Suzuki K, Higuchi S, Yamada K, Mizutani Y, Kono H
National Institute on Alcoholism, Kurihama National Hospital, Kanagawa, Japan.
Am J Psychiatry. 1993 Jul;150(7):1053-8. doi: 10.1176/ajp.150.7.1053.
The authors sought to delineate the characteristics of female alcoholics with eating disorders.
The study subjects were 29 female Japanese outpatients and inpatients, 30 years of age or younger, with DSM-III-R diagnoses of either alcohol dependence or alcohol abuse and eating disorders. Twenty-one female alcoholics within the same age range who did not have eating disorders served as the comparison group. The social and familial backgrounds, clinical course, and clinical symptoms of the two groups were compared with the use of a structured interview form developed for the study.
Ninety-three percent of the subjects with eating disorders had bulimia nervosa; 52% had anorexia nervosa. In all cases, both disorders continued after the onset of problem drinking. The age distributions of the two groups of alcoholic subjects clearly differed: no one in the comparison group was under the age of 24, and the number of comparison subjects increased with age after age 24, whereas the subjects with eating disorders ranged in age from 19 to 30 years, with the greatest number at age 26. More of the alcoholic subjects with eating disorders had never been married, they had had an earlier onset of alcoholism, and they had lower body weights than those without eating disorders. Also, more of them had depression and borderline personality disorder.
The findings suggest that young female alcoholics with eating disorders constitute a clinical subgroup of alcoholics with distinct sociodemographic characteristics and a clinical course and symptoms that differ from those of both younger and older female alcoholics without eating disorders.
作者试图描述患有饮食失调症的女性酗酒者的特征。
研究对象为29名年龄在30岁及以下的日本女性门诊患者和住院患者，她们被诊断为酒精依赖或酒精滥用以及饮食失调症，符合《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）的诊断标准。21名年龄在同一年龄段但没有饮食失调症的女性酗酒者作为对照组。使用为该研究开发的结构化访谈表格对两组的社会和家庭背景、临床病程及临床症状进行比较。
患有饮食失调症的研究对象中，93%患有神经性贪食症，52%患有神经性厌食症。在所有病例中，两种疾病在饮酒问题出现后仍持续存在。两组酗酒者的年龄分布明显不同：对照组中没有人年龄在24岁以下，24岁以后对照组的人数随年龄增加，而患有饮食失调症的研究对象年龄在19岁至30岁之间，26岁时人数最多。患有饮食失调症的酗酒者中未婚的更多，她们酗酒的发病年龄更早，体重比没有饮食失调症的人更低。此外，她们中患有抑郁症和边缘型人格障碍的更多。
研究结果表明，患有饮食失调症的年轻女性酗酒者构成了酗酒者中的一个临床亚组，其具有独特的社会人口学特征，临床病程和症状与没有饮食失调症的年轻及年长女性酗酒者均不同。
