Rotella Francesco, Fioravanti Giulia, Ricca Valdo
aPsychiatry Unit, Careggi University Hospital, University of Florence Medical SchoolbDepartment of Health Sciences, Psychology and Psychiatry Unit, University of Florence, Florence, Italy.
Curr Opin Psychiatry. 2016 Jan;29(1):77-83. doi: 10.1097/YCO.0000000000000212.
In the last decades, three main different personality domains have been investigated in the field of eating disorders: personality traits, temperament, and personality disorders. The use of a wide range of instruments and the presence of many different approaches in the definition of personality dimensions make it difficult to summarize the emerging results from different studies. The aim of this narrative review is to critically highlight and discuss all interesting developments in this field, as reflected in the recent literature.
The study of personality and temperament in eating disorders seems to be in line with the recently suggested dimensional approach, which highlights the importance of symptoms aggregation, rather than the categorical diagnoses. Recent literature seems to confirm that specific personality and temperamental profiles can be drawn for patients with eating disorders, which can discriminate different eating disorders' diagnoses/symptoms.
These observations have relevant clinical implications as treatment of eating disorders is largely based on psychotherapeutic interventions. However, large longitudinal studies are needed to better clarify the suggested relationships and to identify more defined therapeutic strategies.
在过去几十年里，饮食失调领域对三种主要不同的人格领域进行了研究：人格特质、气质和人格障碍。由于使用了广泛的工具，且在人格维度的定义上存在许多不同的方法，因此很难总结不同研究中出现的结果。本叙述性综述的目的是批判性地突出并讨论该领域所有有趣的进展，正如近期文献所反映的那样。
饮食失调中人格和气质的研究似乎与最近提出的维度方法一致，该方法强调症状聚集的重要性，而非分类诊断。近期文献似乎证实，可以为饮食失调患者描绘出特定的人格和气质特征，这有助于区分不同的饮食失调诊断/症状。
这些观察结果具有相关的临床意义，因为饮食失调的治疗很大程度上基于心理治疗干预。然而，需要进行大规模的纵向研究，以更好地阐明所提出的关系，并确定更明确的治疗策略。
