进食障碍患者中部分和阈下创伤后应激障碍的共病情况：全国共病调查-再研究。
Comorbidity of partial and subthreshold ptsd among men and women with eating disorders in the national comorbidity survey-replication study.
机构信息
National Center for Posttraumatic Stress Disorder, Women's Health Sciences Division, VA Boston Healthcare System, Boston, Massachusetts 02130, USA.
出版信息
Int J Eat Disord. 2012 Apr;45(3):307-15. doi: 10.1002/eat.20965. Epub 2011 Oct 19.
Abstract
OBJECTIVE
The comorbidity of posttraumatic stress disorder (PTSD) and eating disorders (EDs) is high among women but has been understudied in men. Little is known about the association between partial or subthreshold PTSD and EDs among women or men.
METHOD
This study included PTSD and ED data from male (n = 2,382) and female (n = 3,310) National Comorbidity Survey-Replication study participants.
RESULTS
The vast majority of women and men with anorexia nervosa, bulimia nervosa (BN), and binge eating disorder (BED) reported a history of interpersonal trauma. Rates of PTSD were significantly higher among women and men with BN and BED. Subthreshold PTSD was more prevalent than threshold PTSD among women with BN and women and men with BED.
DISCUSSION
Interpersonal forms of trauma, PTSD, and subthreshold/partial PTSD, were prevalent among men and women with EDs. Findings highlight the importance of assessing for trauma and PTSD in ED patients.
摘要
目的
创伤后应激障碍（PTSD）和饮食障碍（EDs）在女性中的共病率很高，但在男性中研究较少。对于女性或男性中部分或阈下 PTSD 与 EDs 之间的关联知之甚少。
方法
本研究纳入了来自男性（n=2382）和女性（n=3310）全国共病调查-再调查研究参与者的 PTSD 和 ED 数据。
结果
绝大多数神经性厌食症、神经性贪食症（BN）和暴食障碍（BED）患者报告有过人际创伤史。BN 和 BED 患者中 PTSD 发生率显著高于女性和男性。BN 女性和 BED 女性和男性中阈下 PTSD 的患病率高于 PTSD。
讨论
人际形式的创伤、PTSD 和阈下/部分 PTSD 在 ED 患者中很常见。这些发现强调了在 ED 患者中评估创伤和 PTSD 的重要性。
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