Department of Psychosomatic Medicine and Psychotherapy, University of Duisburg-Essen, Virchowstrasse 174, Essen,Germany.
Eur Eat Disord Rev. 2010 Mar;18(2):124-32. doi: 10.1002/erv.972.
The central aim of the study was to assess the frequency of traumatic events and comorbid posttraumatic stress disorder (PTSD) in women with eating disorders (EDs). In addition, the frequency of somatoform complaints was investigated in patients with PTSD compared to those without PTSD.
101 ED patients (26.4 years, SD = 7.4) from an outpatient department were investigated by means of standardized questionnaires.
63.3% of the anorexic and 57.7% of the bulimic patients had experienced at least one trauma in their life. 10% of the anorexic and 14.1% of the bulimic patients fulfilled the study definition for a current diagnosis of PTSD. Patients with a comorbid PTSD reported somatoform symptoms more frequently than patients without PTSD (p < 0.001).
These findings provide additional support for the association between somatization and PTSD in ED patients. In addition, clinical interventions for traumatized ED patients may benefit from a focus on posttraumatic stress symptomatology.
本研究的主要目的是评估患有饮食障碍（ED）的女性经历创伤性事件和并发创伤后应激障碍（PTSD）的频率。此外，还比较了 PTSD 患者与非 PTSD 患者之间躯体形式投诉的频率。
采用标准化问卷对来自门诊的 101 名 ED 患者（26.4 岁，SD=7.4）进行了调查。
63.3%的厌食症患者和 57.7%的贪食症患者在其一生中至少经历过一次创伤。10%的厌食症患者和 14.1%的贪食症患者符合 PTSD 的现行诊断标准。患有共病 PTSD 的患者比没有 PTSD 的患者报告更多的躯体形式症状（p<0.001）。
这些发现为 ED 患者的躯体化和 PTSD 之间的关联提供了额外的支持。此外，针对创伤后 ED 患者的临床干预可能受益于关注创伤后应激症状。
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