Small A C, Madero J, Gross H, Teagno L, Leib J, Ebert M
J Clin Psychol. 1981 Oct;37(4):733-6. doi: 10.1002/1097-4679(198110)37:4<733::aid-jclp2270370408>3.0.co;2-4.
Although only a very small number of studies have described personality testing in primary anorexia nervosa (patients), they seem to suggest a deeper personality disturbance than commonly suggested by psychiatric interview. These results represent an attempt to define the contribution of psychological test data to differential diagnosis and personality organization in primary anorexia nervosa. Fourteen female schizophrenic and 14 female anorexic patients were compared on the MMPI. No significant differences were found on any of the validity or clinical scales. A product-moment correlation between the two profiles, obtained via a measure of distance between profiles, revealed remarkable similarities in their overall profiles (D2 = .83). The Depression, Psychopathic Deviate, Psychasthenia, Paranoia and Schizophrenia scales occupied the first five rankings for both groups (although in a different order) and were elevated over a T-score of 70 (for the anorexics, the Psychopathic Deviate scale score approached 70). The results are consistent with the few studies that utilized psychodiagnostic tests with anorexics and that point to extremely poor personality integration and to a more serious disorder than a neurotic disturbance.
尽管仅有极少数研究描述了原发性神经性厌食症（患者）的人格测试，但这些研究似乎表明，其人格障碍比精神科访谈通常显示的更为严重。这些结果旨在尝试确定心理测试数据对原发性神经性厌食症鉴别诊断和人格结构的作用。对14名女性精神分裂症患者和14名女性神经性厌食症患者进行了明尼苏达多项人格测验（MMPI）比较。在任何效度或临床量表上均未发现显著差异。通过测量量表之间的距离得到的两组量表的积差相关显示，它们的整体量表具有显著相似性（D2 = 0.83）。抑郁、精神病态偏差、精神衰弱、偏执和精神分裂症量表在两组中均位列前五位（尽管顺序不同），且T分数均超过70分（对于神经性厌食症患者，精神病态偏差量表分数接近70分）。这些结果与少数针对神经性厌食症患者使用心理诊断测试的研究一致，表明其人格整合极差，且病情比神经症性障碍更为严重。
