重度抑郁症或心境恶劣障碍与神经性贪食症的关联更强？
Is major depressive disorder or dysthymia more strongly associated with bulimia nervosa?
作者信息
Perez Marisol, Joiner Thomas E, Lewinsohn Peter M
机构信息
Department of Psychology, Florida State University, Tallahassee, Florida 32306-1270, USA.
出版信息
Int J Eat Disord. 2004 Jul;36(1):55-61. doi: 10.1002/eat.20020.
OBJECTIVE
Research on adult samples has found that the comorbidity between depression and eating disorders exceeds the comorbidity of any other Axis I disorder and eating disorders. Few studies have investigated the specific associations of major depression versus dysthymia with eating disorders.
METHOD
This sample consisted of 937 adolescents who were repeatedly assessed until the age of 24.
RESULTS
Analyses revealed that dysthymia was a stronger correlate with bulimia than major depression, even while controlling for other mood disorders and a history of depression and dysthymia.
CONCLUSIONS
The presence of dysthymia in adolescence might be a possible risk factor for the development of bulimia nervosa.
目的
针对成人样本的研究发现，抑郁症与饮食失调症之间的共病情况超过了任何其他轴I障碍与饮食失调症的共病情况。很少有研究调查重度抑郁症与心境恶劣障碍与饮食失调症的具体关联。
方法
该样本由937名青少年组成，对他们进行了反复评估，直至24岁。
结果
分析显示，即使在控制了其他情绪障碍以及抑郁症和心境恶劣障碍病史的情况下，心境恶劣障碍与贪食症的相关性比重度抑郁症更强。
结论
青少年期存在心境恶劣障碍可能是神经性贪食症发展的一个潜在风险因素。
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