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Tijdschrift voor Psychotherapie

, Volume 32, Issue 4, pp 161–166 | Cite as

Stabiliteit van persoonlijkheidskenmerken bij patiënten met een ernstige eetstoornis

  • Hans Bloks
Artikel
  • 205 Downloads

Samenvatting

Gedurende 2,5 jaar zijn 146 patiënten met een ernstige eetstoornis, die klinisch of in deeltijd werden behandeld, vier keer onderzocht op persoonlijkheidskenmerken en eetsymptomen. Er was een consistent verschil in het kenmerk ‘Prikkelzoekend’ tussen de verschillende diagnostische groepen eetstoornispatiënten. Na de behandeling waren de verschillen met een normale controlegroep op de kenmerken ‘Leedvermijding’ en ‘Zelfsturing’ kleiner dan vóór de behandeling. De mate van depressiviteit was hierin een belangrijke variabele. Anorexiapatiënten met een relatief hoge mate van Zelfsturing bij aanvang van de behandeling hadden een grotere kans op herstel.

Notes

Literatuur

  1. Brewerton, T.D., Hand, L.D., & Bishop Jr, E.R. (1993). The Tridimensional Personality Questionnaire in eating disorder patients. International Journal of Eating Disorders, 2, 213-218.CrossRefGoogle Scholar
  2. Brown, S.L., Svrakic, D.M., Przybeck, T.R., & Cloninger, C.R. (1992). The relationship of personality to mood and anxiety states: A dimensional approach. Journal of Psychiatric Research, 26, 197-211.CrossRefPubMedGoogle Scholar
  3. Bulik, C.M., Sullivan, P.F., Weltzin, T.E., & Kaye, W.H. (1995). Temperament in eating disorders. International Journal of Eating Disorders, 3, 251-261.CrossRefGoogle Scholar
  4. Bulik, C.M., Sullivan, P.F., Joyce, P.R., & Carter, F.A. (1995). Temperament, character, and personality disorder in bulimia nervosa. Journal of Nervous and Mental Disease, 183, 593-598.CrossRefPubMedGoogle Scholar
  5. Bulik, C.M., Sullivan, P.F., Fear, J.L., & Pickering, A. (2000). Outcome of anorexia nervosa: Eating attitudes, personality, and parental bonding.International Journal of Eating Disorders, 28, 139-147.CrossRefPubMedGoogle Scholar
  6. Casper, R.C. (1990). Personality features of women with good outcome from restricting anorexia nervosa. Psychosomatic Medicine, 52, 156-170.PubMedGoogle Scholar
  7. Casper, R.C., Hedeker, D., & McClough, J.F. (1992). Personality dimensions in eating disorders and their relevance for subtyping. Journal of American Academy of Child and Adolescent Psychiatry, 31, 830-839.CrossRefGoogle Scholar
  8. Cloninger, C.R. (1987). A systemic method for clinical description and classification of personality variants. Archives of General Psychiatry, 44, 573-588.PubMedGoogle Scholar
  9. Cloninger, C.R., Svrakic, D.M., & Przybeck, T.R. (1993). A psychobiological model of temperament and character. Archives of General Psychiatry, 50, 977-991.Google Scholar
  10. Cloninger, C.R., Przybeck, T.R., Svrakic, D.M., & Wetzel, R.D. (1994). The temperament and character inventory (TCI): A guide to its development and use. St. Louis Missouri: Centre for Psychobiology of Personality.Google Scholar
  11. Costa, P.T., & McCrae, R.R. (1985). The NEO personality inventory manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
  12. Duijsens, I.J., Goekoop, J.G., Spinhoven, P., Eurelings-Bontekoe, E.H.M. (1997). De temperament en karakter vragenlijst, Nederlands Tijdschrift voor de Psychologie, 52, 199-202.Google Scholar
  13. Eysenck, H.J. (1991). Dimensions of personality: 16-, 5-, or 3. Criteria for a taxonomic paradigm. Personality and Individual Differences, 12, 773-790.CrossRefGoogle Scholar
  14. Kleifield, E.I., Sunday, S., Hurt, S., & Halmi, K.A. (1994a). The Tridimensional Personality Questionnaire: An exploration of personality traits in eating disorders. Journal of Psychiatric Research, 5, 413-423.CrossRefGoogle Scholar
  15. Kleifield, E.I., Sunday, S., Hurt, S., & Halmi, K.A. (1994b). The effects of depression and treatment on the Tridimensional Personality Questionnnaire. Biological Psychiatry, 36, 68-70.CrossRefGoogle Scholar
  16. Klump, K.L., Bulik, C.M., Pollice, C., Halmi, K.A., Fichter, M.M., Berrettini, W.H., Devlin, B., Strober, M., Kaplan, A., Woodside, D.B., Treasure, J., Shabbout, M., Lilenfeld, L.R., Plotnicov, K.H., & Kaye, W.H. (2000). Temperament and character in women with anorexia nervosa. Journal of Nervous and Mental Disease, 188, 559-567.CrossRefPubMedGoogle Scholar
  17. Mulder, R.T., & Joyce, P.R. (1994). The relationship of the Tridimensional Personality Questionnaire to mood and personality measures in depressed patients. Psychological Reports, 75, 1315-1325.PubMedGoogle Scholar
  18. O’Dwyer, A.M., Lucey, J.V., & Russell, G.F.M. (1996). Serotonin activity in anorexia nervosa after long-term weight restoration: Response to d-fenfluramine challenge. Psychological Medicine, 26, 353-360.CrossRefPubMedGoogle Scholar
  19. Steiger, H., & Stotland, S. (1996). Prospective study of outcome in bulimics as a function of Axis-II Comorbidity: long-term responses on eating and psychiatric symptoms. International Journal of Eating Disorders, 20, 149-161.CrossRefPubMedGoogle Scholar
  20. Svrakic, D.M., Whitehead, C., Przybeck, T.R., & Cloninger, C.R. (1993). Differential diag­nosis of personality disorders by the seven-factor model of temperament and character. Archives of General Psychiatry, 50, 991-999.PubMedGoogle Scholar
  21. Ward, A., Brown, N., Lightman, S., Campbell, I.C., & Treasure, J. (1998). Neuroendocrine, appetitive, and behavioural responses to d-fenfluramine in women recovered from anorexia nervosa. British Journal of Psychiatry, 172, 351-358.CrossRefPubMedGoogle Scholar
  22. Westen, D., & Harnden-Fischer, J. (2001). Personality profiles in eating disorders: Rethinking the distinction between axis I and axis II. American Journal of Psychiatry, 158, 547-562.CrossRefPubMedGoogle Scholar
  23. Wonderlich, S.A., Fullerton, D., Swift, W.J., & Klein, M.H. (1994). Five-year outcome from eating disorders: Relevance of personality disorders. International Journal of Eating Disorders, 15, 233-243.CrossRefPubMedGoogle Scholar
  24. Wonderlich, S.A., & Mitchell, J.E. (2001). The role of personality in the onset of eating disorders and treatment implications. Psychiatric Clinics of North America, 24, 249-258.CrossRefPubMedGoogle Scholar

Copyright information

© Bohn Stafleu van Loghum 2006

Authors and Affiliations

  • Hans Bloks
    • 1
  1. 1.

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