Behar Rosa, Arriagada María Inés, Casanova Dunny
Departamento de Psiquiatría, Universidad de Valparaíso, Valparaíso, Chile.
Rev Med Chil. 2005 Dec;133(12):1407-14. doi: 10.4067/s0034-98872005001200001. Epub 2006 Jan 27.
The relationship between eating disorders and affective disorders still remains unclear. Eating disordered patients may have affective disorders and vice versa, depressed and maniac patients may experience eating problems.
To compare eating symptoms, attitudes and behaviors in patients with affective disorders and normal subjects.
A structured clinical interview, the Eating Attitudes Test (EAT-40) and the Eating Disorder Inventory (EDI) were administered to 194 patients that fulfilled the DSM-IV diagnostic criteria for eating disorders, to 45 patients with affective disorders and to 82 normal female students.
Patients with eating disorders ranked significantly higher on the EAT-40 and on the EDI and its factors (p <0.001). Patients with affective disorders ranked between eating disordered patients and the students (p <0.001). Compulsive-purgative type of anorectics and purgative type of bulimics showed the highest scores on these measures (p <0.001). Restrictive type of anorectics scored significantly highest on EDI maturity fears item (p <0.001). Not significant difference was observed on the EDI ineffectiveness item, between purgative bulimics and depressive patients and between the latter and compulsive-purgative anorexics, on the EDI interpersonal distrust item.
Compulsive-purgative type of anorectics and purgative type of bulimics showed the more severe psychological and behavioral disturbances. Restrictive types of anorectics were the most immature. Both purgative bulimics and depressive patients showed feelings of general inadequacy, and both compulsive-purgative anorexics and depressive patients displayed an interpersonal distrust. As a whole, patients with affective disorders did not show the core eating disordered behaviors and attitudes as seen in patients suffering from eating problems.
饮食失调与情感障碍之间的关系仍不明确。饮食失调患者可能患有情感障碍，反之亦然，抑郁和躁狂患者可能会出现饮食问题。
比较情感障碍患者与正常受试者的饮食症状、态度和行为。
对194例符合DSM-IV饮食失调诊断标准的患者、45例情感障碍患者和82名正常女学生进行了结构化临床访谈、饮食态度测试（EAT-40）和饮食失调量表（EDI）评估。
饮食失调患者在EAT-40、EDI及其各因子上的得分显著更高（p<0.001）。情感障碍患者的得分介于饮食失调患者和学生之间（p<0.001）。强迫-清除型厌食症患者和清除型贪食症患者在这些量表上得分最高（p<0.001）。限制型厌食症患者在EDI成熟恐惧项目上得分显著最高（p<0.001）。在EDI无效项目上，清除型贪食症患者与抑郁患者之间以及后者与强迫-清除型厌食症患者之间无显著差异；在EDI人际不信任项目上也无显著差异。
强迫-清除型厌食症患者和清除型贪食症患者表现出更严重的心理和行为障碍。限制型厌食症患者最不成熟。清除型贪食症患者和抑郁患者均表现出普遍的能力不足感，强迫-清除型厌食症患者和抑郁患者均表现出人际不信任。总体而言，情感障碍患者未表现出饮食问题患者所具有的核心饮食失调行为和态度。
