寻求治疗的肥胖个体的气质亚型：潜在剖面分析。
Temperament subtypes in treatment seeking obese individuals: a latent profile analysis.
机构信息
Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.
出版信息
Eur Eat Disord Rev. 2014 Jul;22(4):260-6. doi: 10.1002/erv.2294. Epub 2014 May 9.
OBJECTIVE
This study aimed to investigate temperament subtypes in obese patients.
METHODS
Ninety-three bariatric surgery candidates and 63 obese inpatients from a psychotherapy unit answered the Behavioral Inhibition System/Behavioral Activation System Scale (BIS/BAS), the Effortful Control subscale of the Adult Temperament Questionnaire-Short Form (ATQ-EC), and questionnaires for eating disorder, depressive and attention deficit hyperactivity disorder (ADHD) symptoms and completed neurocognitive testing for executive functions. Binge eating disorder and impulse control disorders were diagnosed using interviews.
RESULTS
A latent profile analysis using BIS/BAS and ATQ-EC scores revealed a 'resilient/high functioning' cluster (n = 88) showing high ATQ-EC and low BIS/BAS scores and an 'emotionally dysregulated/undercontrolled' cluster (n = 68) with low ATQ-EC and high BIS/BAS scores. Patients from the 'emotionally dysregulated/undercontrolled' cluster showed more eating disorder, depressive and ADHD symptoms, and poorer performance in the labyrinth task.
CONCLUSION
The findings support the assumptions regarding the heterogeneity of obesity and the association between temperament subtypes and psychopathology.
目的
本研究旨在探究肥胖患者的气质亚型。
方法
93 名接受减重手术的候选者和 63 名来自心理治疗科的肥胖住院患者回答了行为抑制/行为激活系统量表（BIS/BAS）、成人气质问卷短式量表（ATQ-EC）中的努力控制分量表以及用于进食障碍、抑郁和注意缺陷多动障碍（ADHD）症状的问卷，并完成了执行功能的神经认知测试。使用访谈对暴食障碍和冲动控制障碍进行诊断。
结果
使用 BIS/BAS 和 ATQ-EC 评分进行的潜在剖面分析显示出“有韧性/高功能”集群（n=88），表现为高 ATQ-EC 和低 BIS/BAS 评分，以及“情绪失调/控制不足”集群（n=68），表现为低 ATQ-EC 和高 BIS/BAS 评分。“情绪失调/控制不足”集群的患者表现出更多的进食障碍、抑郁和 ADHD 症状，以及在迷宫任务中的表现更差。
结论
这些发现支持了肥胖症异质性的假设以及气质亚型与精神病理学之间的关联。
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