The role of depression and impulsivity in the psychopathology of bulimia nervosa

Autor: Luis Rojo-Moreno, M. Angustias García-Herráiz, Luis Beato-Fernández, Francisco J. Vaz-Leal, Laura Rodríguez-Santos, Carlos Alexis Chimpén-López, María Isabel Ramos-Fuentes
Rok vydání: 2013
Předmět:
Zdroj: REVISTA DE PSIQUIATRIA Y SALUD MENTAL
r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
instname
ISSN: 1989-4600
1888-9891
Popis: Introduction: The study aimed to analyze the role of depression and impulsivity in the psychopathology of bulimia nervosa (BN). Materials and methods: Seventy female patients with DSM-IV BN, purging subtype, were assessed for eating-related symptoms, body dissatisfaction, affective symptoms, impulsivity, and personality traits. Factor analysis and structural equation modeling methods were used for statistical analysis. Results: BN appeared as a condition which incorporated 5 general dimensions: a) binge eating and compensatory behaviours; b) restrictive eating; c) body dissatisfaction; d) dissocial personality traits; and e) a cluster of features which was called "emotional instability" The 5 obtained dimensions can be grouped into 2 basic factors: body dissatisfaction/eating behaviour and personality traits/psychopathology. The first one contains the clinical items used for the definition of BN as a clinical condition in the DSM-V and the International Classification of Diseases 10, and reflects the morphology and the severity of the eating-related symptoms. The second dimension includes a cluster of symptoms (depressive symptoms, impulsivity, and borderline, self-defeating and dissocial personality traits) which could be regarded as the psychopathological core of BN and may be able to condition the course and the prognosis of BN. (C) 2013 SEP y SEPB. Published by Elsevier Espana, S.L. All rights reserved.
Databáze: OpenAIRE