Sansone Randy A, Sansone Lori A
Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, Ohio, and Director of Psychiatry Education at Kettering Medical Center in Kettering, Ohio.
Innov Clin Neurosci. 2011 Mar;8(3):14-8.
Personality disorders appear to be present in a significant minority of individuals with eating disorders. For example, in contrast to reported rates in the general population of eight percent, obsessive compulsive personality is present in approximately 22 percent of individuals with anorexia, restricting type. Likewise, in contrast to rates in the general population of six percent, borderline personality is present in approximately 25 percent of individuals with anorexia nervosa, binge-eating purging type, and in 28 percent of individuals with bulimia nervosa. Could these high rates of comorbidity indicate a partially causal relationship? At the very least, these specific personality disorders may be shaping corresponding styles of eating pathology, with obsessive compulsive personality disorder partially accounting for restrictive eating pathology and borderline personality disorder partially accounting for impulsive eating pathology. These potential associations are explored.
人格障碍似乎在相当一部分饮食失调患者中存在。例如，与普通人群中报告的8%的患病率相比，强迫型人格在约22%的限制型神经性厌食症患者中存在。同样，与普通人群中6%的患病率相比，边缘型人格在约25%的神经性厌食症、暴食-清除型患者以及28%的神经性贪食症患者中存在。这些高共病率是否表明存在部分因果关系？至少，这些特定的人格障碍可能正在塑造相应的饮食病理风格，强迫型人格障碍部分导致限制型饮食病理，边缘型人格障碍部分导致冲动型饮食病理。本文将探讨这些潜在关联。
