Factors related to severity of vomiting behaviors in bulimia nervosa
Factors related to severity of vomiting behaviors in bulimia nervosa
复制标题
DOI：
10.1016/j.psychres.2004.01.013
复制
发表时间：
2005-03-30
影响因子：
11.3
通讯作者：
Fassino, S
中科院分区：
文献类型：
--
作者：
Abbate-Daga, G;Pieró, A;Fassino, S
评估呕吐严重程度（每周频率）、抑郁和饮食相关精神病理、愤怒水平和管理以及人格维度来描述神经性暴食症暴泻型（BN-BP）患者的特征。样本包括130名BN门诊患者和130名对照女性。所有患者均采用进食障碍量表-2 （edi2）、状态-特质愤怒表达量表、贝克抑郁量表和气质与性格量表（TCI）。TCI的自我导向维度和edi2的暴食子量表是暴食行为严重程度的最强预测因子；愤怒程度和愤怒表达与疾病严重程度没有太大关系。一种更严重的暴食症症状可能以特定的性格缺陷（TCI上的低自我指向性）和特定的精神病理特征（edi2上的高暴食）为基础。高频率呕吐患者需要有针对性的治疗干预，以提高自我导向的特征维度。2005爱思唯尔爱尔兰有限公司版权所有。
Assessments of the severity of vomiting (weekly frequency), depressive and eating-related psychopathology, anger level and management, and personality dimensions were used to characterize patients with bulimia nervosa binge purging type (BN-BP). The sample comprised 130 outpatients with BN and 130 control women. The Eating Disorder Inventory-2 (EDI-2), the State-Trait Anger Expression Inventory, the Beck Depression Inventory, and the Temperament and Character Inventory (TCI) were administered to all patients. The Self-Directedness dimension of the TCI and the Bulimia subscale of the EDI-2 were the strongest predictors of the severity of bulimic behavior; anger levels and anger expression were not so strongly related to illness severity. A more severe form of bulimic symptomatology probably has substrata in specific character deficits (low Self-Directedness on the TCI) and particular psychopathological features (high bulimia on the EDI-2). Patients with a high frequency of vomiting need specific therapeutic interventions to enhance the character dimension of Self-Directedness. (c) 2005 Elsevier Ireland Ltd. All rights reserved.