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[饮食失调患者的人格障碍:一项对照研究]

[Personality disorders in patients with eating disorders: a controlled study].

作者信息

Vaz Leal F J, Salcedo Salcedo M S

机构信息

Departamento de Farmacología y Psiquiatría, Facultad de Medicina de la Universidad de Extremadura, Badajoz.

出版信息

Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1993 Sep-Oct;21(5):168-87.

PMID:8135151
Abstract

A group of 24 eating-disordered female subjects (10 anorexia nervosa--AN--and 14 bulimia nervosa--BN--patients) were interviewed, using a semistructured interview for DSM-III-R Axis-II Personality Disorders (SCID-II). A group of 54 subjects without eating disorder acted as a control group. A high rate of personality disorder (PD) diagnoses occurred in eating disordered subjects (AN and BN patients), with a high prevalence of borderline, dependent, and self-defeating PD. Avoidant and obsessive-compulsive PD were more common in AN patients, whereas BN was associated with histrionic PD. Findings have implications for the assessment and diagnosis of eating-disordered patients and for treatment planning.

摘要

对一组24名饮食失调的女性受试者(10名神经性厌食症——AN——患者和14名神经性贪食症——BN——患者)进行了访谈,采用针对《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)轴II人格障碍的半结构化访谈(SCID-II)。一组54名无饮食失调的受试者作为对照组。饮食失调受试者(AN和BN患者)中人格障碍(PD)的诊断率很高,边缘型、依赖型和自我挫败型人格障碍的患病率很高。回避型和强迫型人格障碍在AN患者中更为常见,而BN与表演型人格障碍有关。研究结果对饮食失调患者的评估和诊断以及治疗计划具有启示意义。

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