Impulse control disorders in women with eating disorders
Impulse control disorders in women with eating disorders
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DOI：
10.1016/j.psychres.2007.02.011
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发表时间：
2008-01-15
影响因子：
11.3
通讯作者：
Bulik, Cynthia M.
中科院分区：
文献类型：
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作者：
Fernandez-Aranda, Fernando;Poyastro Pinheiro, Andrea;Bulik, Cynthia M.
我们比较了伴有和不伴有冲动控制障碍（ICD）的饮食失调患者的症状模式、疾病严重程度和合并症，并记录了疾病发作的时间模式。709名有饮食失调史的女性中有16.6%存在终生ICD。最常见的症状是强迫性购买障碍和盗窃癖。ICD更多发生在暴食亚型的个体中，并且与泻药、利尿剂、食欲抑制剂和禁食的使用显著增加有关，并且与更大的身体形象障碍、更高的伤害回避、神经质、认知冲动和更低的自我指导有关。此外，患有ICD的个体更有可能患有强迫症、任何焦虑症、特定恐惧症、抑郁症、B类人格障碍、回避型人格障碍，并使用精神活性物质。在患有ICD的患者中，62%的人报告ICD早于饮食失调，45%的人报告在相同的3年内出现了这两种疾病。终生ICD的存在似乎仅限于以暴饮暴食为特征的饮食失调，并与更严重的饮食相关精神病理、更多的病理性人格特征以及更频繁的共病I轴和11轴条件相关。未治疗的ICD可能使饮食失调的恢复复杂化。2007爱思唯尔爱尔兰有限公司版权所有。
We compared symptom patterns, severity of illness, and comorbidity in individuals with eating disorders with and without impulse control disorders (ICD), and documented the temporal pattern of illness onset. Lifetime ICD were present in 16.6% of 709 women with a history of eating disorders. The most common syndromes were compulsive buying disorder and kleptomania. ICD occurred more in individuals with binge eating subtypes, and were associated with significantly greater use of laxatives, diuretics, appetite suppressants and fasting, and with greater body image disturbance, higher harm avoidance, neuroticism, cognitive impulsivity, and lower self-directedness. In addition, individuals with ICD were more likely to have obsessive-compulsive disorder, any anxiety disorder, specific phobia, depression, cluster B personality disorder, avoidant personality disorder, and to use psychoactive substances. Among those with ICD, 62% reported the ICD predated the eating disorder and 45% reported the onset of both disorders within the same 3-year window. The presence of a lifetime ICD appears to be limited to eating disorders marked by binge eating and to be associated with worse eating-related psychopathology, more pathological personality traits, and more frequent comorbid Axis I and 11 conditions. Untreated ICD may complicate recovery from eating disorders. (c) 2007 Elsevier Ireland Ltd. All rights reserved.