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因饮食失调住院的女性创伤后症状的范围及意义

Scope and significance of posttraumatic symptomatology among women hospitalized for an eating disorder.

作者信息

Gleaves D H, Eberenz K P, May M C

机构信息

Department of Psychology, Texas A&M University, College Station 77843-4235, USA.

出版信息

Int J Eat Disord. 1998 Sep;24(2):147-56. doi: 10.1002/(sici)1098-108x(199809)24:2<147::aid-eat4>3.0.co;2-e.

DOI:10.1002/(sici)1098-108x(199809)24:2<147::aid-eat4>3.0.co;2-e
PMID:9697013
Abstract

OBJECTIVE

To examine posttraumatic symptomatology among women with eating disorders.

METHOD

A sample of 294 women diagnosed as having anorexia nervosa (n = 121), bulimia nervosa (n = 103), or eating disorder-not otherwise specified (n = 70) completed a version of the posttraumatic stress disorder (PTSD) Symptom Scale along with instruments measuring specific eating disorder symptomatology and comorbid psychopathology.

RESULTS

Of the total sample, 154 (52%) reported current symptomatology consistent with PTSD. However, severity of PTSD symptomatology was unrelated to either type or eating disorder or severity of either anorexic or bulimic symptomatology. Severity of PTSD symptoms was significantly associated with depression, anxiety, and dissociative experiences.

DISCUSSION

The findings suggest that PTSD symptomatology is common and an important clinical variable among women with eating disorders, although apparently it is not directly related to the eating disorder per se.

摘要

目的

研究饮食失调女性的创伤后症状表现。

方法

选取294名被诊断为神经性厌食症(n = 121)、神经性贪食症(n = 103)或未另行规定的饮食失调症(n = 70)的女性样本,她们完成了一份创伤后应激障碍(PTSD)症状量表,以及测量特定饮食失调症状和共病精神病理学的工具。

结果

在整个样本中,154名(52%)报告目前的症状表现与创伤后应激障碍相符。然而,创伤后应激障碍症状的严重程度与饮食失调的类型或厌食或贪食症状的严重程度均无关。创伤后应激障碍症状的严重程度与抑郁、焦虑和分离体验显著相关。

讨论

研究结果表明,创伤后应激障碍症状在饮食失调女性中很常见且是一个重要的临床变量,尽管显然它与饮食失调本身没有直接关系。

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