de la Serna de Pedro I
Servicio de Psiquiatría, Hospital Ramón y Cajal, Madrid.
Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1996 Mar-Apr;24(2):67-73.
A clinical epidemiological study is carried out on 14 men diagnosed of Anorexia Nervosa According to DSM-III-R and CIE-10. They all were hospitalised and the follow-up after being discharged 1 1/2-2 years. The demographical and social characteristics were analysed; weight loss, main symptoms and stressful factors related with the start of illness. The psychiatric pathologies first degree relatives and personal antecedents. The age of onset was similar to women as well as symptomatology, except more frequent alcohol abuse in males (28.4%), more hyperactivity (71.4% of men), less frequent kleptomania. The personality profile was obsessive-compulsive in half patients, and precipitant stressful factors was found in 71.42% of cases. Affective disorders and alcoholism between first degree relatives were similar to general population. We think that Anorexia Nervosa in males is very similar to females.
对14名根据《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）和国际疾病分类第10版（CIE-10）诊断为神经性厌食症的男性进行了一项临床流行病学研究。他们均已住院，并在出院后进行了1年半至2年的随访。分析了人口统计学和社会特征；体重减轻、主要症状以及与疾病发作相关的压力因素。还分析了精神疾病一级亲属和个人既往史。发病年龄与女性相似，症状也相似，但男性中酒精滥用更为常见（28.4%），多动更为常见（71.4%的男性），盗窃癖则较少见。半数患者的人格特征为强迫型，71.42%的病例中发现有促发性压力因素。一级亲属中的情感障碍和酗酒情况与普通人群相似。我们认为男性神经性厌食症与女性非常相似。
