患有饮食失调症女性的创伤后应激障碍
Post-traumatic stress disorder in women with eating disorders.
作者信息
Hepp U, Spindler A, Schnyder U, Kraemer B, Milos G
机构信息
Psychiatrische Dienste Aargau AG, Baden, Switzerland.
出版信息
Eat Weight Disord. 2007 Mar;12(1):e24-7. doi: 10.1007/BF03327778.
OBJECTIVE
The aim of the study was to assess the frequency of co-morbid post-traumatic stress disorders (PTSD) in women with eating disorders (ED).
METHOD
277 women aged 17 to 50 with a current DSM-IV ED were included. 84 were diagnosed with anorexia nervosa (AN), 152 with bulimia nervosa (BN) and 41 with ED not otherwise specified (EDNOS). Structured Clinical Interviews (SCID-I and SCID-II) were performed.
RESULTS
Sixty-eight participants (24.5%) reported unwanted sexual experiences (USE). Fifty-two participants (18.8%) reported some form of childhood sexual abuse (CSA). Four participants (1.4%) met the criteria for PTSD according to the Diagnostic and Statistical Manual-IV (DSM-IV). Participants with a history of USE did not differ from those without USE with regard to ED diagnosis, but were diagnosed more often with any Axis I or Axis II disorder.
CONCLUSIONS
The prevalence of PTSD in this sample of women with ED was low (1.4%), despite a USE rate of 24.5%.
目的
本研究旨在评估饮食失调（ED）女性中创伤后应激障碍（PTSD）共病的发生率。
方法
纳入277名年龄在17至50岁之间、目前患有DSM-IV饮食失调症的女性。其中84人被诊断为神经性厌食症（AN），152人被诊断为神经性贪食症（BN），41人被诊断为未特定的饮食失调症（EDNOS）。进行了结构化临床访谈（SCID-I和SCID-II）。
结果
68名参与者（24.5%）报告有 unwanted sexual experiences（USE）。52名参与者（18.8%）报告有某种形式的童年性虐待（CSA）。4名参与者（1.4%）符合《精神疾病诊断与统计手册》第四版（DSM-IV）中PTSD的标准。有USE病史的参与者在饮食失调诊断方面与没有USE病史的参与者没有差异，但被诊断出患有任何轴I或轴II障碍的频率更高。
结论
尽管USE发生率为24.5%，但在这个饮食失调女性样本中，PTSD的患病率较低（1.4%）。
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