Clinical, psychopathological and personality correlates of interoceptive awareness in anorexia nervosa, bulimia nervosa and obesity
Clinical, psychopathological and personality correlates of interoceptive awareness in anorexia nervosa, bulimia nervosa and obesity
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DOI：
10.1159/000079420
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发表时间：
2004-01-01
期刊：
影响因子：
3.6
通讯作者：
Abbate-Daga, G
中科院分区：
文献类型：
--
作者：
Fassino, S;Pierò, A;Abbate-Daga, G
目的：确定进食障碍患者的内感受性意识（IA）水平，该水平测量个体区分感觉和感受以及饥饿和饱腹感的能力，并确定与IA相关的临床、精神病理学和个人变量。取样和方法：比较了61名限制性厌食症患者、61名暴食性厌食症患者、104名暴食症患者、49名伴有暴食症（BED）的肥胖患者和47名无BED的肥胖患者。采用进食障碍量表-2、气质和性格量表、贝克抑郁量表对患者进行评估，并记录其临床和社会人口学特征。结果如下：在所有患者中，IA水平均高于“正常”水平;在神经性贪食症中，IA水平高于神经性厌食症和肥胖症。神经性贪食症和卧床病人有相似的个人特征和饮食态度。在总样本中，以下变量与IA独立相关：贝克抑郁量表，自我导向和持久性。结论：改变IA在进食障碍中的重要性得到支持。抑郁症、完美主义者和自我指导能力差的人格都可能导致区分饥饿和饱腹感的困难。版权所有（C）2004 S. Karger AG，巴塞尔。
Objective: To determine the levels of interoceptive awareness (IA), which measures the ability of an individual to discriminate between sensations and feelings, and between the sensations of hunger and satiety, in eating disorder patients and to identify the clinical, psychopathological and personal variables correlated with IA. Sampling and Methods: Sixty-one restrictor anorectics, 61 binge-purging anorectics, 104 purging bulimics, 49 obese subjects with binge eating disorder ( BED) and 47 obese subjects without BED were compared. They were assessed with the Eating Disorder Inventory-2, the Temperament and Character Inventory, and the Beck Depression Inventory, and their clinical and sociodemographic features were recorded. Results: In all patients, the levels of IA were higher than the 'normal' ones; in bulimia nervosa, they were higher than in anorexia nervosa and obesity. Similar personal features and eating attitudes are shared by patients with bulimia nervosa and BED. In the total sample, the following variables independently correlate with IA: the Beck Depression Inventory, self-directedness and persistence. Conclusions: The importance of an altered IA in eating disorders is supported. Both depression and a perfectionist and poorly self-directive personality can lead to greater difficulties in discriminating hunger and satiety. Copyright (C) 2004 S. Karger AG, Basel.