The present study aimed to investigate the relationship between secondary amenorrhea due to different etiologic mechanisms, eating disorders, and psychiatric morbidity in a nonpsychiatric population observed in a gynecological department.
Amenorrheic women (n=95) with hypogonadotropic, hyperandrogenic, and hyperprolactinemic features were interviewed individually using the SCID-R (Structured Clinical Interview for DSM-III-R) to diagnose Axis I disorders including mood disorders, anxiety disorders, somatoform disorders, adjustment disorders, and eating disorders.
Binge eating disorder was diagnosed according to DSM-IV criteria.
The incidence of eating disorders was significantly higher in hypogonadic women than in hyperandrogenic and hyperprolactinemic subjects (X2=23.03, p<. 003).
However, we also found a high percentage of hyperandrogenic women suffering from an eating disorder (40.9%) with a prevalence of binge eating disorder (27.2%), while the only eating disorder described in the hyperprolactinemic group was the not otherwise specified.
In addition, a marked psychiatric comorbidity was found in amenorrheic women suffering from an eating disorder but a similar trend of pathologies was also found in amenorrheic women, without any positive SCID diagnosis for an abnormal eating disorder. (...)
Mots-clés Pascal : Trouble comportement alimentaire, Association morbide, Trouble psychiatrique, Aménorrhée, Hyperandrogénie, Hypogonadisme, Incidence, Epidémiologie, Santé mentale, Italie, Europe, Homme, Femelle, Appareil génital femelle pathologie, Cycle menstruel pathologie, Appareil génital pathologie
Mots-clés Pascal anglais : Eating disorder, Concomitant disease, Mental disorder, Amenorrhea, Hyperandrogenism, Hypogonadism, Incidence, Epidemiology, Mental health, Italy, Europe, Human, Female, Female genital diseases, Menstruation disorders, Genital diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0449461
Code Inist : 002B18C01C. Création : 25/01/1999.