Abstract
OBJECTIVE: The duration of illness is quite long in some anorexia nervosa (AN) patients. In the present study, we investigated the psychopathological features of patients with prolonged AN as assessed by the Minnesota Multiphasic Personality Inventory-1 (MMPI-1). METHODS: Fifty-five AN patients completed the MMPI-1 on admission to Kyushu University Hospital from 1999 to 2002. The patients were divided into three groups on the basis of their illness duration: a short-term group, less than 5 years of illness duration (n=31); a middle-term group, from 5 to 10 years (n=14); and a prolonged group, 10 years or more (n=10). RESULTS: The prolonged group scored significantly higher on the MPPI-1 scales of hysteria (Hy), low back pain (Lb) and family conflict than the short-term group. DISCUSSION: AN patients whose illness duration was prolonged characteristically had more hysteria with family conflict. This should be considered in their treatment.
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Herzog D.B., Pepose M., Norman D.K., Rigotti N.A.: Eating disorders and social maladjustment in female medical students. J. Nerv. Ment. Dis., 173, 734–737, 1985.
Bohle A., von Wietersheim J., Wilke E., Feiereis H.: Social integration of patients with anorexia nervosa and bulimia. Z. Psychosom. Med. Psychoanal., 37, 282–291, 1991.
Flament M.F., Godart N.T., Fermanian J., Jeammet P.: Predictive factors of social disability in patients with eating disorders. Eat. Weight Disord., 6, 99–106, 2001.
Norman D.K., Herzog D.B.: Bulimia, anorexia nervosa, and anorexia nervosa with bulimia. Int. J. Eat. Disord., 2, 43–52, 1983.
Kirkley B.G., Kolotokin R.L., Hernandez J.T., Gallagher P.H.: A comparison of binge-purgers, obese binge eaters, and obese nonbinge Eaters on the MMPI. Int. J. Eat. Disord., 12, 221–228, 1992.
Hurt S.W., Brun-Ebérentz A., Commerford M.C., Samuel-Lajeunesse B., Halmi K.A.: A comparison of Psychopathology in eating disorder patients from France and the United States. Int. J. Eat. Disord., 22, 153–158, 1997.
Swain B., Shisslak C.M., Crago M.: Clinical features of eating disorders and individual psychological functioning. J. Clin. Psychol., 47, 702–708, 1991.
Salvemini V., Berna G., Foca F., Indrimi M,, Sammartino F., Spinosa L., Tulli F.: Differences and similarities in the personality structure of 327 women with eating disorders. Eat Weight Disord., 5, 108–115, 2000.
Rø Ø., Martinsen E.W., Hoffart A., Rosenvinge J.: Two-year prospective study of personality disorders in adults with longstanding eating disorders. Int. J. Eat. Disord., 37, 112–118, 2005.
Keel P.K., Klup K.L., Miller K.B., MacGue M.M., lacono W.G.: Shared transmission of eating disorders and anxiety disorders. Int. J. Eat. Disord., 38, 99–105, 2005.
Sunday S.R., Reeman I.M., Eckert E., Halmi K.A.: Tenyear outcome in adolescent onset anorexia nervosa. J. Youth Adolescence, 25, 533–544, 1996.
Hall A., Slim E., Hawker F., Salmond C.: Anorexia nervosa: long-term outcome in 50 female patients. Br. J. Psychiatr., 145, 407–413, 1984.
Skoog D.K., Andersen A.E., Laufer W.S.: Personality and treatment effectiveness in anorexia nervosa. J. Clin. Psychol., 40, 955–961, 1984.
Goodwin R., Andersen A.E.: The MMPI in three groups of patients with significant weight loss. Hillside J. Clin. Psychiatr., 6, 188–203, 1984.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder 4th ed. Washington, D.C., American Psychiatric Association, 1994.
Murakami Y., Murakami C.: Standardization. In: Computerized psychological assessment technique (in Japanese). Tokyo, Gakugei Tosho, 1992, pp. 59–67.
Duckworth J.C., Anderson W.P.: Validity scales. In: MMPI&MMPI-2: Interpretation Manual for Counselors and Clinicians. 4th ed., Levittown, Accelerated Development, 1995, pp. 33–82.
Harris R., Lingoes, J.: Subscales for the MMPI. Mimeographed materials. The Langley Porter Clinic, 1955.
Graham J.R.: The Harris subscales for the MMPI. In: The MMPI, a practical guide. 4th ed., New York, Oxford University Press, 1987, pp. 116–135.
Wiggins J.S.: Content dimensions in the MMPI. In: Butcher J.N. (Ed.), MMPI: Research development and clinical applications. New York, MacGraw-Hill, 1969, pp. 127–180.
Lachar D., Wrobel T.A.: Validating clinicians’ hunches: Construction of new MMPI critical item set. J. Consult. Psychol., 47, 277–284, 1979.
Greene R.L.: Codetypes. In: The MMPI-2: An interpretive manual. Boston, Allyn&Baco., 2000, pp. 287–360.
Schork E.J., Eckert E.D., Halmi K.A.: The relationship between psychopathology, eating disorder diagnosis, and clinical outcome at 10-year follow-up in anorexia nervosa. Compr. Psychiatr., 35, 113–123, 1994.
Dancyger I.F., Sunday S.R., Eckert E.D., Halmi K.A.: A Comparative Analysis of Minnesota Multiphasic Personality Inventory profiles of anorexia nervosa at hospital admission, discharge, and 10-year follow-up. Compr. Psychiatr., 38, 185–191, 1997.
Edwin D., Andersen A.E., Rosell F.: Outcome prediction by MMPI in subtypes of anorexia nervosa. Psychosomatics, 29, 273–282, 1998.
Cumella E.J.: MMPI-2 in the inpatients assessment of women with eating disorders. J. Person. Assess., 75, 387–403, 2000.
Klein S., Cross H.: Correlates of the MMPI Lb scale in a college population. J. Clin. Psychol., 40, 185–188, 1984.
Brett M., Batic M., Roberts L., Gibbon P.: Parent and child report of family functioning in a clinical child and adolescent eating disorders sample. Aust. NZ. J. Psychiatr., 36, 509–514, 2002.
Kinzl J.F., Traweger C.T., Guenther V., Biebl W.: Family background and sexual abuse associated with eating disorders. Am. J. Psychiatr., 151, 1127–1131, 1994.
Morgan H.G., Russell G.F.M.: Value of family background and clinical features as predictors of longterm outcome in anorexia nervosa: four-year followup study of 41 patients: Psychol. Med., 5, 355–371, 1975.
Shoebridge P., Gowers S.G.: Parental high concern and adolescent-onset anorexia nervosa: A case-control study to investigate direction of causality. Br. J. Psychiatr., 176, 132–137, 2000.
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Nozaki, T., Takao, M., Takakura, S. et al. Psychopathological features of patients with prolonged anorexia nervosa as assessed by the Minnesota Multiphasic Personality Inventory. Eat Weight Disord 11, 59–65 (2006). https://doi.org/10.1007/BF03327752
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DOI: https://doi.org/10.1007/BF03327752