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体重减轻与精神病理学:一种三聚类明尼苏达多相人格调查表类型学

Weight loss and psychopathology: a three-cluster MMPI typology.

作者信息

Valtolina G

机构信息

Catholic University of Milan, Centro Auxologico Italiano, Italia.

出版信息

Percept Mot Skills. 1996 Feb;82(1):275-81. doi: 10.2466/pms.1996.82.1.275.

Abstract

The present study investigated the effects of a treatment, including diet, exercise, and psychoeducational groups, on the severity of the psychopathology of obese subjects. The 120 subjects (60 male and 60 female), aged 20 to 50 years, were hospitalised for about two months. The mean Body Mass Index (BMI) at the start was 40.9 (SD = 5.3) and at the end 34.3 (SD = 5.5). The MMPI and clinical interview were administered to the subjects. The aims of the study were to see if there was change between the beginning and the end of treatment and to individuate groups of subjects homogeneous for the severity of the psychopathology at the start of treatment and to relate the severity to changes, whether worsening or improving, at the end of treatment. A multivariate analysis of variance showed significant change in scores on the psychological variables after treatment. Cluster analysis divided the patients into three groups with different severity of psychopathology. There were significant decreases on Hypochondriasis, Depression, and Social Introversion. Scores of the subjects with the most severe psychopathological traits changed most.

摘要

本研究调查了一种包括饮食、运动和心理教育小组在内的治疗方法对肥胖受试者精神病理学严重程度的影响。120名年龄在20至50岁之间的受试者(60名男性和60名女性)住院约两个月。开始时的平均体重指数(BMI)为40.9(标准差=5.3),结束时为34.3(标准差=5.5)。对受试者进行了明尼苏达多相人格调查表(MMPI)测试和临床访谈。该研究的目的是观察治疗开始和结束之间是否有变化,确定治疗开始时精神病理学严重程度相同的受试者组,并将严重程度与治疗结束时的变化(无论是恶化还是改善)联系起来。多变量方差分析显示治疗后心理变量得分有显著变化。聚类分析将患者分为精神病理学严重程度不同的三组。疑病、抑郁和社会内向方面有显著下降。具有最严重精神病理学特征的受试者得分变化最大。

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