Personality Functioning in Inpatients With Eating Disorders: Association With Symptom Severity and Treatment Outcome

被引：0

作者：

Heinzmann, Sophia ^{[1
,2
]}

Etzler, Sonja ^{[1
,3
]}

Hartmann, Armin ^{[1
]}

Klein, Eva M. ^{[1
]}

Herpertz, Stephan ^{[4
]}

Pape, Magdalena ^{[5
]}

Heinzmann, Stanislav ^{[1
]}

Doering, Stephan ^{[6
,7
]}

Hofmann, Tobias ^{[8
,9
,10
,11
,12
,13
]}

Rose, Matthias ^{[8
,9
,10
]}

Imbierowicz, Katrin ^{[14
]}

Geiser, Franziska ^{[14
]}

Bierling, Antonie ^{[15
,16
,17
]}

Weidner, Kerstin ^{[15
,16
]}

Rademacher, Joerg ^{[18
]}

Michalek, Silke ^{[18
]}

Morawa, Eva ^{[19
]}

Erim, Yesim ^{[19
]}

Skoda, Eva-Maria ^{[20
]}

Teufel, Martin ^{[20
]}

Peters, Eva Milena Johanne ^{[21
,22
]}

Kruse, Johannes ^{[21
,22
]}

von Boetticher, Dirk ^{[23
]}

Herrmann-Lingen, Christoph ^{[23
]}

Noehre, Mariel ^{[24
]}

de Zwaan, Martina ^{[24
]}

Dinger, Ulrike ^{[18
,25
]}

Friederich, Hans-Christoph ^{[25
]}

Niecke, Alexander ^{[26
,27
]}

Albus, Christian ^{[26
,27
]}

Zwerenz, Ruediger ^{[28
]}

Beutel, Manfred ^{[28
]}

Roenneberg, Casper ^{[29
]}

Henningsen, Peter ^{[29
]}

Stein, Barbara ^{[30
]}

Waller, Christiane ^{[30
]}

Hake, Karsten ^{[31
]}

Spitzer, Carsten ^{[31
]}

Stengel, Andreas ^{[32
,33
]}

Zipfel, Stephan ^{[33
,34
]}

Weimer, Katja ^{[35
]}

Guendel, Harald ^{[35
]}

Kessler, Henrik ^{[4
,36
]}

Spieler, Derek ^{[1
]}

Lahmann, Claas ^{[1
]}

Zeeck, Almut ^{[1
]}

机构：

[1] Univ Freiburg, Fac Med, Ctr Mental Hlth, Dept Psychosomat Med & Psychotherapy, Freiburg, Germany

[2] Protestant Univ Appl Sci Freiburg, Freiburg, Germany

[3] Goethe Univ Frankfurt Main, Inst Psychol, Frankfurt, Germany

[4] Ruhr Univ Bochum, Dept Psychosomat Med & Psychotherapy, LWL Univ Hosp, Bochum, Germany

[5] Univ Bamberg, Dept Clin Psychol & Psychotherapy, Bamberg, Germany

[6] Med Univ Vienna, Dept Psychoanal & Psychotherapy, Vienna, Austria

[7] Med Univ Vienna, Comprehens Ctr Clin Neurosci & Mental Hlth C3NMH, Vienna, Austria

[8] Charite, Charite Ctr Internal Med & Dermatol, Dept Psychosomat Med, D-10117 Berlin, Germany

[9] Free Univ Berlin, Berlin, Germany

[10] Humboldt Univ, Berlin, Germany

[11] German Ctr Mental Hlth DZPG, Partner Site Berlin Potsdam, Berlin, Germany

[12] Charite Univ Med Berlin, Ctr Patient Ctr Outcomes Res CPCOR, Berlin, Germany

[13] DRK Kliniken Berlin Wiegmann Klin, Dept Psychosomat Med & Psychotherapy, Berlin, Germany

[14] Univ Bonn, Univ Hosp, Bonn, Germany

[15] TUD Univ Technol Dresden, Fac Med, Dresden, Germany

[16] TUD Univ Technol Dresden, Univ Hosp Carl Gustav Carus, Dept Psychotherapy & Psychosomat Med, Dresden, Germany

