Zanarini M C, Frankenburg F R, Pope H G, Hudson J I, Yurgelun-Todd D, Cicchetti C J
Psychosocial Research Program, McLean Hospital, Belmont, MA 02178.
Compr Psychiatry. 1990 Jan-Feb;31(1):20-4. doi: 10.1016/0010-440x(90)90050-3.
The axis II comorbidity of 34 women with active bulimia, 18 women with remitted bulimia, and 20 women with a history of major depression was assessed blind to axis I diagnosis using the Diagnostic Interview for Personality Disorders (DIPD), a semistructured interview of demonstrated reliability. Fifty percent of the active bulimic subjects, 44% of the remitted bulimic subjects, and 35% of the depressed controls met DSM-III criteria for at least one axis II disorder. Despite the generally higher prevalence of axis II pathology in both bulimic groups than depressed controls, these between-group differences did not reach significance. The clinical implications of these findings are discussed.
采用《人格障碍诊断访谈》（DIPD，一种已证明具有可靠性的半结构化访谈），在对轴I诊断不知情的情况下，评估了34名患有活跃型神经性贪食症的女性、18名患有缓解型神经性贪食症的女性以及20名有重度抑郁症病史的女性的轴II共病情况。50%的活跃型神经性贪食症受试者、44%的缓解型神经性贪食症受试者以及35%的抑郁症对照者符合至少一种轴II障碍的DSM-III标准。尽管两个神经性贪食症组中轴II病理的总体患病率普遍高于抑郁症对照者，但这些组间差异未达到显著水平。讨论了这些发现的临床意义。
