Krylov V I
Zh Nevrol Psikhiatr Im S S Korsakova. 1995;95(5):80-2.
The clinical peculiarities as well as clinical pathogenetic regularities of the eating behaviour disorders development in 144 patients with neuroses were analysed. In accordance with clinical observations two main types of primary and secondary eating behaviour disorders (anorexia) were picked out. It was determined that eating behaviour pathology in patients with primary anorexia was associated with deep suppression of eating impulse meanwhile in individuals with secondary alterations-with phobia or hypochondriacal disturbances. While the development of general neurotic symptoms was determined by pathogenetic psychotraumatic situations the formation of psychogenic disorders of eating behaviour was promoted by some additional factors exactly premorbid peculiarities of eating behaviour, digestive system's functional insufficiency.
分析了144例神经症患者饮食行为障碍发展的临床特点及临床发病规律。根据临床观察,区分出原发性和继发性饮食行为障碍(厌食症)的两种主要类型。确定原发性厌食症患者的饮食行为病理与进食冲动的深度抑制有关,而继发性改变患者的饮食行为病理则与恐惧症或疑病症有关。虽然一般神经症症状的发展由致病性精神创伤情况决定,但饮食行为的心因性障碍的形成是由一些额外因素促进的,确切地说是饮食行为的病前特点、消化系统功能不全。