Ogg E C, Millar H R, Pusztai E E, Thom A S
Department of Psychiatry, Larkfield Resource Centre, Lenzie, Glasgow.
Int J Eat Disord. 1997 Jul;22(1):89-93. doi: 10.1002/(sici)1098-108x(199707)22:1<89::aid-eat12>3.0.co;2-d.
To see whether patients with eating disorders consult general practitioners more frequently than control subjects and, if so, to describe the pattern of consultation.
General practitioner case record review of patients with anorexia nervosa, bulimia nervosa, and partial syndromes referred to a specialist eating disorder service.
Seventy-eight of 100 case records were available for analysis. Eating disorder patients consulted significantly more frequently than controls over 5 years prior to the diagnosis of the eating disorder. They presented to the general practitioners with a variety of symptoms including psychological, gastrointestinal, and gynecological complaints.
The findings suggest that methods could be developed to enable earlier diagnosis of eating disorders in general practice. This will enable the earlier application of effective treatments with the prospect of improved outcome.
观察饮食失调患者是否比对照受试者更频繁地咨询全科医生，若如此，则描述咨询模式。
对转介至专业饮食失调服务机构的神经性厌食症、神经性贪食症及部分综合征患者的全科医生病例记录进行回顾。
100份病例记录中有78份可供分析。饮食失调患者在饮食失调诊断前的5年中咨询全科医生的频率明显高于对照组。他们向全科医生呈现出多种症状，包括心理、胃肠道和妇科方面的主诉。
研究结果表明，可以开发相关方法以便在全科医疗中更早地诊断饮食失调。这将使有效治疗能够更早应用，有望改善治疗效果。
