The relationship between obsessive-compulsive personality disorder traits, obsessive-compulsive disorder and excessive exercise in patients with anorexia nervosa: a systematic review.
The relationship between obsessive-compulsive personality disorder traits, obsessive-compulsive disorder and excessive exercise in patients with anorexia nervosa: a systematic review.
复制标题
神经性厌食症患者的强迫性人格障碍，强迫症和过度运动之间的关系：系统评价。
DOI：
10.1186/2050-2974-1-16
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发表时间：
2013
影响因子：
4.1
通讯作者：
Hay P
中科院分区：
文献类型：
--
作者：
Young S;Rhodes P;Touyz S;Hay P
强迫性人格障碍（OCPD）特征和强迫症（OCD）通常与神经性厌食症（AN）患者相关。本综述的目的是系统地检索文献，以研究OCPD和OCD是否与AN患者的过度运动呈正相关。对文献进行了系统的电子检索（使用PsycInfo、Medline和Web of Knowledge），以识别截至2012年5月的相关出版物。共有10项研究符合纳入审查的标准。研究的设计从横断面到回顾性和准实验性不等。在10项研究中，有7项研究表明，在过度运动的AN患者中，OCPD和/或OCD之间存在正相关关系，而3项研究发现这些结构之间缺乏关系或存在负相关关系。文献中有证据表明，AN患者的OCPD和过度运动之间存在正相关关系。然而，强迫症和过度运动之间的关系尚不清楚，需要进一步的研究来确定这种关系的强度。未来的研究应利用最全面和可靠的临床评估工具，并解决预后因素，治疗因素和特定的干预措施，为患者OCPD和/或强迫症和过度运动。
Obsessive-compulsive personality disorder (OCPD) traits and obsessive-compulsive disorder (OCD) are commonly associated with patients with Anorexia Nervosa (AN). The aim of this review was to systematically search the literature to examine whether OCPD and OCD are positively associated with excessive exercise in patients with AN. A systematic electronic search of the literature (using PsycInfo, Medline and Web of Knowledge) was undertaken to identify relevant publications until May 2012. A total of ten studies met criteria for inclusion in the review. The design of the studies varied from cross-sectional to retrospective and quasi-experimental. Seven out of the ten studies reviewed demonstrated a positive relationship between OCPD and/or OCD in AN patients who exercise excessively, whilst three studies found a lack of relationship, or a negative relationship, between these constructs. There is evidence from the literature to suggest that there is a positive relationship between OCPD and excessive exercise in patients with AN. However, the relationship between OCD and excessive exercise is less clear and further research is required to qualify the strength of such relationships. Future research should utilise the most comprehensive and reliable clinical assessment tools, and address prognostic factors, treatment factors and specific interventions for patients with OCPD and/or OCD and excessive exercise.