Solyom L, Freeman R J, Miles J E
Can J Psychiatry. 1982 Jun;27(4):282-6. doi: 10.1177/070674378202700404.
Similarities between anorexia nervosa and obsessive-compulsive disorder have been described by a number of authors but few empirical investigations have been reported. In the current study, 15 female anorexics were compared with 14 age-matched female obsessives on a variety of psychometric tests, psychiatrist's ratings and self-rating scales. Obsessives and anorexics obtained similarly high obsessive symptom and trait scores on the Leyton Obsessional Inventory LOI). Both groups were rated by the psychiatrist as similarly obsessive, and there were no significant group differences in self-ratings of obsessive symptoms. Both groups were characterized by high levels of neuroticism and anxiety and low levels of extraversion. In the anorexic group the 6 abstainers had higher resistance scores on the LOI and higher extraversion scores on th MPI than the 9 bulimics. Findings are discussed with reference to the "sorcerer's apprentice" syndrome which appears to characterize both the obsessive and the anorexic.
许多作者都描述过神经性厌食症与强迫症之间的相似之处,但鲜有实证研究报道。在本研究中,对15名女性厌食症患者和14名年龄匹配的女性强迫症患者进行了一系列心理测量测试、精神科医生评分和自评量表测评。强迫症患者和厌食症患者在莱顿强迫观念量表(LOI)上的强迫症状和特质得分同样很高。精神科医生对两组的强迫程度评分相似,且在强迫症状的自评方面,两组间没有显著差异。两组的特点都是神经质和焦虑水平高,外向性水平低。在厌食症组中,6名节制型患者在LOI上的抵抗得分和在MPI上的外向性得分高于9名贪食型患者。本文结合“魔法师的学徒”综合征对研究结果进行了讨论,该综合征似乎是强迫症患者和厌食症患者的共同特征。