Steiger H, Leung F, Thibaudeau J
Eating Disorders Program, Douglas Hospital Centre, Montreal (Verdun) Quebec, Canada.
Int J Eat Disord. 1993 Nov;14(3):269-76. doi: 10.1002/1098-108x(199311)14:3<269::aid-eat2260140305>3.0.co;2-c.
We evaluated several indices of pretreatment social adaptation (social and vocational adjustment, DSM-III-R Axis-V ratings, and "object-relations" capacities) as predictors of the response of 44 completers of a multimodal therapy for bulimia nervosa. Response was assessed using standard measures of eating and psychiatric symptoms. Hierarchical regressions revealed that pretreatment social adjustment explained substantial (and significant) proportions of variance in posttreatment binge/purge symptoms, after variance associated with (a) initial severity of eating symptoms and (b) concurrent psychiatric symptoms (at posttreatment) was accounted for. Hence, social adjustment emerged as a somewhat specific predictor of response of bulimic behaviors. Possible clinical implications of this apparent predictive effect are discussed.
我们评估了几个治疗前社会适应指标（社会和职业适应、DSM-III-R轴V评定以及“客体关系”能力），以此作为44名完成神经性贪食症多模式治疗患者反应的预测指标。使用饮食和精神症状的标准测量方法评估反应。分层回归分析显示，在考虑了与（a）饮食症状初始严重程度和（b）（治疗后）并发精神症状相关的方差后，治疗前社会适应解释了治疗后暴饮暴食/清除症状方差的很大（且显著）比例。因此，社会适应成为贪食行为反应的一个较为特定的预测指标。本文讨论了这种明显预测效应可能的临床意义。
