Sunday S R, Levey C M, Halmi K A
Department of Psychiatry, Cornell University Medical College, Westchester Division, White Plains, NY.
Compr Psychiatry. 1993 Jan-Feb;34(1):70-4. doi: 10.1016/0010-440x(93)90039-7.
The incidence of current or lifetime affective disorder and borderline personality characteristics were measured in bulimia nervosa patients. The relationship of these variables to the severity of eating disorder symptomatology (Eating Disorder Inventory [EDI]) and general psychiatric symptoms (Hopkins Symptom Checklist [SCL]) was examined. Categorical diagnostic assessments of affective disorder and borderline personality disorder (BPD) were made by Structured Clinical Interviews for DSM-III-R (SCID-I and -II). Affective disorder diagnosis (both current and lifetime) strongly influenced EDI and SCL profiles, while borderline personality characteristics had little influence. An understanding of the broad psychological symptomatology in bulimics requires the consideration of comorbid psychiatric illnesses, especially affective disorders.
对神经性贪食症患者进行了当前或终生情感障碍以及边缘型人格特征的发生率测量。研究了这些变量与饮食失调症状严重程度（饮食失调量表[EDI]）和一般精神症状（霍普金斯症状清单[SCL]）之间的关系。情感障碍和边缘型人格障碍（BPD）的分类诊断评估通过DSM-III-R的结构化临床访谈（SCID-I和-II）进行。情感障碍诊断（当前和终生）对EDI和SCL概况有强烈影响，而边缘型人格特征影响较小。要了解贪食症患者广泛的心理症状，需要考虑共病的精神疾病，尤其是情感障碍。
