Ung Elise Meyn, Erichsen Cecilie Birkmose, Poulsen Stig, Lau Marianne Engelbrecht, Simonsen Sebastian, Davidsen Annika Helgadóttir
Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353 Copenhagen K, Denmark.
Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Stolpegaardsvej 20, 2820 Gentofte, Denmark.
J Eat Disord. 2017 Nov 21;5:53. doi: 10.1186/s40337-017-0179-6. eCollection 2017.
Interpersonal problems are thought to play an essential role in the development and maintenance of eating disorders. The aim of the current study was to investigate whether a specific interpersonal profile could be identified in a group of patients diagnosed with Bulimia Nervosa, Binge Eating Disorder, or Eating Disorders Not Otherwise Specified, and to explore if specific types of interpersonal problems were systematically related to treatment outcome in this group of patients.
The participants were 159 patients who received systemic/narrative outpatient group psychotherapy. Interpersonal problems were measured at baseline, and eating disorder symptoms were measured pre- and post treatment. Data were analysed with the Structural Summary Method, a particular method for the analysis of the Inventory of Interpersonal Problems, and hierarchical regression analysis was conducted.
The patients demonstrated a generally Non-assertive and Friendly-submissive interpersonal style. No significant association between the overall level of interpersonal problems and treatment outcome was identified. However, the results showed a correlation between being cold and hostile and poor treatment outcome, while being domineering showed a trend approaching significance in predicting better treatment outcome.
The results indicate that patients with eating disorders show a specific interpersonal profile, and suggest that particular types of interpersonal problems are associated with treatment outcome.
人际问题被认为在饮食失调的发生和维持中起着至关重要的作用。本研究的目的是调查在一组被诊断为神经性贪食症、暴饮暴食症或未特定指明的饮食失调症的患者中，是否能识别出一种特定的人际特征，并探讨在这组患者中特定类型的人际问题是否与治疗结果存在系统性关联。
参与者为159名接受系统性/叙事性门诊团体心理治疗的患者。在基线时测量人际问题，在治疗前和治疗后测量饮食失调症状。采用结构总结法（一种分析人际问题清单的特定方法）对数据进行分析，并进行分层回归分析。
患者表现出总体上不坚定且友好顺从的人际风格。未发现人际问题的总体水平与治疗结果之间存在显著关联。然而，结果显示冷漠和敌意与治疗效果不佳相关，而专横在预测更好的治疗结果方面呈现出接近显著的趋势。
结果表明饮食失调患者表现出特定的人际特征，并表明特定类型的人际问题与治疗结果相关。
