Swain B, Shisslak C M, Crago M
Prescott College, Arizona.
J Clin Psychol. 1991 Sep;47(5):702-8. doi: 10.1002/1097-4679(199109)47:5<702::aid-jclp2270470512>3.0.co;2-a.
Relationships between the clinical features of eating disorders and individual psychological functioning were investigated in a population of 114 eating-disordered females, which consisted of 63 bulimics, 9 anorexics, 7 bulimic anorexics, 23 with eating disorders not otherwise specified, and 12 with indications of an eating disorder, but without sufficient data for further differential diagnosis. No significant differences in psychological functioning were found when diagnosis was used to classify the subjects into groups, but significant differences did emerge when subjects were classified by specific clinical features. Among the clinical features associated with greater psychopathology were: low body weight, frequent weight fluctuations, amenorrhea of longer duration, purging via laxatives, frequent exercising, and more frequent binges of longer duration.
在114名饮食失调女性群体中，对饮食失调的临床特征与个体心理功能之间的关系进行了调查。该群体包括63名贪食症患者、9名厌食症患者、7名贪食性厌食症患者、23名未另行指定的饮食失调患者，以及12名有饮食失调迹象但没有足够数据进行进一步鉴别诊断的患者。当根据诊断将受试者分组时，未发现心理功能有显著差异，但当根据特定临床特征对受试者进行分类时，确实出现了显著差异。与更严重精神病理学相关的临床特征包括：低体重、频繁的体重波动、较长时间的闭经、通过泻药清除、频繁锻炼，以及更频繁、持续时间更长的暴饮暴食。
