Grabe H J, Thiel A, Freyberger H J
Department of Psychiatry, Ernst-Moritz-Arndt-University of Greifswald, Klinikum der Hansestadt Stralsund, Germany.
Acta Psychiatr Scand. 2000 Dec;102(6):449-53. doi: 10.1034/j.1600-0447.2000.102006449.x.
Despite some empirical evidence suggesting an association between primary OCD and eating disorder (ED) within the 'obsessive-compulsive spectrum', the relationship at a symptomatological level has not been investigated.
First, comparisons of Eating Disorder Inventory (EDI) scores between 61 patients with primary OCD and 288 control subjects were performed. Secondly, the associations between EDI subscores and Hamburg Obsessive-Compulsive Inventory (HZI) dimensions in OCD patients were investigated by multiple regression analyses, controlling for the impact of general psychopathology.
The OCD patients showed significantly higher EDI-scores than controls. However, only distinct OCD symptom dimensions were significantly associated with the core symptoms of ED in females.
Our results point to a differential gender and symptom-specific relationship between OCD and ED, calling into question a simple dimensional conceptualization of the 'obsessive-compulsive spectrum'.
尽管有一些实证证据表明在“强迫谱系”中，原发性强迫症与进食障碍（ED）之间存在关联，但尚未对症状层面的关系进行研究。
首先，对61例原发性强迫症患者和288名对照受试者的进食障碍量表（EDI）得分进行比较。其次，通过多元回归分析，在控制一般精神病理学影响的情况下，研究强迫症患者中EDI子得分与汉堡强迫症量表（HZI）维度之间的关联。
强迫症患者的EDI得分显著高于对照组。然而，只有不同的强迫症症状维度与女性进食障碍的核心症状显著相关。
我们的结果表明强迫症与进食障碍之间存在性别差异和症状特异性关系，这对“强迫谱系”的简单维度概念提出了质疑。
