Herpertz S, von Blume B, Senf W
Klinik für Psychotherapie und Psychosomatik der Rheinischen, Landes- und Hochschulklinik Essen.
Z Psychosom Med Psychoanal. 1995;41(4):329-43.
Numerous empirical studies indicate a higher frequency of eating disorders such as anorexia or bulimia nervosa in young female diabetic patients compared to the normal population. The comorbidity of the two syndromes usually leads to a continuous metabolic disorder bearing high risks of acute metabolic failure or early microangiopathic lesions. In addition to "restraint eating" as an essential element of diabetic therapy a premorbid neurotic malformation and/or poor coping strategies are further predisposing aspects for the development of an eating disorder. The inpatient treatment of a 22 year old patient suffering from both diabetes mellitus and bulimia nervosa demonstrates the association of neurotic malformation, poor coping style and the directive function of diabetic therapy.
大量实证研究表明，与正常人群相比，年轻女性糖尿病患者出现饮食失调（如神经性厌食症或神经性贪食症）的频率更高。这两种综合征的合并通常会导致持续的代谢紊乱，存在急性代谢衰竭或早期微血管病变的高风险。除了“节制饮食”作为糖尿病治疗的基本要素外，病前的神经畸形和/或不良应对策略是饮食失调发展的进一步易感因素。一名患有糖尿病和神经性贪食症的22岁患者的住院治疗证明了神经畸形、不良应对方式与糖尿病治疗的指导作用之间的关联。
