Friedman S, Vila G, Timsit J, Boitard C, Mouren-Siméoni M C
Maladies Mentales et de l'Encéphale Clinic, Sainte-Anne Hospital, Paris, France.
Acta Psychiatr Scand. 1998 Mar;97(3):206-12. doi: 10.1111/j.1600-0447.1998.tb09989.x.
This study was designed to assess (by means of a diagnostic interview based on DSM-III-R criteria) the prevalence of eating disorders in 69 insulin-dependent diabetic (IDDM) out-patients, and the relationship with somatic risks. We found no cases of anorexia nervosa or bulimia nervosa, current or lifetime, in male patients with IDDM. No female patients with IDDM had anorexia, and 4.8% had current and lifetime bulimia. Eating disorders not otherwise specified (bulimic type) were significantly more frequent in women than in men (lifetime incidence 43% vs. 21%; current incidence 33% vs. 5%), and generally occurred after the onset of IDDM. Self-reports of bulimic behaviours according to the Bulimic Investigatory Test of Edinburgh (BITE) were associated with high levels of glycosylated haemoglobin. There was no association between eating disorders (current or lifetime), with somatic complications being more likely to be explained by a long duration of illness and impaired glycaemic control.
本研究旨在（通过基于《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准的诊断访谈）评估69名胰岛素依赖型糖尿病（IDDM）门诊患者中饮食失调的患病率，以及与躯体风险的关系。我们发现，IDDM男性患者中，目前或既往均无神经性厌食症或神经性贪食症病例。IDDM女性患者中无神经性厌食症患者，4.8%有目前及既往神经性贪食症。未另行分类的饮食失调（贪食型）在女性中显著多于男性（既往发病率43%对21%；目前发病率33%对5%），且一般在IDDM发病后出现。根据爱丁堡贪食症调查测试（BITE）进行的贪食行为自我报告与糖化血红蛋白水平升高相关。饮食失调（目前或既往）与躯体并发症之间无关联，躯体并发症更可能由病程长和血糖控制受损来解释。
