Self-induced vomiting and bulimia nervosa: an undetected problem.
Self-induced vomiting and bulimia nervosa: an undetected problem.
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自我诱发的呕吐和神经性贪食症：一个未被发现的问题。
作者：
C. Fairburn;P. Cooper
在一本女性杂志的帮助下，620名目前正在练习自我诱导呕吐以控制体重的女性被确定。19名女性（3.1%）符合神经性厌食症的诊断标准。其余的499人（83.0%）符合神经性贪食症的诊断标准，这是一种最近描述的饮食失调症。其中，56.1%的人每天至少自我诱发呕吐一次;呕吐的平均持续时间为4.5年。大多数女性体重正常。在标准化的措施，68.1%的妇女表现出明显的精神病发病率和89%的深刻不安的态度，食物和饮食。56.4%的人认为他们肯定需要医疗帮助，但只有30.1%的人曾与医生讨论过他们饮食困难的任何方面。这项研究强调了神经性贪食症的秘密，并表明它是精神疾病发病率的一个重要的未被发现的来源。
Six hundred and twenty women who were currently practising self-induced vomiting to control their weight were identified with the help of a women's magazine. Nineteen women (3.1%) fulfilled diagnostic criteria for anorexia nervosa. Of the remainder, 499 (83.0%) fulfilled diagnostic criteria for bulimia nervosa, a recently described eating disorder. Of these, 56.1% practised self-induced vomiting at least once daily; the mean duration of vomiting was 4.5 years. Most women were of normal body weight. On standardised measures, 68.1% of women showed pronounced psychiatric morbidity and 89% had profoundly disturbed attitudes to food and eating. 56.4% thought they definitely needed medical help, though only 30.1% had ever discussed any aspect of their eating difficulties with a doctor. This study highlights the secrecy that surrounds bulimia nervosa and suggests that it is an important undetected source of psychiatric morbidity.