Goodwin R, Andersen A E
Hillside J Clin Psychiatry. 1984;6(2):188-203.
Fifty patients with severe weight loss thought to be caused by anorexia nervosa were hospitalized for evaluation. On the basis of psychiatric history and mental state examination, they were divided into three diagnostic categories: anorexia nervosa; other. The MMPI of patients with anorexia nervosa was markedly abnormal, with highest peaks on the D (depression), PT (obsessionality and anxiety), and SC (schizophrenia) scales. This profile was similar to that of patients with obsessional symptoms and neurotic depression, but differed significantly from the profile of patients with low weight but normal mental state examination. These findings suggest that starvation alone does not explain the psychopathological symptoms similar to those with depressive and obsessional symptomatology. The MMPI is useful in differentiating anorexia nervosa from those with lowered weight from nonpsychiatric causes, but does not by itself provide a distinct diagnostic category when compared with neurotic disorders having similar symptom clusters.
五十名被认为由神经性厌食症导致严重体重减轻的患者入院接受评估。根据精神病史和精神状态检查，他们被分为三个诊断类别：神经性厌食症；其他。神经性厌食症患者的明尼苏达多相人格调查表（MMPI）明显异常，在抑郁（D）、强迫观念和焦虑（PT）以及精神分裂症（SC）量表上得分最高。这种剖面图与有强迫症状和神经症性抑郁的患者相似，但与体重低但精神状态检查正常的患者剖面图有显著差异。这些发现表明，单纯饥饿并不能解释与抑郁和强迫症状学相似的精神病理症状。MMPI有助于将神经性厌食症与非精神科原因导致体重降低的情况区分开来，但与具有相似症状群的神经症相比，其本身并不能提供一个独特的诊断类别。
