Błachno Magda, Bryńska Anita
Klinika Psychiatrii Wieku Rozwojowego WUM, Warszawa.
Psychiatr Pol. 2012 Nov-Dec;46(6):1019-28.
There is constant interest in possible relations between obsessive-compulsive disorder (OCD) and eating disorders, particularly anorexia nervosa (AN). The comorbidity rate for OCD and AN is reported to be between 10% and even 40%. There is also an increased incidence of prior AN in OCD patients and high number of anorectic patients with obsessional premorbid personality. Similarities between AN and OCD lie in the symptoms of the disorders: intrusive, fearful thoughts, a compulsive need to perform rituals aimed at reducing the level of anxiety and obsessions maintaining these rituals. In case of AN, these behaviours revolve around food and thinness, whereas in OCD they are of more general and differential in type. Research on AN-OCD relations provides interesting insights, but also presents some limitations. The purpose of this review is to analyse and discuss the specificity of relations between symptoms of AN and OCD.
人们一直对强迫症(OCD)与饮食失调,尤其是神经性厌食症(AN)之间的可能关系感兴趣。据报道,强迫症和神经性厌食症的共病率在10%至40%之间。强迫症患者中既往患神经性厌食症的发病率也有所增加,且有大量患有强迫性病前人格的厌食症患者。神经性厌食症和强迫症的相似之处在于疾病症状:侵入性的、可怕的想法,一种为降低焦虑水平而进行仪式行为的强迫性需求,以及维持这些仪式行为的强迫观念。就神经性厌食症而言,这些行为围绕食物和消瘦展开,而在强迫症中,它们更具普遍性且类型各异。关于神经性厌食症与强迫症关系的研究提供了有趣的见解,但也存在一些局限性。本综述的目的是分析和讨论神经性厌食症和强迫症症状之间关系的特异性。