Rabe-Jablonska Jolanta J, Sobow Tomasz M
II Department of Psychiatry, Medical University Of Lodz, Czechoslowacka 8/10, 92-216, Lodz, Poland.
Eur Psychiatry. 2000 Aug;15(5):302-5. doi: 10.1016/s0924-9338(00)00398-9.
The aim of the study was to search for a body dysmorphic disorder (BDD) period preceding the symptoms meeting the criteria of either anorexia or bulimia nervosa, and an evaluation of the prevalence of BDD symptoms in a control group of girls without any eating disorder. Ninety-three girls (12-21 years old ) were included in the study (36 with anorexia nervosa, 17 with bulimia nervosa and 40 healthy controls). The Structured Clinical Interview (SCID), including the BDD module, and a novel questionnaire (for the presence of preceding life events) were used. We found the symptoms of BDD in 25% of anorexia nervosa sufferers for at least six months before observing a clear eating disorder picture. Moreover, other mental disorders were also present among these patients. The results may support the idea that BDD and anorexia nervosa both belong to either OCD or affective disorders spectra.
该研究的目的是寻找在出现符合神经性厌食症或神经性贪食症标准的症状之前的身体变形障碍（BDD）时期，并评估在没有任何饮食失调的女孩对照组中BDD症状的患病率。93名女孩（年龄在12至21岁之间）被纳入研究（36名神经性厌食症患者、17名神经性贪食症患者和40名健康对照）。使用了包括BDD模块的结构化临床访谈（SCID）和一份新问卷（用于了解先前生活事件的存在情况）。我们发现在25%的神经性厌食症患者中，在观察到明显的饮食失调情况之前至少六个月就出现了BDD症状。此外，这些患者中还存在其他精神障碍。研究结果可能支持BDD和神经性厌食症都属于强迫症或情感障碍谱系这一观点。
