Differences and similarities in the personality structure of 327 women with eating disorders
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity - Tập 5 - Trang 108-115 - 2013
Tóm tắt
The symptomatology of Eating Disorders (ED) varies considerably and it is of interest to determine whether one can attribute this to different personality structures and hence establish the most effective treatment. The present study investigates the psychopathological characteristics of clinical ED subjects divided by diagnostic subtypes, age at onset and duration of disorder on admission. Three hundred and twenty-seven women were administered the EAT 40 and MMPI. One-way ANOVA and Bonferroni post-hoc multiple comparisons were performed on subsamples: no significant differences emerged with regard to age at onset and duration of ED, whereas the diagnostic subtypes obtained significantly different MMPI validity scale scores. These results can be referred to a common core of ED represented by cognitive organization and personal meaning.
Tài liệu tham khảo
Dancyger I.F., Sunday S.R., Halmi K.A.: Depression modulates non-eating-disordered psychopatology in eating-disordered patients. Eating Disorders: The Journal of Treatment and Prevention, 5, 59–68, 1997.
Hurt S.W., Brun Ebérentz A., Commerford M.C., Samuel Lajeunesse B., Halmi K.A.: A comparison of psychopathology in eating disorder patients from France and the United States. Int. J. Eating Disord., 22, 153–158, 1997.
Ayuso Mateos J.L.: Heterogeneity of eating disorders, Actas Luso Esp. Neurol. Psiquiatr. Cienc. Afines, 21, 115–120, 1993.
Norman D.K., Herzog D.B.: Bulimia, anorexia nervosa and anorexia nervosa with bulimia: a comparative analysis of MMPI profiles. Int. J. Eating Disord., 2: 43–52, 1983.
Kirkley B.G., Kolotkin R.L., Hernandez J.T., Gallagher P.N.: A comparison of bingepurgers, obese binge eaters and obese nonbinge eaters on the MMPI. Int. J. Eating Disord., 12, 221–228, 1992.
Hall A., Slim E., Hawker F., Salmond C.: Anorexia nervosa: long-term outcome in 50 female patients. Br. J. Psychiatry, 145, 407–413, 1984.
Keel P.K., Mitchell J.E., Miller K.B., Davis T.L., Crow S.J.: Long-term outcome of bulimia nervosa. Arch. Gen. Psychiatry, 56, 63–69, 1999.
Sunday S.R., Reeman I.L., Eckert E., Halmi K.A.: Ten-year outcome in adolescent onset anorexia nervosa. J. Youth Adolescence, 25, 533–544, 1996.
American Psychiatric Association: Diagnostic and statistic manual of mental disorders, Ed. 4, (DSM IV), Washington (DC), APA, 1994.
Othmer E., Othmer S.C.: The Clinical Interview Using DSM IV. Vol. 1: Fundamentals. American Psychiatric Press, Inc., 1994. Italian translation: L’intervista clinica con il DSM IV. Milano, Raffaello Cortina Editore, 1999.
Cuzzolaro M., Petrilli A.: Validazione dell’edizione italiana dell’EAT-40. Psichiatria dell’Infanzia e dell’Adolescenza, 55, 209–217, 1988.
Garner D.M., Olmstead M.P., Bhor Y., Garfinkel P.E.: The Eating Attitude Test: Psychometric features and clinical correlates. Psychol. Med., 12, 871–878, 1982.
Hathaway S.R., Mc Kinley J.C.: The Minnesota Multiphasic Personality Inventory Manual. New York, Psychological Corporation, 1951.
Mosticoni R., Chiari G.: Una descrizione obbiettiva della personalità. Il Minnesota Multiphasic Personality Inventory (MMPI). Firenze, Organizzazioni Speciali, 1979.
Probst M., Wandereycken W., Van Coppenolle H., Vanderlinden J.: Body Attitude Test for patient with eating disorders: Psychometric characteristics of a new questionnaire. Eating Disorders. The Journal of Treatment and Prevention 3, 133–144, 1995.
Santonastaso P., Ferrara S, Sala A., Vidotto G., Dalle Grave R., Probst M., Favaro A.: Confronto degli atteggiamenti corporei di un gruppo di pazienti con disturbo dell’alimentazione con un campione di studentesse: Validazione italiana del Body Attitude Test. Rivista Sperimentale di Freniatria, CXIX, 423–436, 1995.
Henderson M., Freeman C.P.L.: A self rating scale for bulimia. The BITE. Br. J. Psychiatry, 150, 18–24, 1987.
