Factors associated with Multi-impulsivity in Women Patients with Eating Disorders.

Kong,  Seong Sook

doi:2012.21.2.137

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Original Article

Journal of Korean Academy of psychiatric and Mental Health Nursing 2012;21(2):137-148.
DOI: https://doi.org/10.12934/jkpmhn.2012.21.2.137 Published online June 30, 2012.

Factors associated with Multi-impulsivity in Women Patients with Eating Disorders.

Seong Sook Kong

Department of Nursing, Soonchunhyang University, Chonan, Korea. kongsun@sch.ac.kr

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 chi2-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 multiimpulsive patients with eating disorders should focus on solving interpersonal problems by establishing trustful relationships, and not focus on eating behavior early in treatment.

Key Words: Eating disorders; Impulsive behavior; Trauma

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