Bachner-Melman Rachel, Zohar Ada H, Ebstein Richard P
Department of Psychiatry, Hadassah University Medical Center, Ein Kerem, Jerusalem, Israel.
J Nerv Ment Dis. 2006 Sep;194(9):697-703. doi: 10.1097/01.nmd.0000235795.51683.99.
Definitions of "full recovery" from anorexia nervosa (AN) vary, and rarely include the cognitive criteria of lack of body image distortion and fear of weight gain. We investigated the implications of including or excluding cognitive criteria of AN in the definition of "full recovery". Current symptomatology and personality characteristics associated with AN were assessed and compared in 42 behaviorally but not cognitively recovered women, 32 both behaviorally and cognitively recovered women, and 253 controls. On all measures included, the scores of the behaviorally recovered women were significantly more anorexic-like than those of the women recovered cognitively as well, who were indistinguishable from controls. Criteria for recovery from AN need to be refined and standardized, and cognitive criteria incorporated, to characterize a minority who recover to the extent that their eating attitudes and personality profiles are indistinguishable from those of women with no history of an eating disorder.
神经性厌食症（AN）“完全康复”的定义各不相同，且很少包括身体意象扭曲缺失和对体重增加的恐惧等认知标准。我们研究了在“完全康复”定义中纳入或排除神经性厌食症认知标准的影响。对42名行为上但认知上未康复的女性、32名行为和认知均已康复的女性以及253名对照组进行了评估和比较，分析与神经性厌食症相关的当前症状和人格特征。在所纳入的所有测量指标上，行为康复女性的得分比认知康复女性的得分更显著地类似厌食症患者，而认知康复女性与对照组无差异。神经性厌食症的康复标准需要细化和标准化，并纳入认知标准，以界定出一小部分康复者，他们的饮食态度和人格特征与无饮食失调病史的女性无异。
