Matsunaga H, Kiriike N, Nagata T, Yamagami S
Department of Neuropsychiatry, Osaka City University, Japan.
Int J Eat Disord. 1998 May;23(4):399-408. doi: 10.1002/(sici)1098-108x(199805)23:4<399::aid-eat7>3.0.co;2-d.
We assessed the prevalence of personality disorders (PD) using the Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II) in 36 patients with restricting anorexia nervosa, 30 patients with anorexia nervosa and bulimia nervosa, and 42 patients with bulimia nervosa. Of the 108 patients, 51% met the criteria for at least one PD. The patients with PD had more severe clinical features in terms of bulimic behaviors, concurrent depressive, anxious, and obsessive-compulsive symptoms, and psychopathology related to eating disorders compared to the patients without any PD. The patients with PD, especially borderline PD, also had more severe global functioning and greater numbers of suicidal attempts and hospital admissions. We compare these results with those reported in the Western world and discuss them cross-culturally.
我们使用《精神疾病诊断与统计手册第三版修订本》人格障碍结构化临床访谈量表（SCID-II），对36例神经性厌食限制型患者、30例神经性厌食合并神经性贪食患者以及42例神经性贪食患者的人格障碍（PD）患病率进行了评估。在这108例患者中，51%符合至少一种人格障碍的标准。与无任何人格障碍的患者相比，有人格障碍的患者在贪食行为、并发的抑郁、焦虑和强迫症状以及与饮食失调相关的精神病理学方面具有更严重的临床特征。有人格障碍的患者，尤其是边缘型人格障碍患者，其整体功能也更差，自杀未遂和住院次数更多。我们将这些结果与西方世界报告的结果进行比较，并从跨文化角度进行讨论。