Ceccherini-Nelli A., Guidi L.: Psychometric instruments for pharmacologic research in bulimia nervosa: possibilities and limits. In: Cuzzolaro M., Caputo G., Guidetti V., Ripa di Meana G. (Eds.), Advancements in diagnosis and treatment of anorexia, bulimia and obesity. Ed.2, Rome-Symposium on Eating Disorders, Proceeding Book. Firenze, Promo Leader Service, 1994.
Vanderlinden J., Vandereyken W., Van Dick R., Vertommen H., Verkes R.: Dissociation Questionnaire (Dis-Q): Development and Characteristics of a New Self Reporting Questionnaire. Clin. Psychol. Psychother., 1, 21–27, 1993.
Santonastaso P., Dalle Grave R., Olivotto C., Favaro A.: Traduzione e validazione italiana del Dissociation Questionnaire (Dis-Q) Comunicazione personale, 1993.
Garner D.M., Olmstead M.P., Polivy J.: Development and validation of a multidimentional eating disorders inventory for anorexia and bulimia. Int. J. Eating Disord., 2, 15–31, 1983.
Santonastaso P., Favaro A.: Clinical and psychological characteristcs of eating disordered women compared to two samples of female students: validity and reliability of the Italian version of the Eating Disorder Inventory. Italian Journal of Psychiatry and Behavioral Sciences, 2, 83–87, 1995.
Derogatis L.R., Lipman R.S., Covi L.: The SCL-90: An outpatients psychiatric rating scale. Psychopharmacol. Bull., 9, 13–28, 1973.
Derogatis L.R., Cleary P.A.: Confirmation of the dimensional structure of the SCL-90: A study in construct validation. J. Clin. Psychol., 33, 4, 1977.
Derogatis L.R., Rickels K., Rock A.F.: The SCL-90 and the MMPI: A step in the validation of a new self-report scale. Br. J. Psychiatry, 128, 280–289, 1976.
Florentino M.T., Canarile C., Gabriele M.L., Indrimi M., Salvemini V., Sammartino F., Mazzetti di Pietralata M.: Comportamento alimentare e adolescenza: Uno studio epidemiologico su 233 alunni di scuola media superiore. Cibus 1, 161–165, 1997.
Kassett J.A., Gwirtsman H.E., Kaye W.H., Brandt H.A., Jimerson D.C.: Pattern of onset of bulimic symptoms in anorexia nervosa. Am. J. Psychiatry, 145, 1287–1288, 1988.
Nencini R., Giannattasio M.E.: Istruzioni per l’uso delle varie forme del MMPI. Firenze, OS, 1983.
Pryor T., Wiederman M.W.: Use of the MMPI-2 in the outpatients assessment of women with Anorexia Nervosa or Bulimia Nervosa. J. Pers. Assess., 66, 363–373, 1996.
Graham J.R.: MMPI-2: Assessing personality and psychopathology. New York, Oxford University Press, 1990.
Johnson C., Wonderlich S.: Personality characteristics as a risk factor in the development of eating disorders. In: Crowther J.H., Tennenbaum D.L., Hofboll S.E., Paris Stephens M.A. (Eds.), The etiology of bulimia nervosa: The individual and familial context Philadelphia, Hemisphere, 1992, 179–196.
Vitousek K., Manke F.: Personality variables and disorders in Anorexia Nervosa and Bulimia Nervosa. J. Abnorm. Psychol., 103, 137–147, 1994.
Guidano V.F.: Il Sé nel suo divenire. Torino, Bollati Boringhieri, 1992.
Guidano V.F.: La complessità del Sé. Torino, Bollati Boringhieri, 1988.
Reda M.A.: Sistemi cognitivi complessi e psicoterapia. Roma, NIS, 1986.
Indrimi M., Salvemini V., Sammartino F.: I Disturbi alimentari psicogeni nell’ottica cognitivista- strutturalista. Attualità in Psicologia, 4, 493–502, 1996.
Salvemini V., Canarile C., Indrimi M., Sammartino F., Mazzetti di Pietralata M.: La compulsione verso stati di coscienza alterati come possibile fattore condiviso fra alcolismo, disturbi del comportamento alimentare, tossicomania. Cibus, 1, 73–81, 1997.
Salvemini V., Sammartino F., Focà F., Gabriele L., Indrimi M., Spinosa L., Tulli F.: Oltre il sintomo. Aspetti psicologici di 300 pazienti affetti da disturbi dell’alimentazione in relazione ai criteri diagnostici e alle caratteristiche morfologiche. Cibus, 3, 37–44, 1999.