Adjustment and course of students with eating disorders: Difficulties of students with characteristics of autism spectrum

目的：本研究の目的は，摂食障害学生の適応状況や進路に関する実態を明らかにすることである。 方法：対象は，2006年４月から2016年３月の間に保健管理センターを訪れた58人の摂食障害女子学生（留学生を除く）である。１）病型別（神経性やせ症：AN，神経性過食症：BN，過食性障害：BED，特定の摂食または摂食障害：OSFED），２）不登校群と登校群の病型，精神科的併存症，および自殺関連行動の比較，３）就職群と非職群の病型，併存症，および自殺関連行動の比較を行った。 結果：病型に関して，ANはAS特性が有意に多かった。不登校群は，登校群に比べて有意にうつ病が多かった。非就職群は，就職群に比べて有意にうつおよび自閉症スペクトラム特性が多かった。 結論：摂食障害学生の支援において，うつへの早期介入と自閉症スペクトラム特性の理解と支援が重要であると思われた。OBJECTIVE: The purpose of this study was to clarify the current situation of students with eating disorders regarding adjustment status and their course. METHOD: The subjects were 58 female students with eating disorders (excluding international students) who visited the Health Service Center between April 2006 and March 2016. We retrospectively examined time of onset and psychiatric comorbidities of each disease type (anorexia nervosa, bulimia nervosa, binge eating disorder, and other specified feeding or eating disorders) and compared disease type, comorbidities, and suicidal behavior between the school truancy group and school attendance group and between the employment group and non-employment group. RESULTS: Regarding disease type, the students with anorexia nervosa exhibited significantly more characteristics of autism spectrum (AS). The school truancy group showed significantly more depression than the school attendance group. The non-employment group showed significantly more depression and characteristics of AS than the employment group. CONCLUSION: Early intervention for depression and support for characteristics of AS appeared to be important in students with eating disorders