焦虑症在饮食失调的受试者中更常见吗?

Annales de medecine interne Pub Date : 2003-09-01
Nathalie Godart, Martine Flament, Florence Curt, Fabienne Perdereau, François Lang, Jean-Luc Venisse, Olivier Halfon, Paul Bizouard, Gwenele Loas, Maurice Corcos, Philippe Jeammet, Jacques Fermanian
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引用次数: 0

摘要

目的:我们设计了一项对照研究,将进食障碍(ED)的转诊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,神经性厌食症(an)和神经性贪食症(BN)中焦虑症(AD)的频率是多少?患有ED的女性患AD的频率是否明显高于社区女性?方法:我们使用迷你国际神经精神病学访谈(Mini),法国DSM-IV版,评估了271名目前诊断为AN或BN的女性和271名对照组中6种特定AD的频率。结果:71%的AN和BN受试者一生中至少有一种AD合并症,显著高于(p)结论:ED受试者中AD明显比社区中更频繁的证据具有重要的病因学和治疗意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Are anxiety disorders more frequent in subjects with eating disorders?].

Objective: We designed a controlled study comparing referred women with an eating disorder (ED) to a matched normal control group to answer the following questions: what are the frequencies of anxiety disorders (AD) in anorexia nervosa (AN) and bulimia nervosa (BN), according to DSM-IV criteria? Are AD significantly more frequent among women with an ED than among women from the community?

Method: We assessed frequencies of six specific AD among 271 women with a current diagnosis of AN or BN and 271 controls, using the Mini International Neuropsychiatric Interview (MINI), French DSM-IV version.

Results: Seventy-one percent of both the AN and the BN subjects had a lifetime comorbidity with at least one AD, significantly more (p<0.001) than the percentage of controls with an AD. Prevalence was significantly higher in the ED groups than in controls for most types of AD, and between 41.8% and 53.3% of comorbid cases had an AD preceding the onset of the ED.

Conclusion: Evidence that AD are significantly more frequent in subjects with ED than in the community has important etiological and therapeutic implications.

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