Parental bonding and eating psychopathology in bulimia nervosa: personality traits as possible mediators.

Epidemiologia e psichiatria sociale Pub Date : 2010-07-01
Secondo Fassino, Federico Amianto, Giuseppe Rocca, Giovanni Abbate Daga
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Abstract

Aims: The relationship between eating disorders, attachment, personality traits and eating psychopathology remains unexplored. This study tested the mediating role of temperament and character between parental bonding and psychopathology in bulimic women.

Methods: 154 bulimic subjects and 154 healthy controls were compared using Parental Bonding Instrument (PBI), Temperament and Character Inventory (TCI), Eating Disorder Inventory-2 (EDI-2), and Beck Depression Inventory (BDI). Multiple regression analysis tested the mediation of personality traits between parenting and eating psychopathology.

Results: Bulimic subjects displayed low maternal and paternal care and low self-directedness, and high novelty seeking and eating psychopathology. Maternal care was negatively related to social insecurity, inadequacy and impulsiveness. Paternal care predicted novelty seeking, self-directedness, interoceptive awareness, impulsiveness, and asceticism. The mediation effect of self-directedness between paternal care and psychopathology was significant, not the one of novelty seeking.

Conclusions: Parental care is lower in bulimic than in control women even when controlled for possible confounding variables. Some eating psychopathology traits are related to maternal and paternal care, but not the bulimia subscale. Paternal care is also related to temperament and character traits which are related to eating psychopathology. Self-directedness mediates with different degrees between parenting and eating psychopathology. Clinical implications are discussed.

神经性贪食症的父母关系与饮食精神病理:人格特质可能的中介作用。
目的:饮食失调、依恋、人格特质与饮食精神病理之间的关系尚不清楚。本研究考察了性情和性格在父母关系与暴食症女性精神病理之间的中介作用。方法:采用亲代亲密量表(PBI)、气质与性格量表(TCI)、饮食失调量表-2 (edi2)和贝克抑郁量表(BDI)对154名暴食症患者和154名健康对照进行比较。多元回归分析检验了人格特质在养育子女与饮食精神病理之间的中介作用。结果:暴食症被试表现为低父母关怀和低自我导向,高新奇追求和饮食精神病理。产妇护理与社会不安全感、不充分性和冲动性呈负相关。父系关怀预测新奇寻求、自我导向、内感受性意识、冲动和禁欲主义。自我导向在父亲关怀与精神病理之间的中介作用显著,而新奇追求的中介作用不显著。结论:即使控制了可能的混杂变量,暴食症妇女的亲代照顾也比对照组妇女低。一些饮食心理病理特征与母亲和父亲的照顾有关,但与贪食症亚量表无关。父权关怀还与气质和性格特征有关,而气质和性格特征又与饮食精神病理有关。自我导向在养育子女和饮食心理病理之间有不同程度的中介作用。讨论了临床意义。
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