The point prevalence of bulimic disorders from 1990 to 2004

The point prevalence of bulimic disorders from 1990 to 2004
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DOI:
10.1002/eat.20537
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发表时间:
2008-09-01
影响因子:
5.5
通讯作者:
Leahey, Tricia
Leahey, Tricia
中科院分区:
医学2区
文献类型:
--
作者:
Crowther, Janis H.;Armey, Michael;Leahey, Tricia

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目的:本研究调查了同一个地点 6,844 名女本科生中神经性贪食症 (BN)、非特殊饮食失调 (EDNOS) 和特定饮食失调症状的可能病例的患病率,检查了 1990 年至 2004 年间五个 3 年时间段和每年的变化。方法:参与者填写了一份自我报告清单,评估了 BN 的诊断标准(美国精神病学协会、诊断和精神障碍统计手册,1994)和暴食症测试(Smith and Thelen, J Consult Clin Psychol, 52, 863-872, -1984)(BULIT)或暴食症测试修订版(Thelen et al., Psychol Assess, 3, 119-124, 1991)(BULIT-R),结果:卡方分析比较 BN 和 EDNOS 可能病例的百分比以及报告经常暴饮暴食和大多数补偿性体重控制策略的女性比例并不显着。只有过度关注体重和体形、使用利尿剂和过度运动作为补偿性体重控制策略的女性百分比随着时间的推移而变化。 结论:与 Keel 等人 (Keel et al., Psychol Med, 36, 119-127, 2006) 关于 1992 年至 2002 年 BN 点患病率的调查结果一致,结果表明饮食失调的可能病例保持相对稳定。从方法上讲,这项研究说明了在调查行为稳定性或变化时检查多个数据点的重要性。 (C) 2008 年,Wiley periodicals, Inc.
Objective: This Study investigated the point prevalence of probable cases of bulimia nervosa (BN), eating disorder not otherwise specified (EDNOS), and specific eating disorder symptomatology among 6,844 undergraduate women at a single site, examining changes across five 3-year time periods and on a yearly basis from 1990 to 2004.Method: Participants completed a self-report checklist that assessed the diagnostic criteria for BN (American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 1994) and the Bulimia Test (Smith and Thelen, J Consult Clin Psychol, 52, 863-872, -1984) (BULIT) or Bulimia Test-Revised (Thelen et al., Psychol Assess, 3, 119-124, 1991) (BULIT-R),Results: Chi-square analyses comparing the percentages of probable cases of BN and EDNOS and [tie percentages of women who reported frequent binge eating and most compensatory weight control strategies were nonsignificant. Only the percentages of women who endorsed overconcern with weight and shape and diuretic use and excessive exercise as compensatory weight control strategies changed over time.Conclusion: Consistent with Keel et al.'s (Keel et al., Psychol Med, 36, 119-127, 2006) findings regarding the point prevalence rates of BN from 1992 to 2002, results indicated that probable cases of eating disorders remained relatively stable. Methodologically, this research illustrates the importance of examining multiple data points when investigating stability or change in behavior. (C) 2008 by Wiley Periodicals, Inc.