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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Anorexia nervosa: changes in sexuality during weight restoration.
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Anorexia nervosa: changes in sexuality during weight restoration.

机译：神经性厌食症：体重恢复过程中的性变化。

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OBJECTIVE: We examined changes in sexual drive during weight restoration in patients with anorexia nervosa. METHODS: Eleven women with anorexia nervosa prospectively completed the Sexual Daydreaming Questionnaire (SDQ) and the Hospital Anxiety and Depression Scale (HADS) at five time points during inpatient treatment involving weight restoration. SDQ and HADS scores were recorded every 4 weeks until 8 weeks after subjects had reached the mean matched population weight (MMPW), which was monitored against body mass index (BMI). Histories were 'taken for purging, self-cutting, childhood sexual abuse, and number of sexual partners. Repeated-measures analysis of variance, regression analyses, and t tests were performed. RESULTS: BMI and sexual daydreaming were closely associated (p < .001). BMI and depression also achieved a statistically significant association (p = .046), with "caseness" for anxiety disorder throughout. Higher levels of sexual drive at MMPW seemed to be associated with purging, self-cutting, and childhood sexual abuse but not at low weight. Levels of sexual drive did not reflect previous sexual behavior. CONCLUSIONS: An increase in sexual drive accompanies weight restoration in patients with anorexia nervosa, which is consistent with psychological and physiological explanations of altered sexuality. Transient depression is also associated with weight gain. Changes in sexuality should be considered in both recovery and treatment failure.
机译：目的：我们研究了神经性厌食症患者体重恢复期间性欲的变化。方法：11名神经性厌食症的妇女在住院治疗期间在五个时间点完成了体重减轻的白日梦性问卷（SDQ）和医院焦虑抑郁量表（HADS）。每4周记录一次SDQ和HADS评分，直到受试者达到平均匹配人群体重（MMPW）后的8周，并根据体重指数（BMI）进行监测。历史记录是用来清除，自我切割，儿童时期的性虐待和性伴侣的数量。进行方差重复测量分析，回归分析和t检验。结果：BMI和性做白日梦密切相关（p <.001）。体重指数和抑郁症也达到了统计学上的显着关联（p = .046），并与焦虑症的“个案”有关。 MMPW中较高的性欲似乎与清除，自我切割和儿童期性虐待有关，但体重不轻。性欲的水平并未反映以前的性行为。结论：神经性厌食症患者的体重恢复伴随着性欲的增加，这与性行为改变的心理和生理解释是一致的。短暂性抑郁也与体重增加有关。恢复和治疗失败时均应考虑性别变化。

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