University of Twente, Department of Psychology, Health, and Technology, Enschede, The Netherlands.
Stichting Human Concern, Centrum voor Eetstoornissen, Amsterdam, The Netherlands.
Eat Weight Disord. 2022 Feb;27(1):379-386. doi: 10.1007/s40519-021-01107-6. Epub 2021 Mar 9.
Personality functioning is strongly linked to well-being in the general population. Yet, there is a lack of scientific knowledge about the pathways between personality trait facets and emotional, psychological and social well-being in ED patients. The general aim was to examine potential associations between maladaptive personality trait facets and the three main dimensions of well-being.
Participants were 1187 female eating disorder patients who were referred for specialized treatment. Patients were diagnosed with anorexia nervosa (31.7%), bulimia nervosa (21.7%), binge eating disorder (11%) and other specified eating disorders (35.5%). The Personality Inventory for the DSM 5 (PID-5) was used to measure 25 trait facets, and well-being was measured with the Mental Health Continuum Short Form (MHC-SF). Multiple hierarchical regression analyses were applied to examine potential associations between personality and well-being while controlling for background and illness characteristics.
Personality trait facets led to a statistically significant increase of the explained variance in emotional (38%), psychological (39%), and social well-being (26%) in addition to the background and illness characteristics. The personality trait facets anhedonia and depression were strongly associated with all three well-being dimensions.
Personality traits may play an essential role in the experience of well-being among patients with EDs. To promote overall mental health, it may be critical for clinicians to address relevant personality trait facets, such as anhedonia and depression, associated with well-being in treatment.
Level V, cross-sectional descriptive study.
人格功能与普通人群的幸福感密切相关。然而，关于人格特质与 ED 患者的情绪、心理和社会幸福感之间的关系途径，科学界知之甚少。本研究的主要目的是探讨适应不良的人格特质与幸福感的三个主要维度之间的潜在关联。
参与者为 1187 名女性饮食障碍患者，他们被转介接受专门治疗。患者被诊断为神经性厌食症（31.7%）、神经性贪食症（21.7%）、暴食障碍（11%）和其他特定的饮食障碍（35.5%）。使用DSM-5 人格量表（PID-5）测量 25 个人格特质，使用心理健康连续体简明量表（MHC-SF）测量幸福感。应用多元层次回归分析，在控制背景和疾病特征的情况下，检验人格与幸福感之间的潜在关联。
人格特质特征除了背景和疾病特征外，还使情绪（38%）、心理（39%）和社会幸福感（26%）的解释方差有统计学意义的增加。快感缺失和抑郁这两个人格特质特征与所有三个幸福感维度密切相关。
人格特质可能在 ED 患者的幸福感体验中起着重要作用。为了促进整体心理健康，临床医生在治疗中解决与幸福感相关的相关人格特质特征（如快感缺失和抑郁）可能至关重要。
五级，横断面描述性研究。
