Dancyger I F, Sunday S R, Eckert E D, Halmi K A
Department of Psychiatry, Cornell University Medical College, White Plains, NY, USA.
Compr Psychiatry. 1997 May-Jun;38(3):185-91. doi: 10.1016/s0010-440x(97)90073-0.
The assessment of personality variables measured by the Minnesota Multiphasic Personality Inventory (MMPI), was compared in a sample of 52 female inpatients with anorexia nervosa at the time of hospitalization, discharge from hospital, and 10 years after treatment. Admission MMPI scores were significantly higher than scores both at discharge and 10 years later. There were no significant overall differences between discharge and follow-up evaluation. Discharge, but not admission, MMPI scores were positively correlated with 10-year follow-up study on seven of 10 clinical MMPI scales (all but hypochondriasis, masculinity/femininity, and hypomania). At follow-up evaluation, eating disorder poor outcome was associated with higher MMPI scores. There was no significant difference on admission MMPI scores between the four outcome groups; however, patients who recovered had a greater decrease in MMPI scores at the 10-year follow-up study compared with poor outcome patients. The long-term outcome of anorexia nervosa was largely unrelated to the severity of psychopathology during the acute phase of the illness. These results suggest that persistent personality features are best measured following treatment of acute symptomatology of anorexia nervosa.
对52名神经性厌食症女性住院患者在住院时、出院时以及治疗后10年的明尼苏达多相人格调查表（MMPI）所测量的人格变量进行了评估。入院时的MMPI分数显著高于出院时和10年后的分数。出院评估和随访评估之间没有显著的总体差异。出院时（而非入院时）的MMPI分数与10年随访研究中10个临床MMPI量表中的7个量表呈正相关（除疑病、男性化/女性化和轻躁狂量表外）。在随访评估中，饮食失调的不良结局与较高的MMPI分数相关。四个结局组在入院时的MMPI分数没有显著差异；然而，与结局不良的患者相比，康复患者在10年随访研究中的MMPI分数下降幅度更大。神经性厌食症的长期结局在很大程度上与疾病急性期的精神病理学严重程度无关。这些结果表明，持续性人格特征最好在神经性厌食症急性症状得到治疗后进行测量。
