Hudson J I, Pope H G, Yurgelun-Todd D, Jonas J M, Frankenburg F R
Epidemiology Laboratory, McLean Hospital, Belmont, MA 02178.
Am J Psychiatry. 1987 Oct;144(10):1283-7. doi: 10.1176/ajp.144.10.1283.
The authors used structured diagnostic interviews to assess the lifetime prevalence of psychiatric disorders, by DSM-III criteria, among 70 women: 51 outpatients with active bulimia and 19 nonpatient subjects with remitted bulimia. Comparison groups consisted of 24 female outpatients with major depression and 28 nonpsychiatric control subjects. The active and remitted bulimic subjects closely resembled each other, with high lifetime rates of major affective disorder, anxiety disorders, and substance use disorders. Atypical depression was equally common among subjects with major affective disorder in all groups. These results are consistent with previous studies suggesting a phenomenologic relationship between bulimia and major affective disorder.
作者采用结构化诊断访谈，依据《精神疾病诊断与统计手册》第三版（DSM-III）标准，评估了70名女性中精神障碍的终生患病率：51名患有活跃性贪食症的门诊患者以及19名已康复的贪食症非患者受试者。对照组包括24名患有重度抑郁症的女性门诊患者以及28名非精神科对照受试者。活跃性和已康复的贪食症受试者彼此极为相似，在主要情感障碍、焦虑症和物质使用障碍方面终生患病率较高。非典型抑郁症在所有组患有主要情感障碍的受试者中同样常见。这些结果与先前的研究一致，表明贪食症与主要情感障碍之间存在现象学关系。
