Self-mutilation and eating disorders.
Self-mutilation and eating disorders.
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自残和饮食失调。
DOI：
10.1111/j.1943-278x.1989.tb00566.x
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发表时间：
1989
影响因子：
3.2
通讯作者：
Karen Conterio
中科院分区：
文献类型：
--
作者：
A. Favazza;Lori DeRosear;Karen Conterio
饮食失调患者自残（例如割伤和烧伤皮肤）的风险很高，反之亦然。这种联系的证据来自文献综述、患者访谈、对我们开发的工具（自残行为调查）的回应以及三个指导性案例报告。即使这些患者的自残被视为边缘性人格障碍症状，DSM-IV 也应将其列为神经性厌食症/神经性贪食症的相关特征或并发症。我们假设自残、厌食、贪食症和其他症状（例如间歇性酗酒和吞咽异物）的组合可能是一种被称为“故意自残综合症”的冲动控制障碍的表现，而不是双重诊断。
Patients with eating disorders are at high risk for self-mutilation (e.g., skin cutting and burning), and vice versa. Evidence for this linkage comes from a literature review, from patient interviews, from responses to an instrument we have developed (the Self-Harm Behavior Survey), and from three instructive case reports. Even if the self-mutilation in these patients is regarded as a Borderline Personality Disorder symptom, DSM-IV should list it as an associated feature or a complication of Anorexia Nervosa/Bulimia Nervosa. In lieu of a dual diagnosis, we postulate that the combination of self-mutilation, anorexia, bulimia, and other symptoms (such as episodic alcohol abuse and swallowing foreign objects) may be manifestations of an impulse control disorder known as the "deliberate self-harm syndrome."