摂食障害患者の遷延化症例について(摂食障害の中・長期経過第30回日本心身医学会総会)

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タイトル別名
  • The Study of Patients with Chronic Eating Disorders(The Mid-term and Long-term Treatment of Eating Disorders)
  • 摂食障害者の遷延化症例について
  • セッショク ショウガイシャ ノ センエンカ ショウレイ ニ ツイテ

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The present study was undertaken to investigate various factors in chronic eating disorders, namely anorexia nervosa and bulimia nervosa. The duration of illnesses and their characteristic features were evaluated in a total of 174 patients. Subjects in this study were patients who admitted to Kyushu University hospital between 1972 and 1986. Subjects were devided into 4 groups according to duration of illnesses, their clinical features and results of psychological testing. There were no significant differences in the age of onset of the illnesses and the extent of weight-loss at the time of hospital admission ; however bulimia, vomiting and denial of illness were related to durations of illness. No significant differences were found in the following clinical characteristics in the 4 groups : stealing food, hyperkinetic activity, past history of emaciation, frequency of depression, frequency of amenorrhea, frequency of laxative abuse. There was no significant relationship between the duration of illness and the results of psychological testing (CMI, YG and PF study). The duration of hospitalization correlated with the duration of illness. Three of the patients whose illness were longer than 10 years are described in this study. Case 1 whose illness was longer than 25 years had good therapeutic results with the cooperation of her family. Cases 2 and 3 who had vomiting associated with their eating disorders because of fear of obesity did not have good therapeutic results due to lack of family supports. The patients whose illnesses were of a long duration and who denied their illness, had very frequent vomiting and bulimia, and required long term therapy.

収録刊行物

  • 心身医学

    心身医学 30 (4), 377-381, 1990

    一般社団法人 日本心身医学会

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