The role of depression and impulsivity in the psychopathology of bulimia nervosa

Fecha de publicación: 01/01/2014

Autores de IIS La Fe

Luis Miguel Rojo Moreno

Autor

Participantes ajenos a IIS La Fe

Vaz-Leal, FJ
Rodriguez-Santos, L
Garcia-Herraiz, MA
Chimpen-Lopez, CA
Beato-Fernandez, L
Ramos-Fuentes, MI

Abstract

Introduction: The study aimed to analyze the role of depression and impulsivity in the psychopathology of bulimia nervosa (BN). Materials and methods: Seventy female patients with DSM-IV BN, purging subtype, were assessed for eating-related symptoms, body dissatisfaction, affective symptoms, impulsivity, and personality traits. Factor analysis and structural equation modeling methods were used for statistical analysis. Results: BN appeared as a condition which incorporated 5 general dimensions: a) binge eating and compensatory behaviours; b) restrictive eating; c) body dissatisfaction; d) dissocial personality traits; and e) a cluster of features which was called "emotional instability" The 5 obtained dimensions can be grouped into 2 basic factors: body dissatisfaction/eating behaviour and personality traits/psychopathology. The first one contains the clinical items used for the definition of BN as a clinical condition in the DSM-V and the International Classification of Diseases 10, and reflects the morphology and the severity of the eating-related symptoms. The second dimension includes a cluster of symptoms (depressive symptoms, impulsivity, and borderline, self-defeating and dissocial personality traits) which could be regarded as the psychopathological core of BN and may be able to condition the course and the prognosis of BN. (C) 2013 SEP y SEPB. Published by Elsevier Espana, S.L. All rights reserved.

Datos de la publicación

ISSN/ISSNe:: 1888-9891, 1989-4600
Tipo:: Article
Páginas:: 25-31
DOI:: 10.1016/j.rpsm.2013.06.003
PubMed:: 23972724
Factor de Impacto:: 0,466 SCImago ℠
Cuartil:: Q2 SCImago ℠

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Filiaciones

Vaz-Leal, FJ:: Univ Extremadura, Fac Med, Complejo Hosp Univ,Serv Extremeno Salud, Unidad Trastornos Conducta Alimentaria, Badajoz, Spain
Rodriguez-Santos, L:: Univ Extremadura, Fac Med, Complejo Hosp Univ,Serv Extremeno Salud, Unidad Trastornos Conducta Alimentaria, Badajoz, Spain
Garcia-Herraiz, MA:: Univ Extremadura, Fac Med, Complejo Hosp Univ,Serv Extremeno Salud, Unidad Trastornos Conducta Alimentaria, Badajoz, Spain
Chimpen-Lopez, CA:: Univ Extremadura, Fac Med, Complejo Hosp Univ,Serv Extremeno Salud, Unidad Trastornos Conducta Alimentaria, Badajoz, Spain
Rojo-Moreno, L:: Univ Valencia, Fac Med, Hosp La Fe, Unidad Trastornos Conducta Alimentaria, Valencia, Spain
Beato-Fernandez, L:: Univ Castilla La Mancha, Hosp Gen Ciudad Real, Fac Med, Unidad Trastornos Conducta Alimentaria, E-13071 Ciudad Real, Spain
Ramos-Fuentes, MI:: Univ Extremadura, Fac Med, Complejo Hosp Univ,Serv Extremeno Salud, Unidad Trastornos Conducta Alimentaria, Badajoz, Spain

Keywords

Bulimia nervosa; Depression; Impulsivity; Borderline personality; Self-defeating personality