Polycystic ovarian morphology and bulimia nervosa: a 9-year follow-up study
Polycystic ovarian morphology and bulimia nervosa: a 9-year follow-up study
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DOI：
10.1016/s0015-0282(02)03063-7
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发表时间：
2002-05-01
影响因子：
6.7
通讯作者：
Lacey, JH
中科院分区：
文献类型：
--
作者：
Morgan, JF;McCluskey, SE;Lacey, JH
目的：目的：研究多囊卵巢和神经性贪食症妇女在治疗后的多囊卵巢形态的长期变化。设计：纵向随访研究。地点：一所大学医院的进食障碍科。患者：8名最初接受神经性贪食症治疗的女性（T-0）在治疗后2年（T-1）接受超声检查，9年后接受第二次超声扫描（T-2）。干预：结合认知行为疗法和洞察力导向的心理疗法治疗神经性贪食症。主要结果测量：通过超声检查评估卵巢形态，使用亚当斯的标准定义多囊卵巢精神疾病诊断和统计手册，第四版进食障碍诊断。结果：在T-1，7名妇女最近有贪食症，1名妇女静止。患有静止期疾病的女性卵巢正常。在7名暴食症妇女中，6名患有多囊卵巢，1名患有多卵泡形态。在T-2时，5名女性患有暴食症，她们都患有多囊卵巢。三名妇女有正常的饮食模式和正常的卵巢morphology. Conclusions（S）：这项研究清楚地表明了强烈的关联之间的决议贪食症和卵巢形态学的变化，这表明在前者的变化反映在后者的变化。它也证明了以前多囊卵巢的卵巢形态正常化。（Fertil Steril（（R））2002 77：928-31.（C）2002年由美国生殖医学学会（American Society for Reproductive Medicine）。
Objective: To examine long-term changes in polycystic ovarian morphology in women with polycystic ovaries and bulimia nervosa after treatment of the latter condition.Design: Longitudinal follow-up study.Setting: Eating disorder unit of a university hospital.Patient(s): Eight women originally treated for bulimia nervosa (T-0) who underwent ultrasonography up to 2 years after treatment (T-1) and had a second ultrasonographic scan 9 years later (T-2).Intervention (s): Treatment of bulimia nervosa that combined cognitive behavioral therapy with insight-orientated psychotherapy.Main Outcome Measure(s): Ovarian morphology evaluated by ultrasonography, using the criteria of Adams to define polycystic ovaries Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of eating disorders.Result(s): At T-1, 7 women had recent bulimia and 1 was quiescent. The woman with quiescent disease had normal ovaries. Of the 7 bulimic women, 6 had polycystic ovaries and 1 had multifollicular morphology. At T-2, 5 women were bulimic, all of whom had polycystic ovaries. Three women had normal eating patterns and normal ovarian morphology.Conclusion(s): This study clearly shows a strong association between resolution of bulimia and changes in ovarian morphology, suggesting that changes in the former mirror changes in the latter. It also demonstrates normalization of ovarian morphology in previously polycystic ovaries. (Fertil Steril((R)) 2002 77:928-31. (C)2002 by American Society for Reproductive Medicine).