[17] Friedrich Schiller Univ, Dept Clin Psychol, Jena, Germany

[18] Heinrich Heine Univ Dusseldorf, LVR Univ Hosp, Dept Psychosomat Med & Psychotherapy, Dusseldorf, Germany

[19] Friedrich Alexander Univ Erlangen Nuremberg FAU, Univ Hosp Erlangen, Dept Psychosomat Med & Psychotherapy, Erlangen, Germany

[20] Univ Duisburg Essen, LVR Univ Hosp, Clin Psychosomat Med & Psychotherapy, Essen, Germany

[21] Justus Liebig Univ Giessen, Giessen, Germany

[22] Philipps Univ Marburg, Justus Liebig Univ Giessen, Dept Psychosomat Med & Psychotherapy, Marburg, Germany

[23] Univ Med Ctr Gottingen, Dept Psychosomat Med & Psychotherapy, Gottingen, Germany

[24] Hannover Med Sch, Dept Psychosomat Med & Psychotherapy, Hannover, Germany

[25] Heidelberg Univ, Univ Hosp, Heidelberg, Germany

[26] Univ Cologne, Univ Hosp Cologne, Cologne, Germany

[27] Univ Cologne, Univ Hosp Cologne, Dept Psychosomat Med & Psychotherapy, Cologne, Germany

[28] Johannes Gutenberg Univ Mainz, Univ Med Ctr, Dept Psychosomat Med & Psychotherapy, Mainz, Germany

[29] Tech Univ Munich, Univ Hosp, Dept Psychosomat Med & Psychotherapy, Munich, Germany

[30] Paracelsus Med Univ, Nuremberg Gen Hosp, Dept Psychosomat Med & Psychotherapy, Nurnberg, Germany

[31] Univ Med Ctr Rostock, Dept Psychosomat Med & Psychotherapy, Rostock, Germany

[32] Klinikum Stuttgart, Clin Psychosomat Med & Psychotherapy, Stuttgart, Germany

[33] Univ Hosp Tubingen, Internal Med Psychosomat Med & Psychotherapy 6, Tubingen, Germany

[34] Univ Tubingen, German Ctr Mental Hlth DZPG, Tubingen, Germany

[35] Ulm Univ, Med Ctr, Dept Psychosomat Med & Psychotherapy, Ulm, Germany

[36] Univ Marburg, Dept Psychosomat Med & Psychotherapy, Campus Fulda, Marburg, Germany

来源：

EUROPEAN EATING DISORDERS REVIEW | 2025年

关键词：

eating disorder; inpatient; latent change score model; personality functioning; psychotherapy; DAY CLINIC TREATMENT; QUALITY-OF-LIFE; BULIMIA-NERVOSA; ANOREXIA-NERVOSA; RELIABILITY; SELF; METAANALYSIS; COMORBIDITY; DIAGNOSIS; VALIDITY;

D O I：

10.1002/erv.3183

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

ObjectiveImpairment in personality functioning (PF) has been linked to a number of mental disorders, including eating disorders (EDs). However, the precise relationship between PF and symptom severity, as well as the potential impact on outcome, remains unclear. The study aimed to analyse the association of PF and its change with severity of ED symptomatology as well as outcome of hospital treatment.MethodThe sample consisted of 397 patients with EDs, treated in 19 university hospitals for Psychosomatic Medicine and Psychotherapy in Germany between 1/2019 and 12/2020. PF was measured with the Structure Questionnaire of the Operationalised Psychodynamic Diagnosis (OPD-SQ, short version), eating psychopathology with the ED examination questionnaire (EDE-Q). Outcome was defined as a change in the EDE-Q total score. We used Latent Change Score Modelling to analyse changes in ED pathology during treatment and a 1-year follow-up period.ResultsA higher level of impairment in PF at admission correlated with more eating psychopathology and a less favourable outcome. Additionally, greater improvement in PF correlated with greater improvements in ED symptomatology at discharge.ConclusionImpairment in PF needs to be part of diagnostic assessments and should be considered an important treatment target for psychotherapeutic interventions.Trial RegistrationThe MEPP study was registered in the German Clinical Trials Register (DRKS, www.drks.de; ID: DRKS00016412)

引用

页数：11

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