Redefining phenotypes in eating disorders based on personality: A latent profile analysis
| Autor: | Tammy L. Root, Eva Penelo, Fernando Fernández-Aranda, Isabel Krug, Susana Jiménez-Murcia, Roser Granero, Cynthia M. Bulik |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Persistence (psychology) 050103 clinical psychology medicine.medical_specialty Adolescent Personality Inventory Psychometrics media_common.quotation_subject Feeding and Eating Disorders Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans 0501 psychology and cognitive sciences Child Psychiatry Biological Psychiatry media_common Bulimia nervosa 05 social sciences Cooperativeness Novelty seeking Reproducibility of Results medicine.disease 030227 psychiatry Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Eating disorders Phenotype Reward dependence Impulsive Behavior Harm avoidance Female Temperament Psychology Personality Clinical psychology |
| Zdroj: | Psychiatry Research. 188:439-445 |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2011.05.026 |
| Popis: | To conduct a latent profile analysis (LPA) in eating disorder (ED) patients using temperament and character (TCI-R) measures as indicators. 1312 ED patients including those with anorexia nervosa (AN), bulimia nervosa (BN) and EDNOS were assessed. The final LPA solution was validated using demographics, clinical variables, ED symptomatology (EDI-2) and impulsive behaviors. The best-fitting model consisted of a six-profile solution using the seven subscales of the TCI-R. These profiles were labeled: "self-focused", "inhibited", "average", "impulsive", "adaptive" and "maladaptive". Validation analyses indicated that the "inhibited" and "maladaptive" profiles generally presented with the highest values for ED symptomatology and impulsive behaviors. Whereas high levels of Harm Avoidance and low levels of Novelty Seeking and Persistence characterized the "inhibited" profile, the "maladaptive" profile presented with low levels of Reward Dependence, Self-Directedness and Cooperativeness. The most favorable results on the other hand were exhibited by the "adaptive" profile, characterized by high scores on Reward Dependence, Self-Directedness, Cooperativeness and low levels on Novelty Seeking. Finally, when our six-profile solution was compared with the DSM-IV ED diagnoses, significant differences among profiles and ED diagnoses were observed. Our study shows that ED patients can be meaningfully grouped according to temperament and character. |
| Databáze: | OpenAIRE |
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