@article{oai:kansai-u.repo.nii.ac.jp:00012191,
 author = {Amoh, Kaoru and Matsumura, Hitoshi and Kawada, Seiichi and Ozaki, Takako and Imamichi, Hiroyuki and Sakai, Toshiaki},
 issue = {1},
 journal = {Bulletin of the Osaka Medical College},
 month = {Jun},
 note = {Among a group of patients (n=65) , the majority of whom had been introduced to us by　eating-disorder specialists elsewhere because of difficulties in their treatment, we defined a　subgroup (n=39) characterized by eating disorders and multiple behavioral problems. In addition　to the disordered eating behavior, problematical behavior relating to the use of alcohol and other substances, shoplifting, promiscuity, and suicidal tendencies were seen in 74%, 36%, 33%, and 15% of the patients, respectively. Further, this subgroup showed an extremely worse outcome, when compared with the subgroup of patients with pure eating disorders (n =26). With regard to the intrafamilial traits examined among the first- and second-degree relatives, 49% of the patients had the trait for alcohol dependence, 28% had the trait for problematical behaviors. The physically or socially self-destructive types of behavior, which seemed to be attributable to vigorous and uncontrollable intrinsic impulses of the patients, tended to emerge in the respective patients in revolving or alternating manners. Therefore, enduring efforts should be taken to support the personality development of such patients rather than to struggle with respective problematical behaviors, which may be considered merely as facets of a single disorder. 多発性問題行動を有する摂食障害(EDMUL)39例を対象とし,標記検討を行った。これら症例は純粋な摂食障害に比べ予後不良であった。家族内形質としてはアルコール依存性を49%,問題行動を28%で認めた。EDMULにおける問題行動は身体的,社会的観点からの自己破壊行動であり,コントロールできない固有の衝動に基づいている可能性を示唆した。よってEDMULではそれぞれの問題行動に取り組むよりも,むしろ人間性の成長を支援する努力をすべきであると考えた
。},
 pages = {35--41},
 title = {Behavior-genetic study on a group of patients　characterized　by eating disorders and multiple self-destructive behaviors},
 volume = {43},
 year = {1997}
}