Adolescent-adult discrepancies on the eating disorder examination: a function of developmental stage or severity of illness?
Adolescent-adult discrepancies on the eating disorder examination: a function of developmental stage or severity of illness?
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青少年与成人饮食失调检查的差异：发育阶段或疾病严重程度的函数？
DOI：
10.1002/eat.20882
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
TimothyWalsh,B
中科院分区：
文献类型：
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作者：
Loeb,KatharineL;Jones,Jennifer;Roberto,ChristinaA;SoniaGugga,S;Marcus,SueM;Attia,Evelyn;TimothyWalsh,B
目的在各项研究中，青少年在饮食失调病理学测量方面的得分低于成年人，但尚不清楚这些发现是否反映了地点/研究固有的差异或真正的发育差异。本研究的目的是确定年龄是否可以预测在同一时间段内入住同一研究中心的神经性厌食症 (AN) 青少年和成人的饮食失调检查 (EDE) 的子量表和诊断分数。 方法样本由 16 名青少年和 20 名连续入院的成人组成，这些患者连续接受平行、特定年龄、基于研究的 AN 治疗计划。参与者在入院时完成了基线评估，包括 EDE、抑郁测量和功能量表的总体评估。结果在单变量回归分析中，年龄显着预测了 EDE 分数。然而，在包含一般和特定精神病理学严重程度指数作为协变量的多变量模型中，年龄不再是饮食失调症状严重程度的重要预测因素。 讨论这项研究增加了越来越多的数据，显示 AN 青少年的 EDE 得分低于成年青少年，同时消除了潜在的位点混淆。结果表明，较高的成人评分可能部分是由更严重和慢性的一般临床特征造成的。 © 2010 Wiley periodicals, Inc. 版权所有（Int J Eat Disord 2011）
ObjectiveAcross studies, adolescents score lower on measures of eating disorder pathology than adults, but it is unclear whether such findings reflect discrepancies inherent to site/study or true developmental differences. The aim of this study was to determine whether age predicts subscale and diagnostic scores of the Eating Disorder Examination (EDE) in adolescents and adults with anorexia nervosa (AN) admitted to a single research center within the same period of time.MethodThe sample consisted of 16 adolescent and 20 adult consecutive admissions to parallel, age‐specific, research‐based AN treatment programs. Participants completed a baseline evaluation at admission that included the EDE, depression measures, and global assessment of functioning scales.ResultsAge significantly predicted EDE scores in univariate regression analyses. However, in multivariate models that included severity indices of general and specific psychopathology as covariates, age was no longer a significant predictor of severity of eating disorder symptoms.DiscussionThis study adds to the growing body of data showing lower scores on the EDE for adolescents with AN relative to their adult counterparts, while eliminating potential site confounds. Results indicate that the higher adult scores may be carried in part by a more overall severe and chronic general clinical profile. © 2010 by Wiley Periodicals, Inc. (Int J Eat Disord 2011)