単純性肥満症にみられるBinge eating disorderのパーソナリティ特性

Personality Traits of Binge Eating Disorder in Simple Obese Patients

【抄録】　単純性肥満症患者103例を，DSM-IVの研究用基準案に従って，Binge eating disorderと診断されない63例（61％）〔BED（－）群〕と診断される40例（39％）〔BED（＋）群〕に分けて，臨床像・パーソナリティ特性を比較検討した。BED（－）群は，肥満の発症年齢が高く，BMIが低い，30代に多く，ロールシャッハ・テストでは，現実検討は保たれていたが，状況を安易に受け入れる傾向が強かった。BED（＋）群は，肥満の発症年齢が低く，BMIが高い，20代に多く，テストでは，欲求や情緒が抑えられ現実検討が低く，境界型人格構造の特徴を示した。肥満症におけるBEDの認識が重要で，精神科のかかわりが必要と思われた。

　We compared the clinical pictures and the results of the Rorschach test for 103 obese patients with and without binge eating disorder (BED) to understand the personality of BED patients. There were 63 patients without BED (BED-Group) and 40 patients with BED (BED+Group).

　The BED-Group experienced the onset of obesity at a significantly higher mean age than the BED+Group. They had a lower body mass index and most of them were in their thirties. According to the results of the Rorschach test, patients in the BED-Group had relatively high scores in reality testing and were very loathe to accept their situation. The BED+Group had a significantly younger mean age at the onset of obesity, a higher body mass index and were predominantly in their twenties. The Rorschach test indicated that patients in the BED+Group had a low score in reality testing and their dependency-love need was found to be suppressed. They had characteristics of borderline personality organization.

　We should recognize that there is BED in obese patients and psychiatric intervention is found to be beneficial for such patients.