McDermott Brett, Forbes David, Harris Chris, McCormack Julie, Gibbon Peter
Princess Margaret Hospital for Children, School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia.
J Psychosom Res. 2006 Mar;60(3):257-61. doi: 10.1016/j.jpsychores.2005.08.004.
To compare the general psychopathology in an eating disorders (ED) and a child mental health outpatient sample and investigate the implications of comorbidity on psychological and physical measures of ED severity.
One hundred thirty-six children and adolescents with a DSM-IV ED diagnosis were compared with age- and gender-matched controls. Measures included the Eating Disorders Examination and the Child Behavior Checklist.
The ED group had lower general and externalizing psychopathology scores and no difference in internalizing (anxiety-depression) symptoms. Of the anorexia nervosa group, 49% experienced comorbid psychopathology. This group had significantly higher ED psychopathology, longer duration of illness, and more gastrointestinal symptoms, but no difference in malnutrition status. Eating disorders not otherwise specified (EDNos) group measures were less influenced by comorbidity status.
Anxiety-depressive symptoms are very common in children and adolescents with EDs. Comorbidity status influences illness severity, especially in the anorexia nervosa group. The management implications of these findings are discussed.
比较饮食失调（ED）门诊样本与儿童心理健康门诊样本中的一般精神病理学情况，并研究共病对ED严重程度的心理和生理指标的影响。
将136名诊断为DSM-IV饮食失调的儿童和青少年与年龄及性别匹配的对照组进行比较。测量工具包括饮食失调检查量表和儿童行为清单。
饮食失调组的一般精神病理学和外化精神病理学得分较低，内化（焦虑-抑郁）症状无差异。神经性厌食症组中，49%存在共病精神病理学情况。该组的饮食失调精神病理学得分显著更高，病程更长，胃肠道症状更多，但营养不良状况无差异。未另行规定的饮食失调（EDNos）组的测量结果受共病状态的影响较小。
焦虑-抑郁症状在患有饮食失调的儿童和青少年中非常常见。共病状态会影响疾病严重程度，尤其是在神经性厌食症组中。讨论了这些发现对治疗的影响。
