Mitchell J E, Pyle R L, Eckert E D, Hatsukami D, Soll E
Department of Psychiatry, University of Minnesota Hospitals, Minneapolis.
J Nerv Ment Dis. 1990 May;178(5):324-7. doi: 10.1097/00005053-199005000-00008.
Patients who have bulimia nervosa and are overweight have received little attention in the medical literature. The authors identified 25 patients who weighed greater than or equal to 130% of their ideal body weight out of a series of 591 patients with bulimia nervosa. This subgroup was contrasted with a sample of 25 patients with bulimia nervosa who were 90% to 110% of their ideal body weight. Members of the overweight bulimia nervosa group were binge-eating and vomiting less frequently than the comparison group but were more likely to be abusing laxatives, and to report a history of self-injurious behavior and suicide attempt(s). Both groups reported frequent binge-eating.
患有神经性贪食症且超重的患者在医学文献中很少受到关注。作者在591例神经性贪食症患者中确定了25例体重超过或等于其理想体重130%的患者。该亚组与25例体重为理想体重90%至110%的神经性贪食症患者样本进行了对比。超重的神经性贪食症组患者暴饮暴食和呕吐的频率低于对照组，但更有可能滥用泻药，且报告有自残行为和自杀未遂史。两组均报告频繁暴饮暴食。
