신경성 식욕부진증의 과거력에 따른 폭식 환자의 심리적 특성

• 영문명: Psychological Characteristics of Bulimic Women with and without a History of Anorexia Nervosa
• 발행기관: 대한신경정신의학회
• 저자명: 이정현 조혜현 신미연 김준기
• 간행물 정보: 『신경정신의학』제47권 제4호, 362~368쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2008.07.30

영문 초록

Objectives：This study compared cognitive-behavioral traits related to eating behaviors, obsessive-compulsive traits, and depression levels in bulimic subjects with and without a history of anorexia nervosa according to the perspective that there are common diagnostic transitions over time in subgroups of eating disorders (anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified). Methods：We compared EDI-2, MOCI, and BDI scores between the bulimic group with a history of anorexia (n=98), the bulimic group without a history of anorexia (n=99), and the non-clinic group (n=100) by ANOVA. Results：The bulimic group with a history of anorexia showed significantly higher scores on four of the EDI-2 subscales (Ineffectiveness, Interoceptive Awareness, Impulse Regulation and Social Insecurity) than the other two groups. They also indicated significantly higher scores on both the MOCI subscale ‘rumination’ and BDI than both the other groups. Conclusion：These findings suggest that it is important to consider a prior history of anorexia nervosa in order to understand symptom severity in patients with bulimia. Psychological variables such as ineffectiveness, impulse regulation, social insecurity, rumination, and depression are crucial to consider while treating bulimics with a history of anorexia.

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REFERENCES

키워드

Anorexia nervosa Bulimia nervosa Eating disorder inventory-2 Transdiagnostic theory