Selby M J, Moreno J K
Department of Psychology, California Polytechnic State University, San Luis Obispo 93407, USA.
Int J Addict. 1995 Jul;30(9):1169-76. doi: 10.3109/10826089509055834.
A personal and familial history of substance misuse problems was obtained from 25 anorectic, 43 bulimic, and 33 obese women admitted to an inpatient treatment unit for eating disorders. Similar data was also collected on 40 noneating disordered, depressed women admitted to a general psychiatric ward at the same facility. Results showed significant differences between groups, with bulimic subjects reporting greater frequency of both personal and familial substance misuse problems across all groups. In addition, bulimic subjects with personal substance misuse problems reported a significantly greater frequency of familial substance misuse. However, bulimic subjects with and without substance misuse problems reported similar frequencies of familial substance misuse problems. Results point out the complex interaction of dispositional and situational variables in the formation of substance misuse problems in eating disorders, and the need to examine more completely the substance misuse and developmental histories of eating disordered patients.
从入住一家饮食失调住院治疗单元的25名神经性厌食症女性、43名神经性贪食症女性和33名肥胖女性那里获取了物质滥用问题的个人及家族史。在同一机构的普通精神科病房收治的40名非饮食失调的抑郁症女性身上也收集了类似数据。结果显示各群体之间存在显著差异，神经性贪食症患者报告的个人及家族物质滥用问题的频率在所有群体中都更高。此外，有个人物质滥用问题的神经性贪食症患者报告的家族物质滥用频率显著更高。然而，有和没有物质滥用问题的神经性贪食症患者报告的家族物质滥用问题频率相似。结果指出了在饮食失调中物质滥用问题形成过程中性格和情境变量的复杂相互作用，以及更全面检查饮食失调患者的物质滥用和发育史的必要性。
