PSYCHIATRIC COMORBIDITY IN PATIENTS WITH EATING DISORDERS
PSYCHIATRIC COMORBIDITY IN PATIENTS WITH EATING DISORDERS
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DOI：
10.1017/s0033291700028956
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发表时间：
1994-11-01
影响因子：
6.9
通讯作者：
HALMI, KA
中科院分区：
文献类型：
--
作者：
BRAUN, DL;SUNDAY, SR;HALMI, KA
DSM-III-R（SCID 和 SCID II）的结构化临床访谈对 105 名饮食失调住院患者进行，以检查共病精神疾病的发生率以及这些疾病发生的时间顺序。 86 名患者（占样本的 81.9%）除了饮食失调外，还患有 Axis I 诊断。抑郁、焦虑和物质依赖是最常见的合并症诊断。厌食限制者比暴食症（所有亚型）更容易在其他 Axis I 共病之前出现饮食失调。人格障碍在受试者中很常见； 69% 的人符合至少一种人格障碍的诊断标准。在 72 名人格障碍患者中，93% 还患有 Axis I 合并症。患有至少一种人格障碍的患者比没有人格障碍的患者更有可能患有情感障碍或物质依赖。
The Structured Clinical Interview for DSM-III-R (SCID and SCID II) was administered to 105 eating disorder in-patients in order to examine rates of comorbid psychiatric disorders and the chronological sequence in which these disorders developed. Eighty-six patients, 81.9% of the sample, had Axis I diagnoses in addition to their eating disorder. Depression, anxiety and substance dependence were the most common comorbid diagnoses. Anorexic restrictors were significantly more likely than bulimics (all subtypes) to develop their eating disorder before other Axis I comorbid conditions.Personality disorders were common among the subjects; 69% met criteria for at least one personality disorder diagnosis. Of the 72 patients with personality disorders, 93% also had Axis I comorbidity. Patients with at least one personality disorder were significantly more likely to have an affective disorder or substance dependence than those with no personality disorder.