Anxiety disorders in subjects seeking treatment for eating disorders: a DSM-IV controlled study
Anxiety disorders in subjects seeking treatment for eating disorders: a DSM-IV controlled study
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DOI：
10.1016/s0165-1781(03)00038-6
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发表时间：
2003-03-25
影响因子：
11.3
通讯作者：
Fermanian, J
中科院分区：
文献类型：
--
作者：
Godart, NT;Flament, MF;Fermanian, J
将患有饮食失调 (ED) 的女性与匹配的正常对照组进行比较，以回答以下问题：根据 DSM-IV 标准诊断的厌食症和神经性贪食症病例中焦虑症的频率是多少？患有饮食失调的女性是否比社区女性更容易患焦虑症？我们使用法国 DSM-IV 版本的小型国际神经精神病学访谈，评估了 271 名当前诊断为厌食症或神经性贪食症的女性和 271 名对照者中六种特定焦虑症的频率。 71% 的厌食症和贪食症受试者终生患有至少一种焦虑症，显着高于患有焦虑症的对照组。对于大多数类型的焦虑症，进食障碍组的患病率显着高于对照组，并且 41.8% 至 53.3% 的共病病例在进食障碍发作之前患有焦虑症。与来自社区的志愿者相比，患有饮食失调的受试者更容易出现焦虑症，这一发现具有重要的病因学和治疗意义。 (C) 2003 Elsevier Science Ireland Ltd. 保留所有权利。
Women who were referred with an eating disorder (ED) were compared with a matched normal control group to answer the following questions: What are the frequencies of anxiety disorders in cases of anorexia and bulimia nervosa diagnosed according to DSM-IV criteria? Are anxiety disorders significantly more frequent among women with an eating disorder than among women from the community? We assessed the frequencies of six specific anxiety disorders among 271 women with a current diagnosis of anorexia or bulimia nervosa and 271 controls, using the Mini-International Neuropsychiatric Interview, French DSM-IV version. A lifetime comorbidity with at least one anxiety disorder was found in 71% of both the anorexic and the bulimic subjects, significantly higher than the percentage of controls with an anxiety disorder. The prevalence was significantly higher in the eating disorder groups than in controls for most types of anxiety disorder, and between 41.8 and 53.3% of comorbid cases had an anxiety disorder preceding the onset of the eating disorder. Anxiety disorders are significantly more frequent in subjects with eating disorders than in volunteers from the community, a finding that has important etiological and therapeutic implications. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.