Hay P J, Hall A
Department of Psychological Medicine, Wellington School of Medicine, New Zealand.
Br J Psychiatry. 1991 Oct;159:562-5. doi: 10.1192/bjp.159.4.562.
Of 107 recently admitted psychiatric patients screened for eating-disorder symptoms by questionnaire, 17% met DSM-III-R criteria for eating disorders. Eight patients (one male) had bulimia nervosa. Ten patients had eating disorder not otherwise specified: seven (three male) bulimic type, and three (one male) anorexia nervosa type. The most common concurrent diagnoses were mood and personality disorders. As eating-disorder symptoms are relevant to the diagnosis and management of other psychiatric disorders they should be assessed routinely in all psychiatric patients.
在通过问卷调查对107名近期收治的精神科患者进行饮食失调症状筛查时,17%的患者符合《精神疾病诊断与统计手册》第三版修订版(DSM-III-R)中饮食失调的标准。8名患者(1名男性)患有神经性贪食症。10名患者患有未另行规定的饮食失调:7名(3名男性)为贪食型,3名(1名男性)为神经性厌食症型。最常见的共病诊断是心境障碍和人格障碍。由于饮食失调症状与其他精神障碍的诊断和管理相关,因此应在所有精神科患者中进行常规评估。