伴有和不伴有物质使用障碍的饮食失调：住院患者的比较研究

Eating disorders with and without substance use disorders: a comparative study of inpatients.

作者信息

Grilo C M, Becker D F, Levy K N, Walker M L, Edell W S, McGlashan T H

机构信息

Yale Psychiatric Institute, Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06520, USA.

出版信息

Compr Psychiatry. 1995 Jul-Aug;36(4):312-7. doi: 10.1016/s0010-440x(95)90077-2.

DOI:10.1016/s0010-440x(95)90077-2

PMID:7554876

Abstract

We assessed the co-occurrence of DSM-III-R axis I and II disorders and self-reported psychologic distress in inpatients with eating disorders with and without substance use disorders (ED-SUD and ED groups, respectively) and in a matched comparison sample with substance use disorders but no eating disorder (SUD group). The three groups showed similar distributions of axis I disorders but differed in the distribution of axis II disorders. Cluster B personality disorders were diagnosed more frequently in SUD and ED-SUD groups than in the ED group. In contrast, cluster C personality disorders were diagnosed more frequently in the ED group than in SUD and ED-SUD groups. The SUD group reported greater psychologic distress than ED and ED-SUD groups. Possible implications of the observed group differences for psychologic models of why these disorders may be associated are considered.

摘要

我们评估了分别患有和未患有物质使用障碍的饮食失调住院患者（分别为饮食失调合并物质使用障碍组和饮食失调组）以及匹配的有物质使用障碍但无饮食失调的对照样本（物质使用障碍组）中，《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）轴I和轴II障碍与自我报告的心理困扰的共现情况。三组在轴I障碍的分布上相似，但在轴II障碍的分布上有所不同。B类人格障碍在物质使用障碍组和饮食失调合并物质使用障碍组中的诊断频率高于饮食失调组。相比之下，C类人格障碍在饮食失调组中的诊断频率高于物质使用障碍组和饮食失调合并物质使用障碍组。物质使用障碍组报告的心理困扰比饮食失调组和饮食失调合并物质使用障碍组更严重。我们考虑了观察到的组间差异对解释这些障碍为何可能相关的心理模型的潜在影响。