Abstract
The "atypical" subgroup of women with anorexia nervosa not characterized by drive for thinness (DT) was studied. The study group comprised 151 anorectic patients (restrictor anorectics [AN-R], n = 74; binge-purging anorectics [AN-BP], n = 77). Subjects completed the following self-administered questionnaires: Eating Disorder Inventory-2 (EDI-2), Temperament and Character Inventory (TCI), State-Trait Anger Expression Inventory (STAXI), and Beck Depression Inventory (BDI). Patients were subdivided into three groups on the basis of body mass index (BMI) and DT score: AN-I with a BMI < 15 and DT < 7 (n = 24); AN-II with a BMI > 15 and DT < 7 (n = 34); and AN-III with a BMI < 17.5 and DT > 7 (n = 93). Patients belonging to the AN-III group had a more severe disorder and form of psychopathology based on their scores on several scales. No association emerged between personality disorders and any single subgroup. Three hypotheses emerge: (1) some patients (about 38%) deny DT and provide negative answers on the questionnaires; (2) patients without DT (even when malnourished) seem to show less severe psychopathologic and personality traits; and (3) patients without DT answer questions honestly, but they have developed a character structure that enables them to feel negative and ego-dystonic emotions regarding their condition. Implications for treatment are discussed.
Original language | English |
---|---|
Pages (from-to) | 215-221 |
Number of pages | 7 |
Journal | Psychiatry Research |
Volume | 149 |
Issue number | 1-3 |
DOIs | |
Publication status | Published - 15 Jan 2007 |
Externally published | Yes |
Keywords
- Atypical anorexia
- Eating disorders
- Partial syndrome
- Psychiatry
- Psychopathology
- Starvation