Mangweth B, Pope H G, Hudson J I
Department of Psychiatry, University Clinics of Innsbruck, Austria.
Int J Eat Disord. 1995 May;17(4):403-12. doi: 10.1002/1098-108x(199505)17:4<403::aid-eat2260170413>3.0.co;2-6.
We compared 33 college women meeting DSM-III-R criteria for bulimia nervosa, recruited at Leopold Franzens Universität in Innsbruck, Austria, with 33 bulimic women recruited by identical methods at Northeastern University and Boston University in Boston, Massachusetts. Bulimia nervosa showed striking stereotypy across the two cultures. Austrian and American subjects reported similar demographic features, bulimic symptoms, severity and chronicity of illness, associated personal and familial psychiatric disorders, upbringing and family environment, and frequency of childhood sexual abuse. Only two variables, substance abuse and satisfaction with body image, differed markedly between the two groups. These differences appear to represent ambient differences between American and Austrian culture as a whole, rather than specific features of the bulimic syndrome.
我们将33名符合《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）中神经性贪食症标准的大学女生进行了对比。这些女生是在奥地利因斯布鲁克的 Leopold Franzens 大学招募的，与另外33名通过相同方法在马萨诸塞州波士顿的东北大学和波士顿大学招募的神经性贪食症女性进行对比。神经性贪食症在两种文化中表现出惊人的刻板性。奥地利和美国的受试者报告了相似的人口统计学特征、贪食症状、疾病的严重程度和慢性程度、相关的个人和家族精神疾病、成长经历和家庭环境，以及童年性虐待的频率。两组之间只有两个变量存在显著差异，即药物滥用和对身体形象的满意度。这些差异似乎代表了美国和奥地利整体文化之间的环境差异，而非神经性贪食症综合征的特定特征。
