无追求消瘦驱动力的饮食失调患者的特征
Characteristics of eating disorder patients without a drive for thinness.
作者信息
Ramacciotti Carla E, Dell'Osso Liliana, Paoli Riccardo A, Ciapparelli Antonio, Coli Elisabetta, Kaplan Allan S, Garfinkel Paul E
机构信息
Department of Psychiatry, Neurology, and Biotechnology, University of Pisa, Italy.
出版信息
Int J Eat Disord. 2002 Sep;32(2):206-12. doi: 10.1002/eat.10067.
OBJECTIVE
The aim of this study was to investigate two samples of patients affected by anorexia nervosa (AN) or bulimia nervosa (BN), respectively, with and without the diagnostic feature of drive for thinness (DT).
METHOD
The samples comprised 70 consecutive eating disorder (ED) outpatients at the Department of Psychiatry (University of Pisa) and 106 AN patients admitted to a day hospital in Toronto, Canada. Subjects were assessed on clinical and psychometric parameters.
RESULTS
In both countries, 17% of the subjects had low DT as measured by the Eating Disorder Inventory (EDI). They comprised the atypical group and appeared to have less severe psychopathology.
DISCUSSION
Weight phobia should not be viewed as critical to the diagnosis of ED and DT could be a culture-bound dimension. Considering the differences between the two groups, the characterization of patients as typical and atypical may be clinically useful.
目的
本研究旨在分别调查神经性厌食症（AN）或神经性贪食症（BN）患者的两个样本，其中一组有追求消瘦驱力（DT）这一诊断特征，另一组没有。
方法
样本包括比萨大学精神病学系的70名连续就诊的饮食失调（ED）门诊患者以及加拿大多伦多一家日间医院收治的106名AN患者。对受试者进行临床和心理测量参数评估。
结果
在这两个国家，通过饮食失调量表（EDI）测量，17%的受试者DT较低。他们构成非典型组，似乎有不太严重的精神病理学表现。
讨论
不应将体重恐惧症视为饮食失调诊断的关键因素，且DT可能是一个受文化限制的维度。考虑到两组之间的差异，将患者区分为典型和非典型在临床上可能有用。
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