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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Impact of borderline personality disorder on bulimia nervosa.
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Impact of borderline personality disorder on bulimia nervosa.

机译：边缘性人格障碍对神经性贪食症的影响。

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OBJECTIVE: The primary aim of the present study was to examine whether the presence of borderline personality disorder (BPD) adversely impacted on outcome 3 years after treatment among women with bulimia nervosa (BN), in comparison to those women with either other personality disorders (other PD) or no personality disorder (no PD). METHOD: Participants were 134 women who received cognitive behaviour therapy for BN. The sample was divided into three groups: BPD (n=38), other PD (n=37), and no PD (n=59). Eating disorder (ED) symptoms and attitudes, and personality traits were examined at pretreatment assessment, 1 year and 3 year follow up. RESULTS: At pretreatment assessment the BPD group had higher purging frequency, more comorbidity and poorer general functioning than the other PD and no PD groups. By 3 year follow up, however, no significant differences were found in ED symptomatology and general functioning among the groups. Pretreatment differences between the BPD and no PD groups on the personality measures of harm avoidance, self-directedness and cooperativeness disappeared over the course of 3 years. CONCLUSION: Although women with BN and comorbid BPD appear more impaired at pretreatment assessment, they do not have poorer outcome than the other PD and no PD groups. The rate and level of improvement across the groups is not affected by the presence of BPD.
机译：目的：本研究的主要目的是检查与患有其他人格障碍的女性相比，边缘性人格障碍（BPD）的存在是否对患有神经性贪食症（BN）的妇女治疗3年后的结局产生不利影响（其他PD）或无人格障碍（无PD）。方法：参与者为134名接受BN认知行为治疗的女性。样本分为三组：BPD（n = 38），其他PD（n = 37）和无PD（n = 59）。在治疗前评估，1年和3年随访中检查饮食失调（ED）的症状和态度以及人格特质。结果：在治疗前评估中，BPD组的排便频率，合并症和一般功能较其他PD组和无PD组高。然而，到3年随访，各组之间ED症状和一般功能没有发现显着差异。在3年的过程中，BPD组和无PD组在避免伤害，自我导向和合作性格方面的预处理差异均消失了。结论：尽管在治疗前评估中，患有BN和合并BPD的女性似乎受损更大，但她们的结局并不比其他PD差，也没有PD组。 BPD的存在不会影响各组的改善率和水平。

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