Råstam M, Gillberg I C, Gillberg C
University of Göteborg, Child Neuropsychiatry Clinic, Sweden.
Compr Psychiatry. 1995 Jan-Feb;36(1):70-6. doi: 10.1016/0010-440x(95)90101-z.
A sample of anorexia nervosa (AN) cases recruited after community screening were contrasted with an age-, sex-, and school-matched comparison (COMP) group with regard to comorbidity at age 21 years, approximately 6 years after the reported onset of the eating disorder. Both groups had originally been examined at age 16 years. Most of the AN cases no longer met criteria for AN, but many continued to meet criteria for bulimia nervosa (BN) or eating disorder NOS. In addition, there was a high rate of obsessive-compulsive disorders (OCDs). Affective disorders had been common throughout the follow-up period, but tended to follow the course of the eating disorder rather than to precede or postdate it. Underlying personality disorders tended to predict poor outcome.
通过社区筛查招募的神经性厌食症（AN）病例样本，与年龄、性别和学校匹配的对照组（COMP）在21岁时的共病情况进行了对比，此时距所报告的饮食失调发病约6年。两组最初都是在16岁时接受检查的。大多数AN病例不再符合AN的标准，但许多人仍符合神经性贪食症（BN）或未特定的饮食失调（NOS）的标准。此外，强迫症（OCD）的发生率很高。情感障碍在整个随访期间都很常见，但往往跟随饮食失调的病程，而不是先于或后于它出现。潜在的人格障碍往往预示着不良结局。
