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Japanese

A Clinical Study of Comorbid Eating Disorders in Female Methamphetamine Abusers: Second report Toshihiko MATSUMOTO 1,2 , Tomohiro MITAKAWA 1 , Tatsuo YABANA 1 , Hiroshi IIZUKA 1,3 , Hideji KISHIMOTO 1 1Kanagawa Psychiatric Center, Serigaya Hospital 2Department of Psychiatry, Yokohama City University School of Medicine 3Yokohama General Health and Medical Center Keyword: Methamphetamine , Eating disorders , Multi-impulsive bulimia , Substance abuse pp.57-64
Published Date 2001/1/15
DOI https://doi.org/10.11477/mf.1405902357
  • Abstract
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 The authors studied the clinical features of female methamphetamine (MAP) abusers with eating disorders (ED) in Japan. Of all the female MAP abusers with ED who had had their first consultation at the Kanagawa Psychiatric Center, Serigaya Hospital between June 1997 and July 1999, 21 patients were selected to participate in the study. The diagnoses and subtypes of their ED were a) anorexia nervosa, binge eating and pursing type (4 cases), and b) bulimia nervosa, pursing type (17 cases).

 Twenty-one female MAP abusers with ED were classified into group 1 with precedence of ED onset (13 cases) and group 2 with precedence of MAP abuse onset. The clinical characteristics in the two groups were compared.

 〉The results were as follows:

 1. All the patients of group 2 attributed the cause of ED onset to “rebound overeating,” which often appeared during withdrawal from MAP use.

 2. Group 1 showed a higher tendency of multi-impulsive behavior, repeated hospitalization, and a greater diversity of ED symptoms.

 〉Based on the results, the authors pointed out the possibility of MAP inducing bulimia nervosa and the importance of the point of view that, to understand multi-impulsive bulimia, not only the influence of substance abuse but also the influence of the comorbidity of personality disorders should he considered.


Copyright © 2001, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

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