結婚歴のある神経性食思不振症の3例

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We experienced three cases of anorexia nervosa who experienced marriage. So we will report the cases with some literatural review. Case 1,29 y.o. female : She has been brought up by stern father, stubborn mother, loose grandmother, and younger sister. She started dieting at the age of 18. She got married when she was 23 y.o., but was divorced after one year. Furthermore, her mother was admitted to hospital for her uterin sarcoma. From that time she manifested anorexia and amenorrhea, and after her mother's death binge and purge by laxative became manifested. She was married again at the age of 29,but she didn't show any improvement. Case 2,28 y.o. female : She had immature parents, nagging aunt, and sister. She started dieting at the age of 18 and when she got married at the age of 25,her binge and vomiting started. Since her husband was busy in his work and hobby, so she continued her abnormal eating alone. Her weight became under 80% of her standard weight, and amenorrhea occurred. She was divorced when she was 28 y.o. and admitted to hospital when 29 y.o. Case 3,31 y, o. female : She lost her sight of right eye by trauma at age 3. So her parents indulged in her. Her father died. Her mother is overprotective still now. When she was married at age 24,she suffered from renal dysfunction, which led her to special diet and diuretics. From that time on, her weight had decreased. When she was 27 y.o., binge and vomiting became manifested but her husband was unconcerned about wife's abnormality. She was divorced and admitted to hiospital at the age of 31. All of these 3 patients got worse and manifested anorexia nervosa in their marriage. Marriage is an important issue for anorectic patients. Their husband's character is critical but patients themselves selected such partners. The problem of marriage for anorexia and "anorexiaphilic" young women is an important and specific theme not only in therapy, but also in social psychosomatic medicine.
日本心身医学会の論文
1994-08-01

結婚歴のある神経性食思不振症の3例

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