Cotrufo Paolo, Gnisci Augusto, Caputo Immacolata
Department of Psychology, University of Naples, SUN, Via Vivaldi 43, 81100 Caserta, Italy.
J Adolesc. 2005 Feb;28(1):147-54. doi: 10.1016/j.adolescence.2004.07.006.
We screened a sample of 259 female students, aged 17-20 years old, by means of the Eating Disorder Inventory 2 (EDI 2) and the General Health Questionnaire (GHQ-28). Those students identified to be at risk for an eating disorder underwent a semi-structured interview to provide a diagnosis according to DSM-IV criteria. We also considered the prevalence of "not full-blown diagnosis". We found two cases of full-syndrome (0.77%), both bulimics, 9 partial-syndrome bulimia nervosa (3.47%) and 1 of partial-syndrome binge eating disorder (0.38%). Moreover, 18 (6.94%) girls met the criteria for subclinical-syndrome, of which the majority was subclinical anorexia (5.79%). We did not find statistically relevant differences between the anorexic and the bulimic samples on the psychological characteristics measured by the EDI 2 subscales. These findings suggest the hypothesis that anorexia and bulimia could have the same psychopathological core and bulimia could be considered as a "failed" anorexia.
我们通过进食障碍问卷第二版(EDI - 2)和一般健康问卷(GHQ - 28)对259名年龄在17至20岁的女学生样本进行了筛查。那些被确定有进食障碍风险的学生接受了半结构化访谈,以根据《精神疾病诊断与统计手册》第四版(DSM - IV)标准进行诊断。我们还考虑了“未达完全诊断标准”的患病率。我们发现两例完全综合征(0.77%),均为贪食症患者,9例部分综合征神经性贪食症(3.47%)和1例部分综合征暴饮暴食症(0.38%)。此外,18名(6.94%)女孩符合亚临床综合征标准,其中大多数为亚临床厌食症(5.79%)。我们未发现EDI - 2分量表所测量的心理特征在厌食症和贪食症样本之间存在统计学上的显著差异。这些发现提示了一个假设,即厌食症和贪食症可能具有相同的心理病理核心,且贪食症可被视为一种“失败的”厌食症。