McClelland L, Mynors-Wallis L, Fahy T, Treasure J
Institute of Psychiatry, De Crespigny Park, London.
Br J Psychiatry Suppl. 1991 May(10):63-8.
Standardised personality assessments were administered to 50 consecutive referrals to an Eating Disorders Clinic. A history of childhood sexual abuse was identified in 30% of patients using a modified version of the SLEI. This rate is comparable with those from other studies. Overall, 52% of the patients were rated as having a personality disorder but a significantly higher proportion of women with a personality disorder had a history of childhood sexual abuse compared with those without a personality disorder (13/26 v. 2/24, Fisher P less than 0.001). Although in patients with eating disorders no clear causal link between CSA and personality disorder was demonstrated, our findings emphasise the need to inquire sensitively into the sexual history of such patients.
对一家饮食失调诊所连续接收的50名转诊患者进行了标准化人格评估。使用改良版的儿童期性经历问卷（SLEI），在30%的患者中发现了儿童期性虐待史。这一比例与其他研究的结果相当。总体而言，52%的患者被评定为患有精神障碍，但与没有精神障碍的女性相比，患有精神障碍的女性中有童年性虐待史的比例要高得多（13/26对2/24，费舍尔检验P值小于0.001）。虽然在饮食失调患者中，未证明儿童期性虐待与精神障碍之间存在明确的因果联系，但我们的研究结果强调了敏感询问此类患者性史的必要性。
