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神经性厌食症与强迫性神经症的比较心理测量研究。

A comparative psychometric study of anorexia nervosa and obsessive neurosis.

作者信息

Solyom L, Freeman R J, Miles J E

出版信息

Can J Psychiatry. 1982 Jun;27(4):282-6. doi: 10.1177/070674378202700404.

DOI:10.1177/070674378202700404
PMID:7104939
Abstract

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.

摘要

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。

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引用本文的文献

1
Obsessive-compulsive disorder in children and adolescents. A review of the literature.儿童和青少年强迫症。文献综述。
Eur Child Adolesc Psychiatry. 1994 Jul;3(3):138-158. doi: 10.1007/BF02720322.
2
The integration of primary anorexia nervosa and obsessive-compulsive disorder.原发性神经性厌食症与强迫症的合并症
Eat Weight Disord. 2001 Dec;6(4):174-80. doi: 10.1007/BF03339740.
3
Obsessive-compulsive symptoms as a correlate of severity in the clinical presentation of eating disorders: measuring the effects of depression.
强迫症状与饮食失调临床表现严重程度的相关性:评估抑郁的影响。
Eat Weight Disord. 1999 Sep;4(3):121-7. doi: 10.1007/BF03339727.
4
Eating disorder and obsessive-compulsive disorder: neurochemical and phenomenological commonalities.饮食失调与强迫症:神经化学和现象学上的共性
J Psychiatry Neurosci. 1996 Jan;21(1):36-48.
5
Is anorexia nervosa a neuropsychological disease?神经性厌食症是一种神经心理疾病吗?
Neuropsychol Rev. 1992 Jun;3(2):171-212. doi: 10.1007/BF01108842.