Kustov George V, Zinchuk Mikhail S, Popova Sofya B, Mishin Ilya N, Voinova Nadezhda I, Yakovlev Alexander A, Akzhigitov Renat G
Moscow Research and Clinical Center for Neuropsychiatry of Moscow Healthcare Department.
Department of Functional Biochemistry of Nervous System, Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences.
Consort Psychiatr. 2023 Jul 10;4(2):53-63. doi: 10.17816/CP6555.
Data on the sociodemographic, biographical, and clinical factors associated with a lifetime diagnosis of eating disorders (ED) in patients with non-psychotic mental disorders (NPMD) and suicidal ideation (SI) are scarce.
A cohort study was conducted at the Moscow Research and Clinical Center for Neuropsychiatry. The sample consisted of consecutive patients with non-psychotic mental disorders and SI, aged 1845 years. Participants with a lifetime diagnosis of anorexia and/or bulimia (then in remission or recovery) were compared with those without ED in terms of their sociodemographic profile, clinical characteristics, lifetime traumatic events, and some behavioral patterns. All participants underwent the Russian version of the Self-Injurious Thoughts and Behaviors Interview and completed the Brief Reasons for Living Inventory, the State and Trait Anxiety Inventory, and the Beck Depression Inventory.
A total of 892 patients with non-psychotic mental disorders and SI were included in the study. The mean age was 25.7 years, and 84% were assigned female at birth. Same-sex experience was more common in the ED group. Patients with an ED were more likely to have a history of physical and sexual abuse and to have witnessed domestic violence. The proportion of participants with piercings, tattoos, or severe body modifications was significantly higher in the ED group. Patients with a lifetime ED were more likely to engage in nonsuicidal self-injurious behaviors and to have a history of suicide attempts.
Lifetime ED in NPMD patients with SI is associated with younger age, being assigned female at birth, having an alternative gender identity, having same-sex experience, having more than one psychiatric diagnosis, having been diagnosed with bipolar disorder, experiencing severe depression and anxiety, being exposed to multiple traumatic experiences, having various body modifications, practicing NSSI, and having a lifetime story of suicide attempts.
关于非精神病性精神障碍（NPMD）和自杀意念（SI）患者一生中被诊断为饮食失调（ED）的社会人口统计学、个人经历和临床因素的数据稀缺。
在莫斯科神经精神病学研究与临床中心进行了一项队列研究。样本包括年龄在18至45岁之间的非精神病性精神障碍和自杀意念的连续患者。将一生中被诊断为厌食症和/或贪食症（当时处于缓解或康复期）的参与者与无饮食失调的参与者在社会人口统计学特征、临床特征、一生中的创伤事件和一些行为模式方面进行比较。所有参与者都接受了俄罗斯版的《自伤性想法和行为访谈》，并完成了《生命理由简表》、《状态-特质焦虑量表》和《贝克抑郁量表》。
共有892名非精神病性精神障碍和自杀意念患者纳入研究。平均年龄为25.7岁，84%出生时被指定为女性。同性经历在饮食失调组中更为常见。有饮食失调的患者更有可能有身体和性虐待史，并目睹过家庭暴力。饮食失调组中有穿孔、纹身或严重身体改造的参与者比例显著更高。一生中患有饮食失调的患者更有可能从事非自杀性自伤行为，并有自杀未遂史。
患有自杀意念的非精神病性精神障碍患者一生中的饮食失调与年龄较小、出生时被指定为女性、具有另类性别认同、有同性经历、有不止一种精神科诊断、被诊断为双相情感障碍、经历严重抑郁和焦虑、遭受多种创伤经历、有各种身体改造、进行非自杀性自伤行为以及有自杀未遂史有关。
