Lilenfeld Lisa R, Kaye Walter H
Lisa R. Lilenfeld, Ph.D., is a postdoctoral research fellow and Walter H. Kaye, M.D., is director of the Eating Disorders Module and professor of psychiatry at Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Alcohol Health Res World. 1996;20(2):94-99.
The comorbidity between alcoholism and eating disorders, especially in young women, is well documented. Alcohol and other drug (AOD)-use disorders are particularly common in women with bulimia nervosa. Although the mechanisms underlying the coexistence of these disorders remain unknown, recent family epidemiology studies suggest that bulimia nervosa and AOD dependence are transmitted independently in families. Furthermore, bulimia nervosa generally develops before the onset of AOD dependence. Thus, factors other than addictive behavior may contribute to the development of bulimia nervosa in a substantial proportion of women. The comorbidity of AOD-use disorders with eating disorders has implications for the treatment of the affected patients.
酗酒与饮食失调之间的共病现象，尤其是在年轻女性中，已有充分记录。酒精及其他药物（AOD）使用障碍在神经性贪食症女性中尤为常见。尽管这些障碍共存的潜在机制尚不清楚，但最近的家庭流行病学研究表明，神经性贪食症和AOD依赖在家庭中是独立传播的。此外，神经性贪食症通常在AOD依赖发作之前就已出现。因此，在相当一部分女性中，除成瘾行为外的其他因素可能导致神经性贪食症的发展。AOD使用障碍与饮食失调的共病现象对受影响患者的治疗具有重要意义。
