Characteristics of eating disorder patients without a drive for thinness

Characteristics of eating disorder patients without a drive for thinness
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DOI:
10.1002/eat.10067
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发表时间:
2002-09-01
影响因子:
5.5
通讯作者:
Garfinkel, PE
Garfinkel, PE
中科院分区:
医学2区
文献类型:
--
作者:
Ramacciotti, CE;Dell'Osso, L;Garfinkel, PE

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目的:本研究的目的是调查两个样本的患者受神经性厌食症(AN)或神经性贪食症(BN),分别有和没有瘦驱动器(DT)的诊断功能。方法:样本包括70个连续的进食障碍(艾德)在精神病学系(比萨比萨)和106个在加拿大多伦多的日间医院收治的AN患者门诊。受试者进行了临床和心理测量参数的评估。结果:在这两个国家,17%的受试者有低DT测量的饮食失调量表(EDI)。他们组成了非典型组,似乎有较轻的精神病理学。讨论:体重恐惧症不应被视为诊断艾德的关键因素,DT可能是一个文化限制的维度。考虑到两组之间的差异,将患者表征为典型和非典型可能在临床上有用。(C)出版社:Wiley Periodicals,Inc.
Objective: The aim of this study was to investigate two samples of patients affected by anorexia nervosa (AN) or bulimia nervosa (BN), respectively, with and without the diagnostic feature of drive for thinness (DT). Method: The samples comprised 70 consecutive eating disorder (ED) outpatients at the Department of Psychiatry (University of Pisa) and 106 AN patients admitted to a day hospital in Toronto, Canada. Subjects were assessed on clinical and psychometric parameters. Results: In both countries, 17% of the subjects had low DT as measured by the Eating Disorder Inventory (EDI). They comprised the atypical group and appeared to have less severe psychopathology. Discussion: Weight phobia should not be viewed as critical to the diagnosis of ED and DT could be a culture-bound dimension. Considering the differences between the two groups, the characterization of patients as typical and atypical may be clinically useful. (C) 2002 by Wiley Periodicals, Inc.