空肠造口术对强迫性进食及相关精神症状的有益影响。
Beneficial effects of jejeunoileostomy on compulsive eating and associated psychiatric symptoms.
作者信息
Brewer C, White H, Baddeley M
出版信息
Br Med J. 1974 Nov 9;4(5940):314-6. doi: 10.1136/bmj.4.5940.314.
Abstract
During a study of 72 patients submitted to jejeunoileostomy for obesity seven were found in whom compulsive, episodic overeating was associated with depressive mood disturbance. When followed up nine to 27 months after operation all seven had lost weight and had also lost the habit of compulsive eating. In all cases psychiatric symptoms improved or disappeared, and symptom substitution was not observed. Obesity rather than psychiatric disorder is usually the main problem in such patients. The implications for psychoanalytic and other concepts of obesity are discussed.
摘要
在一项针对72例因肥胖接受空肠回肠造口术的患者的研究中，发现7例患者存在强迫性、发作性暴饮暴食，并伴有抑郁情绪障碍。术后9至27个月进行随访时，所有7例患者体重均减轻，且强迫性进食习惯也已改掉。所有病例的精神症状均有所改善或消失，未观察到症状替代现象。在这类患者中，肥胖而非精神障碍通常是主要问题。文中还讨论了肥胖的精神分析及其他相关概念的意义。
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