Vandereycken W, Van den Broucke S
Acta Psychiatr Scand. 1984 Nov;70(5):447-54. doi: 10.1111/j.1600-0447.1984.tb01233.x.
The relatively small number of male anorexia nervosa patients is often used as an excuse for the scarce literature on this subject. An exhaustive review of the literature (1970 to 1980), searching for case reports, yielded information about 107 males described as having anorexia nervosa. According to current criteria, the diagnosis was well documented in 37 patients. Data on the clinical picture and the social background were analysed and compared with a sample of 148 female anorectics. It was found that from the clinical point of view anorexia nervosa is strikingly similar in both sexes. A cluster analysis revealed that three subgroups might be distinguished in male cases: a '(pre)pubertal' variant, a 'lower class', and a 'middle class' variant. It is concluded that male patients should be involved in any future research on this syndrome.
男性神经性厌食症患者数量相对较少，这常被用作该主题文献稀缺的借口。对1970年至1980年的文献进行详尽回顾，搜寻病例报告，得到了107例被描述为患有神经性厌食症的男性的信息。根据当前标准，37例患者的诊断有充分记录。对临床表现和社会背景数据进行了分析，并与148例女性厌食症患者样本进行了比较。结果发现，从临床角度来看，神经性厌食症在男女两性中极为相似。聚类分析显示，男性病例可分为三个亚组：“（青春期前）青春期型”、“下层阶级型”和“中产阶级型”。得出的结论是，未来对该综合征的任何研究都应纳入男性患者。
