Sernec Karin, Tomori Martina, Zalar Bojan
University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia.
Coll Antropol. 2010 Dec;34(4):1281-7.
The aim of the study was to provide further and up to date information on the evaluation of the management of Anorexia and Bulimia nervosa at the Eating Disorders Unit (EDU) of the Ljubljana Psychiatric Clinic, based upon detailed assessment of the eating disorders specific and non specific symptoms of impulsive behaviors, highly correlated with these entities. 34 female patients with anorexia (restrictive or purgative type) and 38 female patients with Bulimia nervosa (purgative or non-purgative type) undergoing hospital treatment at the EDU were evaluated upon admission, as well as upon discharge and three and six months after discharge, using the Eating Disorder Questionnaire. Upon discharge a marked decrease in the overall symptoms was noted. The differences in symptoms incidences between the two groups were significantly specific for the individual form of eating disorder, especially upon admission, and were more pronounced in anorexia group. In later measurements, performed during the period of three and six months after discharge, a mild trend of increase in the disorder specific symptoms was detected in both groups, but was not statistically significant. In addition to binging on food, striking, quarreling and spending sprees are characteristics of patients with eating disorders, which in particular apply to the Bulimia nervosa group. Apart from the disorder specific symptoms, impulsive behavior was also reduced during study period, while the difference in its occurrence between the two groups gradually became non-significant. The management of patients with eating disorders at the EDU was successful in both groups, confirmed by an intense reduction of the disorder specific symptoms, impulsive behavior and increased stability recorded three and six months after discharge. The study strongly suggests that the effect of treatment regime for eating disorders can be predicted by careful assessment of the relevant symptoms and impulsive behavioral patterns.
本研究的目的是，基于对饮食失调特定症状以及与这些病症高度相关的冲动行为非特定症状的详细评估，提供有关卢布尔雅那精神病诊所饮食失调科（EDU）对神经性厌食症和神经性贪食症管理评估的进一步最新信息。对在EDU接受住院治疗的34名神经性厌食症女性患者（限制型或清除型）和38名神经性贪食症女性患者（清除型或非清除型）在入院时、出院时以及出院后三个月和六个月时，使用饮食失调问卷进行评估。出院时，总体症状显著减轻。两组症状发生率的差异对于个体饮食失调形式具有显著特异性，尤其是在入院时，且在神经性厌食症组中更为明显。在出院后三个月和六个月期间进行的后续测量中，两组均检测到特定病症症状有轻微增加趋势，但无统计学意义。除了暴饮暴食外，打架、争吵和疯狂购物是饮食失调患者的特征，这尤其适用于神经性贪食症组。除了特定病症症状外，在研究期间冲动行为也有所减少，而两组之间其发生率的差异逐渐变得不显著。EDU对饮食失调患者的管理在两组中均取得成功，出院后三个月和六个月时特定病症症状的显著减轻、冲动行为的减少以及稳定性的增加证实了这一点。该研究强烈表明，通过仔细评估相关症状和冲动行为模式，可以预测饮食失调治疗方案的效果。
