Thiel A, Broocks A, Ohlmeier M, Jacoby G E, Schüssler G
Department of Psychiatry, Georg-August-University of Göttingen, Germany.
Am J Psychiatry. 1995 Jan;152(1):72-5. doi: 10.1176/ajp.152.1.72.
The present study sought to determine the prevalence of obsessive-compulsive disorder among patients with eating disorders.
Ninety-three women who met DSM-III-R criteria for anorexia nervosa or bulimia nervosa were investigated by using a semistructured diagnostic interview, the Yale-Brown Obsessive Compulsive Scale, and the Eating Disorder Inventory.
Thirty-four patients (37%) met the DSM-III-R criteria for obsessive-compulsive disorder and also had a clinically significant score of 16 or higher on the Yale-Brown scale. These patients also had significantly higher, and hence pathological, mean scores on five of eight Eating Disorder Inventory scales than patients with eating disorders without concomitant obsessive-compulsive disorder.
These results suggest that there is a high prevalence of obsessive-compulsive disorder among patients with anorexia and bulimia nervosa and that this prevalence may be correlated with the severity of the eating disorder.
本研究旨在确定饮食失调患者中强迫症的患病率。
采用半结构化诊断访谈、耶鲁-布朗强迫症量表和饮食失调量表，对93名符合《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）中神经性厌食症或神经性贪食症标准的女性进行调查。
34名患者（37%）符合DSM-III-R中强迫症的标准，且在耶鲁-布朗量表上的临床显著评分为16分或更高。与无并发强迫症的饮食失调患者相比，这些患者在饮食失调量表的八个量表中的五个量表上的平均得分也显著更高，因此属于病态。
这些结果表明，神经性厌食症和神经性贪食症患者中强迫症的患病率很高，且这种患病率可能与饮食失调的严重程度相关。
