Lee Soo Jin, Cloninger C Robert, Chae Han
Department of Psychiatry, School of Medicine, Washington University in St. Louis, MO 63110, USA; Department of Psychotherapy, School of Nursing and Public Health, Kyungil University, Daegu, 712-701, South Korea.
Department of Psychiatry, School of Medicine, Washington University in St. Louis, MO 63110, USA.
Compr Psychiatry. 2015 May;59:98-106. doi: 10.1016/j.comppsych.2015.02.006. Epub 2015 Feb 17.
The personality profiles of patients with eating disorder have been extensively investigated, but those of people in the general population with eating behavior problems need to be evaluated to assess the relationship between personality, health behavior and level of overall well-being in non-clinical samples.
Temperament and character traits, reasons for over-eating, and the negative influence of functional dyspepsia on quality of life were measured by the Temperament and Character Inventory (TCI), Dutch Eating Behavior Questionnaire (DEBQ), and Functional Dyspepsia Quality of Life (FDQOL) inventory, respectively, in 199 Korean medical students. The associations among TCI, FDQOL, DEBQ and body mass index (BMI) were examined by correlational analysis. Multiple regression analysis was carried out to measure how well personality (TCI) accounted for patterns of overeating (DEBQ) and impaired quality of life from functional dyspepsia (FDQOL).
Individual differences in personality (especially harm-avoidance, self-transcendence, and self-directedness) were weakly associated with overeating and impaired quality of life from functional dyspepsia. Gender, social desirability and body mass index also played important roles in predicting eating behavior problems in the nonclinical population.
We found that the personality traits observed in clinical patients with eating disorders are also found in people with eating behavior problems in the nonclinical population of Korea. The ways that personality traits affect eating behaviors were discussed along with recommendations for future studies in light of the limitations of available data.
饮食失调患者的人格特征已得到广泛研究,但普通人群中存在饮食行为问题者的人格特征有待评估,以探讨非临床样本中人格、健康行为与总体幸福感水平之间的关系。
采用气质与性格问卷(TCI)、荷兰饮食行为问卷(DEBQ)和功能性消化不良生活质量问卷(FDQOL),分别对199名韩国医学生的气质与性格特征、暴饮暴食原因以及功能性消化不良对生活质量的负面影响进行了测量。通过相关分析检验了TCI、FDQOL、DEBQ与体重指数(BMI)之间的关联。进行多元回归分析,以衡量人格(TCI)对暴饮暴食模式(DEBQ)和功能性消化不良导致的生活质量受损(FDQOL)的解释程度。
人格方面的个体差异(尤其是回避伤害、自我超越和自我导向)与暴饮暴食及功能性消化不良导致的生活质量受损之间存在弱关联。性别、社会期望和体重指数在预测非临床人群的饮食行为问题中也起着重要作用。
我们发现,在韩国非临床人群中,有饮食行为问题者也具有临床饮食失调患者所观察到的人格特质。鉴于现有数据的局限性,我们讨论了人格特质影响饮食行为的方式,并对未来研究提出了建议。