Joos A, Steinert T
Zentrum für Psychiatrie, Die Weissenau, Psychiatrie I der Universitt Ulm.
Nervenarzt. 1997 May;68(5):417-20. doi: 10.1007/s001150050144.
We are reporting about a 35 year old female forensic patient who has a double diagnosis of anorexia nervosa, bingeeating/purging type, and schizophrenia, paranoid type. She repeatedly attacked her therapists and physicians violently. Her aggressive state is a result of her psychotic interpretation of her constant preoccupation with her body image. We discuss problems concerning antipsychotic medication in her case specifically. Furthermore epidemiological aspects of the comorbidity of eating disorders and schizophrenia are considered; the incidence of schizophrenia in eating disorders seems to be 1-3%, affective and transient psychosis being more common; the comorbidity of schizophrenia and bulimia nervosa is very rare.
我们报告了一名35岁的女性法医鉴定患者，她被双重诊断为神经性厌食症（暴食/清除型）和偏执型精神分裂症。她多次暴力袭击她的治疗师和医生。她的攻击状态是由于她对自己身体形象的持续关注产生的精神病性解读。我们特别讨论了她病例中抗精神病药物治疗的问题。此外，还考虑了饮食失调和精神分裂症共病的流行病学方面；饮食失调中精神分裂症的发病率似乎为1%-3%，情感性和短暂性精神病更为常见；精神分裂症和神经性贪食症的共病非常罕见。
