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題 名 | 厭食症之追蹤研究:臨床病程與結果=A Follow-up Study of Anorexia Nervosa:Clinical Course and Outcome |
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作 者 | 陳映燁; 曾美智; 李宇宙; 李明濱; | 書刊名 | 臺灣精神醫學 |
卷 期 | 14:1 2000.03[民89.03] |
頁 次 | 頁51-62 |
分類號 | 415.9982 |
關鍵詞 | 厭食症; 病程; 預後; Anorexia nervosa; Clinical course; Outcome; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:追蹤研究厭食症患者之病程及結果。方法:回顧性收集1985年1月至1997年6月間至台大醫院就診,經精神科醫師診斷為厭食症之個案45名。以電話及郵寄之方式聯絡,其中可聯絡上且同意接受評估者有24名,以病歷回顧合併半結構面談之方式評估個案體重、月經、飲食及體重控制行為和社會功能與適應,以自填簡式症狀量表(BSRS)評估精神病理症狀,並以DSM-IV診斷準則確定診斷。厭食症之預後評估是依據修訂版的Morgan和Russell整體結果分類(General Outcome Category),將厭食症結果依體重、月經、飲食行為之狀況分康復、佳、中等及差四級,並描述統計其飲食行為問題、厭食症病程及結果。結果:完全康復的有10人(41.7%),佳的有3人(12.5%),中等有8人(33.3%),差的1人(4.2%),死亡有2人(8.3%)。病程方面,病情一旦發生至康復,平均罹病期4年,其中節制型3年,清除型5年。本研究並未發現厭食症個案體重回到正常一年後再發的情形。節制型厭食症中有22.2%轉成暴食/清除型厭食症,但暴食/清除型厭食症無轉成節制型厭食症的個案。結論:厭食症病程多樣,從完全康復至死亡都有可能。本研究提示厭食症精神病理的異質性高,需針對此特性發展適合的治療策略。 |
英文摘要 | Objective: To exam the clinical course and outcome of patients with anorexia nervosa. Methods: Forty-five patients who met the DSM-IV criteria for anorexia nervosa and had received treatment in National Taiwan University Hospital from January 1985 to June 1997. The subjects were contacted by telephone or mail to discuss participation in the study and arrange for further evaluation. A total of twenty-eight subjects could be located and twenty-four of them (53.3%)agreed to participate in the study. In addition to a retrospective chart review, a comprehensive assessment of weight history, menstrual function, eating and weight control behaviors was conducted by senior psychiatrists. The outcome was categorized according to the modified Morgan Russell's General Outcome Categories into four degrees (recovered, good, intermediate and poor) based on the characteristics of weight, menstruation and problematic eating behaviors. A descriptive analysis of anorexia patients' eating behavior problems, clinical course and outcome was also performed. Results: Our results showed that 10 (41.7%) patients recovered, 3 (12.5%) had good outcome, 8 (33.3%) had intermediate outcome, one had poor outcome and two patients (8.3%) died. Among the 10 subjects who recovered, the average duration of illness was 4 years. The average duration of illness for the recovered, restricted subtype was 3 years which was 2 years shorter than for the binge eating/ purging subtype. No subject relapsed after maintaining normal weight for at least one year. Restricted anorexic patients developed binge eating/ purging symptoms after their first psychiatric visit in 22.2% of cases. However, no subjects in the binge eating/ purging subtype developed restricting subtype during their disease course. Conclusion: The course and outcome of anorexia nervosa is variable. Complete recovery is possible, but the disease can run an ominous and sometimes fatal course. Restricted subtype runs different course from binge eating/ purging subtype. Although more than half of the anorexic patients were categorized as having good outcome, the heterogeneity of the clinical course of anorexia nervosa should be emphasized and treatment plans for these patients should be stratified. |
本系統中英文摘要資訊取自各篇刊載內容。