Sohlberg S, Norring C
Department of Psychiatry, University Hospital, Uppsala, Sweden.
Acta Psychiatr Scand. 1989 Oct;80(4):325-33. doi: 10.1111/j.1600-0447.1989.tb02988.x.
Severe personality disturbance is a feature that possibly explains chronicity in eating disorders, a largely inexplicable development in terms of previously investigated factors. We tested this hypothesis in a group of 41 anorectics and bulimics with ratings of 13 ego functions and of status at 1-year follow-up. Patients who still were preoccupied with weight or shape and had a DSM-III-R eating disorder at follow-up had more severe ego disturbance at initial presentation than those who were free from symptoms. The relevance of demographics, syndromal diagnosis and clinical factors other than ego functioning was limited. The importance of ego functioning for prognosis in eating disorders thus appears to overshadow that of several factors that have been extensively cited in the literature.
严重的人格障碍是一个可能解释饮食失调慢性化的特征，就先前研究的因素而言，这是一个很大程度上无法解释的发展情况。我们在一组41名厌食症和贪食症患者中检验了这一假设，对其13项自我功能和1年随访时的状态进行了评分。随访时仍纠结于体重或体型且患有DSM-III-R饮食失调症的患者，在初次就诊时比那些无症状的患者有更严重的自我障碍。人口统计学、综合征诊断以及除自我功能外的临床因素的相关性有限。因此，自我功能对饮食失调预后的重要性似乎超过了文献中广泛引用的几个因素。
