Hugo P J, Lacey J H
St. George's Hospital Medical School, Department of General Psychiatry, London, United Kingdom.
Int J Eat Disord. 1998 Nov;24(3):329-33. doi: 10.1002/(sici)1098-108x(199811)24:3<329::aid-eat12>3.0.co;2-r.
The authors present four cases suffering with either bulimia nervosa or anorexia nervosa in conjunction with a psychotic illness. In all cases there appeared to be a reciprocal relationship between the eating disorder and psychosis such that improvement in eating precipitated or exacerbated the psychotic symptoms. We suggest that disordered eating serves as a defense against psychosis. Difficulties in treating such patients are discussed.
作者介绍了4例患有神经性贪食症或神经性厌食症并伴有精神病性障碍的病例。在所有病例中，饮食失调与精神病之间似乎存在一种相互关系，即饮食状况的改善会引发或加重精神病性症状。我们认为，紊乱的饮食起到了抵御精神病的作用。文中还讨论了治疗这类患者的困难。
