Fahy T A
Institute of Psychiatry, De Crespigny Park, London, England.
Behav Res Ther. 1991;29(2):113-6. doi: 10.1016/0005-7967(91)90038-5.
Obsessive-compulsive symptoms were measured in a consecutive series of new referrals with anorexia nervosa (n = 29) and bulimia nervosa (n = 77). In contrast with previous reports, there was no significant difference on MOCI scores between eating disorder groups and normal controls. A consecutive series of 38 patients with bulimia nervosa then entered a structured treatment programme. Poor outcome cases had a higher score on the MOCI-doubting sub-scale. However, there was no significant difference in obsessive-compulsive scores between those who were binge-free and those who were bingeing daily at the end of treatment and there was no significant in outcome between high and low-scorers on the MOCI. This study fails to support the view that the eating disorders are a subtype of OCD. Previous conflicting results are attributed to selection bias and the effects of low body weight.
对一系列连续的神经性厌食症新转诊患者（n = 29）和神经性贪食症新转诊患者（n = 77）进行了强迫症状测量。与之前的报告相反，饮食失调组和正常对照组在MOCI评分上没有显著差异。随后，一系列连续的38例神经性贪食症患者进入了一个结构化治疗项目。预后不良的病例在MOCI怀疑分量表上得分较高。然而，在治疗结束时，无暴食者和每日暴食者之间的强迫症状评分没有显著差异，MOCI高分者和低分者在预后方面也没有显著差异。这项研究未能支持饮食失调是强迫症一种亚型的观点。之前相互矛盾的结果归因于选择偏倚和低体重的影响。
