PERSONALITY DIMENSIONS IN EATING DISORDERS AND THEIR RELEVANCE FOR SUBTYPING
PERSONALITY DIMENSIONS IN EATING DISORDERS AND THEIR RELEVANCE FOR SUBTYPING
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DOI：
10.1097/00004583-199209000-00008
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发表时间：
1992-09-01
影响因子：
13.3
通讯作者：
MCCLOUGH, JF
中科院分区：
文献类型：
--
作者：
CASPER, RC;HEDEKER, D;MCCLOUGH, JF
对50例因神经性厌食症或神经性贪食症住院治疗的女性患者和19例年龄相仿的健康女性对照组进行了人格维度和精神病理学症状评估。通过持续减少食物摄入量来减轻体重的限制性神经性厌食症患者，在校正抑郁和进食病理学的数据之前和之后，报告了比对照组或神经性贪食症患者显著更好的自我控制、情感抑制和焦虑。非贪食性和贪食性神经性厌食症患者都表现出比正常人更强的道德和家庭价值观。在冲动性维度上，神经性贪食症患者的得分处于正常高值范围，而神经性贪食症患者的得分处于正常低值范围。结果表明，过度控制和储备的个性倾向可能构成限制型神经性厌食症的危险因素，通过培养对食物的限制行为和避免人际关系。
Personality dimensions and psychopathological symptoms were assessed in 50 female patients hospitalized for the treatment of anorexia nervosa or bulimia nervosa and in 19 healthy female controls of similar age. Restricting anorexia nervosa patients, who had lost weight by consistently reducing their food intake, reported significantly greater self-control, inhibition of emotionality, and conscientiousness than controls or bulimia nervosa patients, before and after the data were corrected for depressive and eating pathology. Both nonbulimic and bulimic anorexia nervosa patients expressed stronger than normal conformance to moral and family values. On the impulsivity dimension, bulimia nervosa patients scored in the high normal range, whereas bulimic anorexia nervosa patients rated in the low normal range. The results suggest that a personality disposition toward overcontrol and reserve might constitute a risk factor for the restricting type of anorexia nervosa through fostering restrictive behavior toward food and avoidance of personal relationships.