Gowers S G, North C D, Byram V, Weaver A B
Department of Child and Adolescent Psychiatry, University of Manchester, U.K.
J Child Psychol Psychiatry. 1996 May;37(4):469-77. doi: 10.1111/j.1469-7610.1996.tb01428.x.
As part of a prospective outcome study, independent life events occurring in the year before onset in 35 consecutive cases of anorexia nervosa were recorded by a semi-structured interview with the subject and a parent. Negative impact and context were rated blind, using the case vignette method. Subjects with anorexia reported intermediate rates of negative life events between community and psychiatric controls. Chronic adversities were common. Negative life events were associated with depressive disorder in controls, but not in those with anorexia. Significant under-reporting of events may occur in this population.
作为一项前瞻性结局研究的一部分，通过对35例连续的神经性厌食症患者及其一位家长进行半结构化访谈，记录了发病前一年发生的独立生活事件。采用病例 vignette 法对负面影响和背景进行盲法评分。神经性厌食症患者报告的负面生活事件发生率介于社区对照组和精神疾病对照组之间。慢性逆境很常见。负面生活事件与对照组的抑郁症有关，但与神经性厌食症患者无关。该人群可能存在事件报告严重不足的情况。
