Herzog D B, Keller M B, Lavori P W, Ott I L
Eating Disorders Unit, Massachusetts General Hospital, Boston 02114.
Psychiatry Res. 1988 Jan;23(1):45-55. doi: 10.1016/0165-1781(88)90033-9.
Thirty women who sought treatment at an eating disorders clinic in a general hospital and were diagnosed as having a current episode of bulimia nervosa were followed prospectively to assess the course of eating behaviors and other psychopathology. At intake, all 30 met DSM-III criteria for bulimia nervosa, and 57% met Research Diagnostic Criteria for an affective disorder. After 6 months of followup, 33% had recovered from the bulimic episode, and 24% had recovered from the affective disorder. One subject had recovered from both disorders. In subjects with an affective disorder at intake, the affective disorder had little effect on the time to recovery from bulimia nervosa, and recovery from bulimia nervosa had little effect on the time to recovery from the affective disorder.
30名在一家综合医院的饮食失调诊所寻求治疗并被诊断为目前患有神经性贪食症发作的女性接受了前瞻性随访,以评估饮食行为过程和其他精神病理学情况。在入院时,所有30人都符合神经性贪食症的DSM-III标准,57%符合情感障碍的研究诊断标准。经过6个月的随访,33%的人从贪食症发作中康复,24%的人从情感障碍中康复。有一名受试者从两种障碍中都康复了。在入院时患有情感障碍的受试者中,情感障碍对从神经性贪食症中康复的时间影响很小,而从神经性贪食症中康复对从情感障碍中康复的时间影响也很小。