Wagner Allison F, Vitousek Kelly M
Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI 96826, USA.
Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI 96826, USA.
Psychiatr Clin North Am. 2019 Mar;42(1):105-119. doi: 10.1016/j.psc.2018.10.012. Epub 2018 Dec 17.
Personality variables have long been implicated in the onset and maintenance of eating disorders, as well as in symptom divergence between anorexia nervosa and bulimia nervosa. Clinical observations are broadly supported by the data, with restricting anorexia nervosa associated with higher levels of constraint and Persistence, and binge-purge behaviors linked to the tendency to take impulsive action when emotionally distressed. Considerable heterogeneity is found within diagnostic categories, however, suggesting that different personality structures may predispose individuals to develop disordered eating through alternative pathways.
长期以来,人格变量一直被认为与饮食失调的发生和维持有关,也与神经性厌食症和神经性贪食症之间的症状差异有关。临床观察得到了数据的广泛支持,限制型神经性厌食症与更高水平的克制和坚持性相关,而暴饮暴食-清除行为则与情绪困扰时采取冲动行动的倾向有关。然而,在诊断类别中发现了相当大的异质性,这表明不同的人格结构可能通过不同途径使个体易患饮食失调症。