Whitehouse A M, Cooper P J, Vize C V, Hill C, Vogel L
University Department of Psychiatry, Cambridge.
Br J Gen Pract. 1992 Feb;42(355):57-60.
The aims of this study were to investigate the prevalence of anorexia nervosa, bulimia nervosa and partial syndromes in women general practice attenders to establish the relative proportions of 'conspicuous' and 'hidden' morbidity. A consecutive series of 540 women patients aged 16-35 years attending their family doctor were screened using a specially devised questionnaire, the weight and dietary practices survey. A total of 115 patients were selected for further assessment and of these 101 patients were interviewed using a standardized diagnostic interview for DSM III-R eating disorders. The prevalence of anorexia nervosa was 0.2% (one case), of bulimia nervosa 1.5% (eight cases) and of partial syndrome bulimia nervosa 5.4% (29 cases). Half of the cases of bulimia nervosa had not been identified by the general practitioner and two of these patients had been referred to specialists for treatment of secondary complications of the eating disorder. Hidden cases of bulimia nervosa or partial syndromes are relatively common in general practice. Certain key questions could be used by general practitioners in order to identify women with eating disorders.
本研究旨在调查普通门诊女性中神经性厌食症、神经性贪食症及部分综合征的患病率，以确定“显性”和“隐性”发病率的相对比例。采用专门设计的问卷“体重与饮食习惯调查问卷”，对连续就诊于家庭医生的540名年龄在16至35岁之间的女性患者进行筛查。共挑选出115名患者进行进一步评估，其中101名患者接受了针对DSM III-R饮食失调的标准化诊断访谈。神经性厌食症的患病率为0.2%（1例），神经性贪食症为1.5%（8例），部分综合征神经性贪食症为5.4%（29例）。半数神经性贪食症患者未被全科医生识别，其中两名患者因饮食失调的继发并发症被转诊至专科医生处治疗。在普通门诊中，神经性贪食症或部分综合征的隐性病例相对常见。全科医生可通过某些关键问题来识别患有饮食失调症的女性。
