摂食障害の診断に関する研究 : サブタイプと転帰

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タイトル別名
  • A Study on Diagnosis of Eating Disorders : Subtypes and outcome
  • セッショク ショウガイ ノ シンダン ニ カンスル ケンキュウ サブタイプ ト

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説明

One purpose of this study is to subtype the patients who are diagnosed as "Eating Disorder Not Otherwise Specified " (NOS) according to DSM-III-R. We conducted this study from the point that investigation of atypical eating disorders is very important to consider the diagnosis of eating disorders. The second purpose of this study is to clarify the relationship between diagnosis, symptoms and outcome of eating disorders. The subjects were 62 patients with eating disorders who were admitted to our hospital. We diagnosed them using DSM-III-R. Patients who were diagnosed as NOS were subtyped into three groups, that is, restrictive type NOS (patients resembling anorexia nervosa), bulimic type NOS (patients resembling bulimia nervosa) , and others. Then, we examined the relationship between the subtypes and outcome. We compared 1) anorexia nervosa (AN), bulimia nervosa (BN), and NOS, 2) AN and restrictive type NOS, 3) BN and bulimic type NOS. We also examined the relationship between symptoms and outcome. The symptoms were such as distortion of body image, purging, binge eating, and overconcern with body weight and shape. Conclusion : Concerning subtypes and outcome, in the patients with bulimic type NOS, those who could continue to be under treatment or complete the treatment were tended to be at higher rate as compared with BN. With regard to symptom and outcome, patients who do not exhibit overconcern with body weight and shape significantly come to a better prognosis as compared with those exhibiting overconcern with body weight and shape.

収録刊行物

  • 心身医学

    心身医学 34 (7), 541-547, 1994

    一般社団法人 日本心身医学会

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