Horesh N, Apter A, Lepkifker E, Ratzoni G, Weizmann R, Tyano S
Department of Psychology, Bar Ilan University, Ramat Gan, Israel.
Acta Psychiatr Scand. 1995 Jan;91(1):5-9. doi: 10.1111/j.1600-0447.1995.tb09734.x.
The purpose of the study was to study the influence of life events on adolescent patients suffering from anorexia nervosa. Twenty one hospitalized adolescent inpatients with severe anorexia nervosa were compared with 79 adolescent nonanorectic psychiatric inpatients and 40 healthy adolescents for stressful life events throughout their lives. The nonanorectic patients suffered from schizophrenia, affective disorders, anxiety disorders, borderline personality disorder or conduct disorder. The assessment of the contribution of life events to the development of anorexia and the control mental disorders was based on semistructured interviewing of the patients, their parents and the patients' therapists. The instrument used was that developed by Pfeffer. The anorectic patients showed significantly higher negative life event scores than healthy controls in all the areas of life events examined. In addition, they showed significantly more negative life events concerning parents than patients in the other psychiatric diagnostic categories. These findings have relevance for the growing literature on the association between eating disorders and certain forms of child abuse.
该研究的目的是探讨生活事件对神经性厌食症青少年患者的影响。将21名患有严重神经性厌食症的住院青少年患者与79名非神经性厌食症的青少年精神科住院患者以及40名健康青少年在其一生中经历的应激性生活事件进行了比较。非神经性厌食症患者患有精神分裂症、情感障碍、焦虑症、边缘性人格障碍或品行障碍。基于对患者、其父母和患者治疗师的半结构化访谈，评估生活事件对厌食症及对照精神障碍发展的影响。所使用的工具是由 Pfeffer 开发的。在所有检查的生活事件领域中，神经性厌食症患者的负面生活事件得分显著高于健康对照组。此外，与其他精神科诊断类别的患者相比，他们在涉及父母的负面生活事件方面表现得更为显著。这些发现与关于饮食失调和某些形式的儿童虐待之间关联的不断增加的文献相关。
