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The utility of considering interpersonal problems in the assessment of bulimic features.

机译:在评估暴食症特征时考虑人际关系问题的效用。

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摘要

Previous research suggests that heterogeneity in bulimic features can be explained in part by pathoplastic, or varying, interpersonal problems. The present study compared groups of women with bulimic features (N=110) defined by varying interpersonal problems (warm-dominant, warm-submissive, cold-submissive, or cold-dominant) with regard to comorbid psychopathology, personality characteristics, and the influences of dietary restraint and negative affectivity on bulimic psychopathology. As predicted, group differences were not explained by severity of eating-related pathology, socially desirable responding, or the interpretability of interpersonal profiles, although groups unexpectedly differed in depressive symptoms. The warm-submissive group had highest scores on adaptive personality characteristics, including, agreeableness, extraversion, and conscientiousness. As hypothesized, the influence of negative affect and dietary restraint on bulimic symptoms differed as a function of interpersonal style, perhaps suggesting that interpersonal problem heterogeneity may mark different etiological pathways for bulimic psychopathology. Finally, interpersonal problems incremented bulimic features in predicting depressive symptoms. Overall, these results highlight the added value of considering pathoplastic interpersonal problems in addition to clinical diagnoses in the assessment of eating disorders.
机译:先前的研究表明,暴食症特征的异质性可以部分通过病理或人际交往的问题来解释。本研究比较了在共病的心理病理学,人格特征及其影响方面因人际交往问题(温暖占主导,温和屈服,冷屈服或冷占位)而定义的具有暴食症特征的妇女群体(N = 110)饮食限制和负面情感对暴食心理病理的影响。正如预测的那样,尽管不同组的抑郁症状出乎意料地不同,但饮食差异性,严重的社交反应或人际关系的可解释性并不能解释组间的差异。热情顺从的组在适应性人格特征(包括愉快,外向和尽责)上得分最高。如假设的那样,负面影响和饮食限制对暴食症状的影响因人际关系风格而异,这可能表明人际问题异质性可能标志着暴食心理病理的不同病因路径。最后,人际关系问题增加了在预测抑郁症状时的饮食特征。总体而言,这些结果突出了在评估饮食失调中的临床诊断之外,还考虑了病理性人际关系问题的附加价值。

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