Skodol A E, Oldham J M, Hyler S E, Kellman H D, Doidge N, Davies M
Columbia University College of Physicians and Surgeons, New York, NY.
Int J Eat Disord. 1993 Dec;14(4):403-16. doi: 10.1002/1098-108x(199312)14:4<403::aid-eat2260140403>3.0.co;2-x.
The purpose of this study was to assess the relationship of eating disorders to personality disorders. Two hundred subjects were independently administered the Structured Clinical Interview for DSM-III-R (SCID) and the Personality Disorder Examination (PDE) face-to-face by two experienced clinicians. One hundred forty-six also completed the Personality Diagnostic Questionnaire-Revised (PDQ-R). Rates of personality disorder among patients with and without eating disorders were determined by each of the three instruments. Comorbidity between bulimia nervosa and anorexia nervosa and a conservative estimate of individual Axis II disorders was examined. Eating disorders with and without personality disorders were compared on age at onset and two measures of illness severity. Results indicate that the association, in general, between personality disorders and eating disorders varies by diagnostic method. Bulimia nervosa, however, is associated with borderline personality disorder and anorexia nervosa with avoidant personality disorder. Eating disorders with personality disorders are characterized by chronicity and low levels of functioning compared with eating disorders without personality disorders.
本研究的目的是评估饮食失调与人格障碍之间的关系。由两名经验丰富的临床医生分别对200名受试者进行《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）结构化临床访谈（SCID）和人格障碍检查（PDE）。其中146名受试者还完成了修订版人格诊断问卷（PDQ-R）。分别通过这三种工具确定有饮食失调和无饮食失调患者的人格障碍发生率。对神经性贪食症和神经性厌食症之间的共病情况以及对个体轴II障碍的保守估计进行了检查。对有和无人格障碍的饮食失调患者在发病年龄和两种疾病严重程度指标上进行了比较。结果表明，一般而言，人格障碍与饮食失调之间的关联因诊断方法而异。然而，神经性贪食症与边缘型人格障碍相关，神经性厌食症与回避型人格障碍相关。与无人格障碍的饮食失调相比，有人格障碍的饮食失调具有慢性病程和低功能水平的特点。
