여성 섭식장애 환자의 다중충동성 관련요인

Abstract

Purpose: The purpose of the study was to investigate the factors that affect multi-impulsivity in women patients with eating disorders. Methods: The participants in the study were 170 women patients with eating disorders who visited "M" clinic for eating disorders. Data were collected from January 2010 to February 2011 through semi-structured interviews and self-report using the Revised Diagnostic Interview for Borderlines, Eating Disorders Inventory-2, and The Childhood Trauma Questionnaire. Data were analyzed using x2-test, t-test, and multiple logistic regression. Results: The multi-impulsivity group accounted for 56.5% of the patients (binge eating 90.6%, alcohol abuse 43.5%, substance abuse 37.1%, sexual promiscuity 4.7%, suicidal attempts 38.8%, and self-mutilation 58.8%), and they showed higher scores on childhood trauma and eating psychopathology than a comparison group. Significant predictors for multi-impulsivity were emotional abuse, social insecurity, interoceptive awareness, and interpersonal distrust. Conclusion: The results of this study suggest future interventions for multi-impulsive patients with eating disorders should focus on solving interpersonal problems by establishing trustful relationships, and not focus on eating behavior early in treatment.