女性进食障碍与DSM-Ⅳ轴Ⅰ疾病共病研究调查

摘要

Objective To investigate the psychiatric comorbidities between eating disorder and mental disorders in axis Ⅰ of DSM-Ⅳ in female patients.Methods A total of 62 female patients with eating disorder were selected and assessed with Structured Clinical Interview for DSM (SCID) for the psychiatric comorbidities.Result There were 69.4％ for the rate of only one kind of psychiatric comorbidity and 58.1％,38.7％,9.6％ for the rates of mood disorder,anxiety disorder,substance use disorder comorbidities.There was 33.9％ for the rate of at least two kinds of psychiatric comorbidities.There was 85.2％ for the comorbidity of bulimia nervosa.The rates of the comorbidities of anxiety disorder and at least two kinds of psychiatrics in patients with bulimia nervosa were significantly higher than those in patients with anorexia nervosa(P ＜ 0.05).Conclusion It's common for the psychiatric comorbidities between eating disorder and mental disorders in axis Ⅰ of DSM-Ⅳ in female patients.%目的 了解我国女性进食障碍患者与DSM-Ⅳ轴Ⅰ系统其他精神障碍共病的情况.方法 以DSM-IV轴Ⅰ诊断的定式临床检查(SCID-P-I)为工具,比较62例女性进食障碍患者与DSM-Ⅳ轴Ⅰ系统其他精神障碍的终身共病情况.结果 69.4％的患者与至少1种DSM-Ⅳ轴Ⅰ其他精神障碍终生共病,而与心境障碍、焦虑障碍、物质使用障碍的终生共病率分别为58.1％、38.7％和9.6％,与2种以上的轴I精神障碍终生共病率为33.9％.神经性贪食组患者终生共病率最高为85.2％,其中神经性贪食组共病焦虑障碍和至少2种轴Ⅰ其他精神障碍的比例高于神经性厌食组患者(P＜0.05).结论 女性进食障碍与DSM-Ⅳ轴Ⅰ其他精神障碍的的共病率较高.