Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.21(2) > 1057937

Kong: Factors associated with Multi-impulsivity in Women Patients with Eating Disorders

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 χ2-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.

Figures and Tables

Table 1
Demographic and Clinical Characteristics by Multi-impulsivity (N=170)
jkapmhn-21-137-i001

MI=multi-impulsive group; BMI=body mass index; AN-R=anorexia nervosa restricting type; AN-BP=anorexia nervosa bulimic binge eating/purging type; BP-P=bulimia nervosa purging type; BP-NP=bulimia nervosa non-purging type; EDNOS=eating disorders not otherwise specified.

Two or fewer impulsive behavior.

Fisher's exact test.

Table 2
Frequencies of Impulsive Behaviors (N=170)
jkapmhn-21-137-i002

Two or fewer impulsive behavior; Fisher's exact test.

Table 3
Mean Differences of Major Variables according to Multi-impulsivity (N=170)
jkapmhn-21-137-i003

MI=multi-impulsive group; EDI=eating disorders inventory; CTQ=childhood trauma questionnaire.

Two or fewer impulsive behavior.

Table 4
Factors associated with Multi-impulsivity for the Eating Disorders Patients using Simple Logistic Regression
jkapmhn-21-137-i004

OR=odds ratio; CI=confidence interval; EDI=eating disorders inventory; CTQ=childhood trauma questionnaire.

Table 5
Factors associated with Multi-impulsivity for the Eating Disorders Patients using Multiple Logistic Regression
jkapmhn-21-137-i005

OR=odds ratio; CI=confidence interval; EDI=eating disorders inventory; CTQ=childhood trauma questionnaire.

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