Schwalberg M D, Barlow D H, Alger S A, Howard L J
Center for Stress and Anxiety Disorders, Albany, New York 12203.
J Abnorm Psychol. 1992 Nov;101(4):675-81. doi: 10.1037//0021-843x.101.4.675.
Eighty-two women, presenting as normal-weight bulimics, obese binge eaters, social phobics, and individuals with panic disorder, were compared on anxiety, depression, and substance abuse. All were administered the Anxiety Disorder Interview Schedule-Revised and completed the Michigan Alcohol Screening Test, Drug Abuse Screening Test, and Self-Consciousness Scale. A striking proportion of eating disorder subjects were comorbid for one or more anxiety disorders, the most frequent diagnoses being generalized anxiety disorder and social phobia. The results suggest that the place of anxiety in bulimia nervosa goes beyond that discussed within the context of the anxiety reduction model. Conflicting comorbidity findings among this and prior investigations are noted, however, and discussed in terms of the issue of differential diagnosis between eating and anxiety disorders.
82名女性参与了研究，她们分别表现为体重正常的暴食症患者、肥胖的暴饮暴食者、社交恐惧症患者以及惊恐障碍患者，研究对她们在焦虑、抑郁和药物滥用方面进行了比较。所有参与者均接受了修订版的焦虑障碍访谈量表，并完成了密歇根酒精筛查测试、药物滥用筛查测试和自我意识量表。相当一部分饮食失调受试者同时患有一种或多种焦虑症，最常见的诊断是广泛性焦虑症和社交恐惧症。结果表明，焦虑在神经性贪食症中的地位超出了在焦虑减轻模型背景下所讨论的范围。然而，本研究与先前调查中的共病发现存在冲突，并就饮食失调和焦虑症的鉴别诊断问题进行了讨论。
