Temperamental factors predict long-term modifications of eating disorders after treatment

BMC Psychiatry

Pasquale De Fazio¹  Flora Sinopoli²  Dora Chiodo¹  Cristina Segura-García² 

[1] Department of Health Sciences, Chair of Psychiatry, University Magna Graecia, Catanzaro, Italy;Ambulatory for Clinical Research and Treatment of Eating Disorders, University Hospital Mater Domini, Catanzaro, Italy

关键词: Outcome;    Character;    Temperament;    Bulimia nervosa;    Anorexia nervosa;   

Others  :  1123907
DOI  :  10.1186/1471-244X-13-288

 received in 2013-03-31, accepted in 2013-07-31,  发布年份 2013

【 摘 要 】

Background

Eating Disorders (EDs) are complex psychiatric pathologies characterized by moderate to poor response to treatment. Criteria of remission and recovery are not yet well defined. Simultaneously, personality plays a key role among the factors that determine treatment outcome. The aim of the present research is to evaluate the possibility of temperamental and character traits to predict the long-term outcome of ED.

Method

A sample of 25 AN and 28 BN female patients were re-assessed face-to-face after a minimum 5-years-follow-up through SCID-I, EDI-2 and TCI-R. Regression Analyses were performed to ascertain the possibility of TCI-R dimensions at the first visit to predict the long-term outcome.

Results

Clinical and psychopathological symptoms significantly decreased over the time and 23% of participants no longer received a categorical ED diagnosis after at least 5 years of follow-up. TCI-R dimensions failed to predict the absence of a DSM-IV-TR diagnosis in the long term, but Novelty Seeking, Harm Avoidance and Reward Dependence demonstrated to predict the clinical improvement of several EDI-2 scales.

Conclusions

Our results support the idea that temperamental dimensions are relevant to the long-term improvement of clinical variables of ED. Low Novelty Seeking is the strongest predictor of poor outcome.

【 授权许可】

   
2013 Segura-García et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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