Sinha R, Robinson J, Merikangas K, Wilson G T, Rodin J, O'Malley S
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06511, USA.
Alcohol Clin Exp Res. 1996 Oct;20(7):1184-91. doi: 10.1111/j.1530-0277.1996.tb01109.x.
Two hundred one non-treatment seeking women with alcoholism, anxiety disorders, alcoholism and anxiety disorders, or neither alcoholism nor anxiety disorders were interviewed to assess core psychopathology associated with eating disorders using the Eating Disorders Examination and DSM-IIIR psychiatric diagnoses using the Schedule of Affective Disorders and Schizophrenia-Lifetime version. Alcoholic women had significantly higher mean scores on each of the Eating Disorders Examination subscales of Restraint, Overeating, Eating Concern, Shape Concern, and Weight Concern compared with nonalcoholic women. Women with anxiety disorders had significantly elevated scores on subscales of Overeating, Eating Concern, and Weight Concern compared with women without anxiety disorders. Women with both alcoholism and anxiety disorders had higher rates of bulimia nervosa and/or eating disorder NOS compared with women with either disorder alone. Implications of these findings are discussed in the context of the co-morbid association between alcoholism, eating disorders, and anxiety disorders.
对201名未寻求治疗的女性进行了访谈，她们患有酒精成瘾、焦虑症、酒精成瘾合并焦虑症，或既无酒精成瘾也无焦虑症，使用《饮食失调检查表》评估与饮食失调相关的核心精神病理学，并使用《情感障碍与精神分裂症问卷-终生版》进行DSM-IIIR精神疾病诊断。与非酗酒女性相比，酗酒女性在《饮食失调检查表》的克制、暴饮暴食、饮食关注、体型关注和体重关注等各分量表上的平均得分显著更高。与无焦虑症的女性相比，患有焦虑症的女性在暴饮暴食、饮食关注和体重关注等分量表上的得分显著升高。与仅患有一种疾病的女性相比，同时患有酒精成瘾和焦虑症的女性神经性贪食症和/或未特定的饮食失调症的发生率更高。在酒精成瘾、饮食失调和焦虑症的共病关联背景下讨论了这些发现的意义。
