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Abstract

摂食障害とアスペルガー障害の合併した症例の報告は,僅かしか見られない。今回我々は,重度の摂食障害とアスペルガー障害の合併(comorbidity)した症例を経験した。患者はドイツ留学を契機に摂食障害を発症し,10年余り処々の医療機関や心理カウンセリングを受けていたにもかかわらず,来院時体重は,わずか22.8kgの低体重で,生命の危機的状況にあった。入院時使用していた下剤や,腹部を締め付けていたベルトの使用を禁止し,外泊・退院のための目標体重を設定し,それを努力目標とした。その結果,入院52日目に退院できた。なお,アスペルガー障害については,DSM-IV-TRの診断基準を満たしていた。単純な指示的な入院行動療法が,効を奏したものと考えられた。

Only a few cases of Asperger's disorder with a concomitant eating disorder have been reported in Japan and abroad. We encountered a case that manifested the comorbidity of severe eating disorder and Asperger's disorder. The patient first manifested symptoms while staying in Germany as a student. Despite visiting different health care providers and receiving psychological counseling for about 10 years, the patient was in critical condition with low body weight of only 22.8 kilograms when she first consulted us. We prohibited her from taking laxatives and compressing her abdomen with a belt while hospitalized. We established a target weight for the patient to attempt to achieve in order to stay out overnight or be discharged. Consequently, the patient was discharged on the 52nd day of hospitalization. The case met the diagnostic criteria of DSM-IV-TR. Simple directive inpatient behavior therapy appeared to be effective in this case.

Journal

  • 藍野学院紀要 = Bulletin of Aino Gakuin

    藍野学院紀要 = Bulletin of Aino Gakuin (18), 43-48, 2005-03-31

Cited by:  1

Codes

  • NII Article ID (NAID)
    110004713682
  • NII NACSIS-CAT ID (NCID)
    AN10553513
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0918-6263
  • Data Source
    CJPref  NII-ELS  IR 
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