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神经性厌食症的精神科诊断共病情况。

Comorbidity of psychiatric diagnoses in anorexia nervosa.

作者信息

Halmi K A, Eckert E, Marchi P, Sampugnaro V, Apple R, Cohen J

机构信息

Department of Psychiatry, Cornell University Medical College, White Plains, NY.

出版信息

Arch Gen Psychiatry. 1991 Aug;48(8):712-8. doi: 10.1001/archpsyc.1991.01810320036006.

Abstract

The comorbidity of psychiatric diagnoses was examined with the Diagnostic Interview Schedule in 62 women who participated in a 10-year follow-up study of anorexia nervosa. Sixty-two age- and sex-matched controls, their parents, and parents of the anorectic probands were also interviewed with the Diagnostic Interview Schedule. There was a statistically significant comorbidity of the affective and anxiety disorders with anorexia nervosa. The first-degree relatives of the anorectic probands had significantly more alcoholism and total number of psychiatric diagnoses compared with the first-degree relatives of controls. There were two mothers with bulimia nervosa, two cases of anorexia nervosa and two of bulimia nervosa in other first-degree relatives of anorectic probands, and no cases of eating disorders in the first-degree relatives of controls.

摘要

在62名参与神经性厌食症10年随访研究的女性中,使用诊断访谈表对精神疾病诊断的共病情况进行了检查。还使用诊断访谈表对62名年龄和性别匹配的对照者、他们的父母以及神经性厌食症先证者的父母进行了访谈。情感障碍和焦虑障碍与神经性厌食症之间存在具有统计学意义的共病情况。与对照者的一级亲属相比,神经性厌食症先证者的一级亲属中酗酒和精神疾病诊断总数明显更多。在神经性厌食症先证者的其他一级亲属中有两名患有神经性贪食症的母亲、两例神经性厌食症和两例神经性贪食症,而对照者的一级亲属中没有饮食失调病例。

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