Associations between dimensions of anorexia nervosa and obsessive-compulsive disorder: An examination of personality and psychological factors in patients with anorexia nervosa

被引：21

作者：

Levinson, Cheri A. ^{[1
]}

Zerwas, Stephanie C. ^{[2
]}

Brosof, Leigh C. ^{[1
]}

Thornton, Laura M. ^{[2
]}

Strober, Michael ^{[3
]}

Pivarunas, Bernadette ^{[4
]}

Crowley, James J. ^{[5
]}

Yilmaz, Zeynep ^{[2
]}

Berrettini, Wade H. ^{[6
]}

Brandt, Harry ^{[7
]}

Crawford, Steven ^{[7
]}

Fichter, Manfred M. ^{[8
,9
]}

Halmi, Katherine A. ^{[10
]}

Johnson, Craig ^{[11
]}

Kaplan, Allan S. ^{[12
,13
]}

La Via, Maria ^{[2
]}

Mitchell, James ^{[14
,15
]}

Rotondo, Alessandro ^{[16
]}

Woodside, D. Blake ^{[17
]}

Kaye, Walter H. ^{[18
]}

Bulik, Cynthia M. ^{[2
,19
,20
]}

机构：

[1] Univ Louisville, Dept Psychol & Brain Sci, Louisville, KY 40292 USA

[2] Univ N Carolina, Dept Psychiat, Chapel Hill, NC 27515 USA

[3] Univ Calif Los Angeles, David Geffen Sch Med, UCLA Semel Inst Neurosci & Human Behav, Los Angeles, CA 90095 USA

[4] Colorado State Univ, Dept Psychol, Ft Collins, CO 80523 USA

[5] Univ N Carolina, Dept Genet, Chapel Hill, NC 27515 USA

[6] Univ Penn, Ctr Neurobiol & Behav, Philadelphia, PA 19104 USA

[7] Sheppard Pratt Hlth Syst, Ctr Eating Disorders, Towson, MD USA

[8] Hosp Behav Med, Klin Roseneck, Munich, Germany

[9] Univ Munich LMU, Munich, Germany

[10] New York Presbyterian Hosp, Weill Cornell Med Coll, Westchester Div, White Plains, NY USA

[11] Eating Recovery Ctr, Denver, CO USA

[12] Univ Toronto, Toronto Gen Hosp, Program Eating Disorders, Toronto, ON, Canada

[13] Univ Toronto, Univ Hlth Network, Toronto, ON, Canada

[14] Univ North Dakota, Sch Med & Hlth Sci, Dept Clin Neurosci, Fargo, ND USA

[15] Univ North Dakota, Sch Med & Hlth Sci, Neuropsychiat Res Inst, Fargo, ND USA

[16] Univ Pisa, Dept Psychiat Pharmacol & Biotechnol, Pisa, Italy

[17] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[18] Univ San Diego, San Diego, CA 92110 USA

[19] Univ N Carolina, Dept Nutr, Chapel Hill, NC 27515 USA

[20] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden

来源：

EUROPEAN EATING DISORDERS REVIEW | 2019年 / 27卷 / 02期

基金：

瑞典研究理事会; 美国国家卫生研究院;

关键词：

anorexia nervosa; comorbidity; concern over mistakes; obsessive-compulsive disorder; transdiagnostic; EATING-DISORDERS; WOMEN; PERFECTIONISM; TEMPERAMENT; RISK; IMPULSIVITY; AVOIDANCE; CHARACTER; RECOVERY; FEATURES;

D O I：

10.1002/erv.2635

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective Anorexia nervosa (AN) and obsessive-compulsive disorder (OCD) are highly comorbid. However, the factors that account for this comorbidity are poorly understood. We examined the core dimensions of AN and OCD and psychological and personality factors shared by both disorders. Method In path analyses (N = 732 women with either current AN or recovered from AN), we examined which factors were uniquely and independently associated with the core dimensions of AN and OCD. We also examined recovery from AN as a moderator. Results When individuals with AN reported greater concern over mistakes, they endorsed more severity in both AN and OCD core dimensions. These unique associations existed above and beyond all other transdiagnostic personality and psychological factors and regardless of AN recovery status. Conclusions Concern over mistakes partially accounts for severity in the core dimensions of both AN and OCD. Concern over mistakes may represent an important target in the aetiology of AN and OCD.

引用

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页码：161 / 172

页数：12

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