神经性贪食症与酒精使用障碍的共病情况：来自全国女性研究的结果。
Comorbidity of bulimia nervosa and alcohol use disorders: results from the National Women's Study.
作者信息
Dansky B S, Brewerton T D, Kilpatrick D G
机构信息
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
出版信息
Int J Eat Disord. 2000 Mar;27(2):180-90. doi: 10.1002/(sici)1098-108x(200003)27:2<180::aid-eat6>3.0.co;2-z.
OBJECTIVE
The nature of the relationship between bulimia nervosa (BN) and alcohol abuse/alcohol dependence (AA/AD) and the extent to which women with BN+AA differ from women with BN-AA were examined in a national sample of women (N = 3,006).
METHOD
The sample of was generated by multistage geographic sampling and interviews were conducted by telephone.
RESULTS
AA was higher in women with BN compared to women without BN or binge eating disorder, only when the influence of major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) was controlled. Prevalence rates of AA and AD were similar in women with BN, MDD, and PTSD. Analyses indicated that the relationship between BN and AA/AD may be indirect and influenced by associations with MDD and PTSD. Women with BN+AA did not differ from those with BN-AA on most variables concerning victimization, family of origin, and disordered eating.
DISCUSSION
Evaluation of MDD and PTSD in women presenting for treatment of BN and/or alcohol use disorders (AUDs) is recommended.
目的
在一个全国性的女性样本（N = 3,006）中，研究神经性贪食症（BN）与酒精滥用/酒精依赖（AA/AD）之间关系的本质，以及患有BN+AA的女性与患有BN-AA的女性在多大程度上存在差异。
方法
样本通过多阶段地理抽样产生，访谈通过电话进行。
结果
仅在控制了重度抑郁症（MDD）和创伤后应激障碍（PTSD）的影响后，与没有BN或暴饮暴食症的女性相比，患有BN的女性中AA发生率更高。患有BN、MDD和PTSD的女性中AA和AD的患病率相似。分析表明，BN与AA/AD之间的关系可能是间接的，并且受与MDD和PTSD的关联影响。在大多数关于受害经历、原生家庭和饮食失调的变量上，患有BN+AA的女性与患有BN-AA的女性没有差异。
讨论
建议对前来治疗BN和/或酒精使用障碍（AUDs）的女性进行MDD和PTSD评估。
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