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完美主义的中介机制:强迫症与进食障碍的临床共病情况

Mediating Mechanisms of Perfectionism: Clinical Comorbidity of OCD and ED.

作者信息

Reivan Ortiz Geovanny Genaro, Rivera Tapia Cristhian Javier, Elizalde Martínez Braulio Andrés, Icaza Daniel

机构信息

Laboratory of Basic Psychology, Behavioral Analysis and Programmatic Development (PAD-LAB), Universidad Católica de Cuenca, Cuenca, Ecuador.

Ministry of Public Health, Universidad Católica de Cuenca, Quito, Ecuador.

出版信息

Front Psychiatry. 2022 Jul 14;13:908926. doi: 10.3389/fpsyt.2022.908926. eCollection 2022.

Abstract

Obsessive-compulsive disorder (OCD) and eating disorders (ED) share common causal factors and often represent similar entities. Studies on obsessive-compulsive disorders and eating disorders reveal a significant correlation between maladaptive perfectionism. The objective of this study is to evaluate the predictive variables of perfectionism in patients diagnosed with Anorexia Nervosa (AN), Bulimia Nervosa (BN) and OCD using a structural equation model (SEM). The sample consisted of 187 participants (60.9% women, 39.1% men) with a mean age of 26.68 (SD = 10.97). The findings reveal that the model is the same in all the disorders evaluated, achieving an adequate fit: χ2 = 7.95 ( = 0.000), RMSEA = 0.087 (95% confidence interval: 0.00 to 0.02), CFI = 0.991, TLI = 0.951 and with an overall predictive capacity of around 30% (CD = 0.318). It is recommended that future studies address the subtypes of disorders evaluated using longitudinal designs.

摘要

强迫症(OCD)和进食障碍(ED)具有共同的致病因素,且往往表现为相似的病症。对强迫症和进食障碍的研究揭示了适应不良的完美主义之间存在显著关联。本研究的目的是使用结构方程模型(SEM)评估被诊断为神经性厌食症(AN)、神经性贪食症(BN)和强迫症的患者中完美主义的预测变量。样本包括187名参与者(60.9%为女性,39.1%为男性),平均年龄为26.68岁(标准差=10.97)。研究结果表明,在所有评估的病症中模型是相同的,拟合度良好:卡方值=7.95(p=0.000),近似误差均方根(RMSEA)=0.087(95%置信区间:0.00至0.02),比较拟合指数(CFI)=0.991,塔克-刘易斯指数(TLI)=0.951,总体预测能力约为30%(校正决定系数=0.318)。建议未来的研究使用纵向设计来探讨所评估病症的亚型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cb6/9329670/03ff3356c901/fpsyt-13-908926-g0001.jpg

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