Herpertz-Dahlmann B
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie der Philipps-Universität Marburg.
Klin Padiatr. 1988 Mar-Apr;200(2):108-12. doi: 10.1055/s-2008-1033695.
40 patients suffering from anorexia nervosa and 30 patients of a control group suffering from different types of neurosis were retrospectively assessed for premorbid psychiatric symptomatology. A high frequency of premorbid psychiatric disorders was found in both groups, although phobic behavior and anxiety attacks were quite common in the anorectic group. The anxiety disorders often led to crisis and failure of the individual when coping with new life situations. The findings of the present study indicate that anorexia nervosa is not only a resolution of puberal and adolescent turmoil after a "model childhood". Nearly two thirds of the patients manifested symptoms of a minor psychiatric illness during early or later childhood.
对40名神经性厌食症患者和30名患有不同类型神经症的对照组患者进行了回顾性评估，以了解病前精神症状。两组患者病前精神障碍的发生率都很高，尽管恐惧行为和焦虑发作在厌食症组中相当常见。焦虑症常常导致个体在应对新的生活状况时出现危机和失败。本研究结果表明，神经性厌食症不仅仅是在“模范童年”之后青春期和青少年动荡的一种解决方式。近三分之二的患者在童年早期或晚期表现出轻度精神疾病的症状。
