摂食障害患者における発症状況分類とその特徴についての検討
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概要
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The author examined groups of patients with eating disorders classified according to onset situation,and discussed the clinical features of each group. Forty-one female patients with anorexia nervosa or bulimia nervosa diagnosed by ICD-10 criteria were studied. The patients were classified into 3 types:diet, appetite loss and bulimic types. There were 25 patients in the diet type. The onset was dieting behavior. There were 10 patients in the appetite loss type. The onset was involuntary appetite loss and weight loss because of psychological stress. There were 6 patients in the bulimic type. The onset was binge eating. Patients of the diet and bulimic types developed their eating disorder when they could not cope with psychological stress by means of dieting or binge eating.On the other hand,patients of the appetite loss type developed their eating disorder to escape from reality.This type of patient had no desire for bodily thinness before onset and had a tendency to over-adaptation.The most important feature of the appetite loss type was severe emaciation,sometimes reaching a life-threatening level.This finding shows that the physical condition of this type of patient requires care.
- 信州医学会の論文
- 1999-08-10