Eating-disordered patients with and without self-injurious behaviours: A comparison of psychopathological features

Eating-disordered patients with and without self-injurious behaviours: A comparison of psychopathological features
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DOI:
10.1002/erv.510
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发表时间:
2003-09-01
影响因子:
5.3
通讯作者:
Vertommen, H
Vertommen, H
中科院分区:
心理学2区
文献类型:
--
作者:
Claes, L;Vandereycken, W;Vertommen, H

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目的:相当多的饮食失调患者还表现出各种自残行为(SIB),这可能被视为精神病理学严重程度的指标。方法:为了在 70 名接受饮食失调专门治疗计划的女性中检验这一假设,通过自我报告问卷的方式研究了广泛的精神病理学特征:临床症状、人格障碍、攻击性调节、创伤史、分离和身体体验。对患有 SIB 的患者 (n = 27) 和不患有 SIB 的患者 (n = 43) 以及患有一种 SIB 的患者 (n = 13) 与更多类型的 SIB 的患者 (n = 14) 进行了比较。结果:一般来说,SIB 患者报告的焦虑、抑郁、敌意、B 类人格障碍、愤怒感、创伤经历、分离和对身体尺寸的负面评价的主诉或迹象明显更多。不止一种类型的 SIB 的存在与更明显的临床症状和创伤史相关。版权所有 (C) 2003 John Wiley & Sons, Ltd 和饮食失调协会。
Objective: A considerable number of eating-disordered patients also display all kinds of self-injurious behaviours (SIB), which might be viewed as an indicator of psychopathological severity.Method: To test this hypothesis in 70 females admitted to a specialized treatment programme for eating disorders, a wide spectrum of psychopathological features was studied by means of self-reporting questionnaires: clinical symptomatology, personality disorders, aggression regulation, trauma history, dissociation and body experience. A comparison was made between patients with (n = 27) and without SIB (n = 43), as well as between patients with one (n = 13) versus more types (n = 14) of SIB.Results: In general, patients with SIB reported significantly more complaints or signs of anxiety, depression, hostility, cluster B personality disorders, feelings of anger, traumatic experiences, dissociation and negative appreciation of body size. The presence of more than one type of SIB was linked to a more pronounced clinical symptomatology and trauma history. Copyright (C) 2003 John Wiley & Sons, Ltd and Eating Disorders Association.