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首页> 外文期刊>BioPsychoSocial Medicine >Psychological and weight-related characteristics of patients with anorexia nervosa-restricting type who later develop bulimia nervosa
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Psychological and weight-related characteristics of patients with anorexia nervosa-restricting type who later develop bulimia nervosa

机译：神经性厌食症限制性型后来发展为神经性贪食症的患者的心理和体重相关特征

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Background Patients with anorexia nervosa-restricting type (AN-R) sometimes develop accompanying bulimic symptoms or the full syndrome of bulimia nervosa (BN). If clinicians could predict who might change into the bulimic sub-type or BN, preventative steps could be taken. Therefore, we investigated anthropometric and psychological factors possibly associated with such changes. Method All participants were from a study by the Japanese Genetic Research Group for Eating Disorders. Of 80 patients initially diagnosed with AN-R, 22 changed to the AN-Binge Eating/Purging Type (AN-BP) and 14 to BN for some period of time. The remaining 44 patients remained AN-R only from the onset to the investigation period. Variables compared by ANOVA included anthropometric measures, personality traits such as Multiple Perfectionism Scale scores and Temperament and Character Inventory scores, and Beck Depression Inventory-II scores. Results In comparison with AN-R only patients, those who developed BN had significantly higher current BMI (p Conclusion The present findings suggest a tendency toward obesity among patients who cross over from AN-R to BN. Low self-directedness and high parental criticism may be associated with the development of BN by patients with AN-R, although the differences may also be associated with depression.
机译：背景患有神经性厌食症限制型（AN-R）的患者有时会伴有脓毒症症状或神经性贪食症（BN）的完全综合征。如果临床医生可以预测谁可能会变成脓毒症亚型或BN，则可以采取预防措施。因此，我们调查了可能与此类变化相关的人体测量学和心理因素。方法所有参与者均来自日本饮食疾病遗传研究小组的一项研究。在最初诊断为AN-R的80位患者中，有22位在一段时间内改用AN-Binge饮食/吹扫型（AN-BP），而14位改为BN。其余44例患者仅从发病至研究期间仍为AN-R。通过方差分析比较的变量包括人体测量学指标，人格特质，例如多重完美主义量表评分和气质和性格量表评分，以及贝克抑郁量表II评分。结果与仅AN-R的患者相比，发展为BN的患者当前的BMI显着较高（p结论本研究结果表明，从AN-R过渡为BN的患者中有肥胖倾向。 AN-R患者可能与BN的发展有关，尽管差异也可能与抑郁症有关。

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