Koepp W, Schildbach S, Schmager C, Rohner R
Department of Psychosomatic Medicine and Psychotherapy, Steglitz Medical Center, Free University of Berlin, Germany.
Int J Eat Disord. 1993 Jul;14(1):107-10. doi: 10.1002/1098-108x(199307)14:1<107::aid-eat2260140114>3.0.co;2-q.
To investigate whether alcohol and drug abuse are symptomatic of eating disorders or related to a concomitant borderline personality disorder, we reviewed all female inpatient medical records filed at the Department of Psychosomatic Medicine between 1978 and 1990. Over 300 records were assessable. The patients were reclassified according to DSM-III-R with regard to eating and borderline personality disorders. Alcohol and drug abuse were also taken into account. Nearly 5% of patients had a borderline personality disorder. Nearly 25% of patients suffered from eating disorders, and 11% of them had a concomitant borderline personality disorder. A detailed examination showed the frequency of abuse of alcohol and tranquilizers to be no higher, but that of laxatives and/or diuretics and/or anorexigenics to be significantly higher in borderline patients with concurrent eating disorder. However, the incidence of alcohol abuse was significant in borderline patients.
为了调查酒精和药物滥用是饮食失调的症状还是与并存的边缘型人格障碍有关，我们查阅了1978年至1990年间存档于身心医学科的所有女性住院病历。超过300份病历可供评估。根据《精神疾病诊断与统计手册》第三版修订版，对患者在饮食和边缘型人格障碍方面进行了重新分类。同时也考虑了酒精和药物滥用情况。近5%的患者患有边缘型人格障碍。近25%的患者患有饮食失调症，其中11%同时患有边缘型人格障碍。详细检查显示，在并发饮食失调的边缘型患者中，酒精和镇静剂的滥用频率并不更高，但泻药和/或利尿剂和/或食欲抑制剂的滥用频率显著更高。然而，边缘型患者中酒精滥用的发生率很高。
