Suzuki K, Higuchi S, Yamada K, Komiya H, Takagi S
Section on Behavioral Science, National Institute on Alcoholism, Kurihama National Hospital, Kanagawa, Japan.
Int J Eat Disord. 1994 Sep;16(2):137-46. doi: 10.1002/1098-108x(199409)16:2<137::aid-eat2260160205>3.0.co;2-v.
To characterize females with bulimia nervosa and alcoholism, this study compared the social and family backgrounds, as well as the clinical symptoms of alcoholics with bulimia and patients with bulimia only. The subjects were 22 Japanese female patients with both bulimia nervosa and alcoholism; the comparison group comprised 22 age-matched female patients with bulimia nervosa but without alcoholism. Patients with both bulimia and alcoholism had more borderline personality disorders and pathological symptoms such as stealing, suicide attempts, and liver injuries than the nonalcoholic comparison group. The subjects' average body weight was significantly less than that of the comparison group. Whereas the clinical characteristics of females with bulimia and alcoholism differ in many respects from those with bulimia only, it is suggested that alcoholic bulimia patients form a distinct clinical subgroup among patients with bulimia nervosa.
为了描述神经性贪食症合并酒精中毒的女性的特征，本研究比较了酒精中毒合并神经性贪食症患者与仅患有神经性贪食症患者的社会和家庭背景以及临床症状。研究对象为22名患有神经性贪食症合并酒精中毒的日本女性患者；对照组包括22名年龄匹配的患有神经性贪食症但无酒精中毒的女性患者。与非酒精中毒对照组相比，同时患有神经性贪食症和酒精中毒的患者有更多的边缘性人格障碍以及诸如偷窃、自杀未遂和肝损伤等病理症状。研究对象的平均体重明显低于对照组。尽管神经性贪食症合并酒精中毒的女性的临床特征在许多方面与仅患有神经性贪食症的女性不同，但提示酒精性神经性贪食症患者在神经性贪食症患者中形成一个独特的临床亚组。
