Tsivil'ko M A, Korkina M V, Briukhin A E, Bushenina S D, Lineva T Iu
Zh Nevrol Psikhiatr Im S S Korsakova. 1997;97(3):16-9.
The data on 1500 patients with syndrome of anorexia and bulimia nervosa were summarised in terms of clinical-psychopathological, catamnestic and experimental-psychological investigation. This syndrome was considered as one disease which presented the variation of borderline mental pathology or the manifestation of schizophrenic process. Obsessive-phobic disorders were observed in majority of patients (95%). Such disorders were characterized by prevalence of obsessive phenomena with food content. It was noted that diagnosis and prognostic significance had either obsessive-phobic disturbances or obsessions with other content which occurred on the initial stage of disease, before development of syndrome of anorexia and bulimia and in period of pronounced cachexia. The therapeutic resistance of obsessive disturbances in patients with anorexia and bulimia were emphasized as well as the necessity of prolonged ambulatory treatment of such patients.
对1500例神经性厌食症和神经性贪食症患者的数据，从临床心理病理学、病史及实验心理学调查方面进行了总结。该综合征被视为一种疾病，呈现出边缘性精神病理学的变异或精神分裂症过程的表现。大多数患者（95%）存在强迫恐惧症。此类障碍的特征是与食物相关的强迫现象占主导。值得注意的是，在疾病初期、厌食症和贪食症综合征出现之前以及明显恶病质期间出现的强迫恐惧症或其他内容的强迫观念具有诊断和预后意义。强调了厌食症和贪食症患者强迫障碍的治疗抵抗性，以及对此类患者进行长期门诊治疗的必要性。
