The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity
The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity
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DOI：
10.1017/s0033291703007505
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发表时间：
2003-10-01
影响因子：
6.9
通讯作者：
Waller, G
中科院分区：
文献类型：
--
作者：
De Jonge, PV;Van Furth, EF;Waller, G
背景有许多报告的人格障碍病理在不同的饮食失调。然而，很少有研究直接比较神经性贪食症，暴食症和肥胖症的人格病理。本研究探讨了DSM-IV人格病理学的组间差异，考虑到在诊断和维度评分方面理解人格障碍的潜在效用。进食障碍的诊断是使用进食障碍检查访谈建立的。对35例神经性贪食症患者、15例暴食症患者和37例肥胖症患者进行国际人格障碍量表的分类和维度人格障碍评分。对于大多数人格障碍，有一个暴食者和非暴食者的二分法。相比之下，两组之间的边缘型人格障碍病理学的严重程度是连续的。人格病理学测量的维度系统可以更清楚地区分各组。这项研究强烈表明，人格障碍的困难存在于暴饮暴食的患者中，而不暴饮暴食的肥胖患者表现出明显较少的人格障碍病理。神经性贪食症，暴食症和肥胖症的评估需要解决人格障碍和病理。人格病理学的维度标记可以用来补充分类诊断，提供诊断所依据的特征信息。
Background. There are numerous reports of personality disorder pathology in different eating disorders. However, few studies have directly compared personality pathology in bulimia nervosa, binge eating disorder and obesity. The present study examines group differences in DSM-IV personality pathology, considering the potential utility of understanding personality disorders in terms of diagnosis and dimensional scores.Method. Eating disorder diagnoses were established using the Eating Disorder Examination interview. Thirty-five bulimia nervosa patients, 15 binge eating disorder patients and 37 obese patients were assessed and compared on the International Personality Disorder Examination using categorical and dimensional personality disorder scores.Results. For most personality disorders, there was a dichotomy of binge eaters versus non-binge eaters. In contrast, there was a continuum of severity in borderline personality disorder pathology between the groups. The dimensional system of measurement of personality pathology allowed for clearer differentiation between the groups.Conclusion. The study strongly indicates that personality disorder difficulties are present in patients who binge eat, while obese patients who do not binge eat display significantly less personality disorder pathology. Assessment of bulimia nervosa, binge eating disorder and obesity needs to address personality disorders and pathology. Dimensional markers of personality pathology can be used to supplement categorical diagnoses, providing information about the traits that underlie diagnosis.