饮食失调中人格障碍的共病情况：一项荟萃分析。
The comorbidity of personality disorders in eating disorders: a meta-analysis.
作者信息
Martinussen Monica, Friborg Oddgeir, Schmierer Phöbe, Kaiser Sabine, Øvergård Karl Tore, Neunhoeffer Anna-Lena, Martinsen Egil W, Rosenvinge Jan H
机构信息
Regional Center for Child and Youth Mental Health and Child Welfare (RKBU-Nord), UiT The Arctic University of Norway, 9037, Tromsø, Norway.
Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway.
出版信息
Eat Weight Disord. 2017 Jun;22(2):201-209. doi: 10.1007/s40519-016-0345-x. Epub 2016 Dec 19.
PURPOSE
The present meta-analysis summarized the proportion of comorbid personality disorders (PDs) in patients with anorexia (AN) and bulimia nervosa (BN), respectively, and examined possible moderating variables.
METHODS
A search of the databases PsychINFO, Embase, and Medline for the period 1980-2016 identified 87 studies from 18 different countries.
RESULTS
The mean proportion of PDs among patients with any type of eating disorder (ED) was .52 compared to .09 in healthy controls. There were no statistically significant differences between AN (.49) and BN (.54) in proportions of any PD or PD clusters except for obsessive-compulsive PD (.23 vs .12 in AN and BN, respectively).
CONCLUSIONS
Both ED diagnoses had a similar comorbidity profile with a high prevalence of borderline and avoidant PDs. Moderator analyses conducted for any ED and any PD yielded significant differences for diagnostic systems with respect to EDs, method for assessing PD as well as patient weight and age.
目的
本荟萃分析总结了神经性厌食症（AN）和神经性贪食症（BN）患者中共病人格障碍（PD）的比例，并研究了可能的调节变量。
方法
检索1980年至2016年期间的PsychINFO、Embase和Medline数据库，共识别出来自18个不同国家的87项研究。
结果
任何类型饮食失调（ED）患者中PD的平均比例为0.52，而健康对照组为0.09。除强迫性PD外（AN和BN中分别为0.23和0.12），AN（0.49）和BN（0.54）在任何PD或PD集群比例上无统计学显著差异。
结论
两种ED诊断的共病情况相似，边缘性和回避性PD的患病率较高。对任何ED和任何PD进行的调节分析显示，在ED诊断系统、PD评估方法以及患者体重和年龄方面存在显著差异。
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