Bailly-Lambin I, Bailly D
Service d'Education, de Prévention, de Promotion de la Santé, CH Saint-Vincent, Lille.
Encephale. 1999 May-Jun;25(3):226-31.
Separation anxiety disorder (SAD) is probably the most common anxiety disorder observed in childhood. If some studies suggest that SAD may increase the risk of anxiety and mood disorders in adolescents and young people, the outcome of childhood SAD remains unclear. Because of the high mental-eating disorders comorbidity, we performed a follow-back study in 81 young patients showing anorexia nervosa (AN) or bulimia nervosa (BN) according to DSM III-R criteria. The current and lifetime psychiatric histories were assessed using structured interviews (SADS-LA and SCID) and the psychopathological profile with the SCL-90. The results showed that about 20% of young patients with AN and BN had a past history of childhood SAD. This subgroup of patients significantly differed from the other (without childhood SAD) with respect to associated anxiety and depressive disorders. These data suggest a specific association between eating disorders and childhood SAD and show that epidemiologic investigations can be helpful for planning the prevention and treatment of eating disorders.
分离焦虑障碍（SAD）可能是儿童期最常见的焦虑障碍。尽管一些研究表明SAD可能会增加青少年和年轻人患焦虑症和情绪障碍的风险，但儿童期SAD的后果仍不明确。由于精神-饮食障碍的高共病率，我们对81名根据DSM III-R标准诊断为神经性厌食症（AN）或神经性贪食症（BN）的年轻患者进行了一项随访研究。使用结构化访谈（SADS-LA和SCID）评估当前和终生精神病史，并使用SCL-90评估心理病理特征。结果显示，约20%的AN和BN年轻患者有儿童期SAD病史。在相关焦虑和抑郁障碍方面，这一患者亚组与其他患者（无儿童期SAD）有显著差异。这些数据表明饮食障碍与儿童期SAD之间存在特定关联，并表明流行病学调查有助于规划饮食障碍的预防和治疗。
