat Disord Rev. 2014 Jul;22(4):252-9. doi: 10.1002/erv.2293. Epub 2014 May 7.

DOI:10.1002/erv.2293
PMID:24802417
Abstract

OBJECTIVE

First, this study aimed to explore whether set-shifting is inefficient after full recovery of anorexia nervosa (recAN). Second, this study wanted to explore the relation of set-shifting to clinical and personality variables.

METHOD

A total of 100 recAN women were compared with 100 healthy women. Set-shifting was assessed with Berg's Card Sorting Test. Expert interviews yielded assessments for the inclusion/exclusion criteria, self-ratings for clinical and personality variables.

RESULTS

Compared with the healthy control group, the recAN participants achieved fewer categories, showed more perseverations and spent less time for shifting set. Perfectionism is correlated with set-shifting but in converse directions in the two groups.

DISCUSSION

Our study supports the findings of inefficiencies in set-shifting after full recovery from AN. Higher perfectionism in the recAN group is associated with better set-shifting ability, whereas higher perfectionism in the healthy control group is related to worse set-shifting ability.

摘要

目的

首先,本研究旨在探讨厌食症(recAN)完全康复后是否存在转换能力不足的情况。其次,本研究希望探讨转换能力与临床和人格变量之间的关系。

方法

共比较了 100 名 recAN 女性和 100 名健康女性。采用 Berg 卡片分类测验评估转换能力。专家访谈获得了纳入/排除标准的评估,以及自我评估的临床和人格变量。

结果

与健康对照组相比,recAN 参与者获得的分类较少,出现更多的坚持错误,并且用于转换规则的时间较少。完美主义与转换能力有关,但在两组中呈相反方向。

讨论

我们的研究支持了从 AN 完全康复后转换能力不足的发现。recAN 组的较高完美主义与更好的转换能力相关,而健康对照组的较高完美主义与更差的转换能力相关。

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