Eating disorder not otherwise specified in adolescents
Eating disorder not otherwise specified in adolescents
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DOI：
10.1097/chi.0b013e31815cd9cf
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发表时间：
2008-02-01
影响因子：
13.3
通讯作者：
Le Grange, Daniel
中科院分区：
文献类型：
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作者：
Eddy, Kamryn T.;Doyle, Angela Celio;Le Grange, Daniel
目的：研究通过饮食失调门诊服务寻求治疗的青少年中未另行说明的饮食失调（EDNOS）的频率、类型和临床严重程度。方法：二百八十一个连续转介到饮食失调计划进行了评估，使用饮食失调检查（EDE）和抑郁和自尊的自我报告措施。结果如下：相对于神经性厌食症（AN; 20.3%; n = 57）和神经性贪食症（BN; 20.6%; n = 58），大多数青少年表现为EDNOS（59.1%; n = 166）。大多数EDNOS青少年可被描述为阈下AN（SAN; 27.7%; n = 46）、阈下BN（SBN; 19.9%; n = 33）、EDNOS清除（27.7%; n = 46）或EDNOS暴食（6.0%; n = 10）;但31例（18.7%）不能被归类为此类（EDNOS“其他”）。不同EDNOS类型的青少年在进食障碍病理学、抑郁症状和自尊方面存在总体差异，其中EDNOS贪食症变体（SBN、EDNOS清除和EDNOS暴食）的青少年比SAN或EDNOS“其他”青少年有更多的病理学。AN和SAN之间的这些变量没有差异;相反，与BN相比，EDNOS暴食症变体的年轻人报告了较低的EDE分数和较高的自尊，尽管抑郁症没有组间差异。结论：在成人饮食失调，EDNOS占主导地位，是异质性的饮食失调病理和相关特征，在青少年的临床样本。AN和SAN之间缺乏差异表明AN的严格标准可以放宽; BN和EDNOS暴食症变体之间的差异不支持它们的组合。
Objective: To examine the frequency, type, and clinical severity of eating disorder not otherwise specified (EDNOS) in adolescents seeking treatment through an outpatient eating disorders service. Method: Two hundred eighty-one consecutive referrals to an eating disorders program were assessed using the Eating Disorder Examination (EDE) and self-report measures of depression and self-esteem. Results: The majority of adolescents presented with EDNOS (59.1%; n = 166) relative to anorexia nervosa (AN; 20.3%; n = 57) and bulimia nervosa (BN; 20.6%; n = 58). Most EDNOS youths could be described as subthreshold AN (SAN; 27.7%; n = 46), subthreshold BN (SBN; 19.9%; n = 33), EDNOS purging (27.7%; n = 46), or EDNOS bingeing (6.0%; n = 10); yet 31 (18.7%) could not be categorized as such (EDNOS "other"). Overall differences in eating disorder pathology, depressive symptoms, and self-esteem emerged between the EDNOS types, wherein adolescents with EDNOS bulimic variants (SBN, EDNOS purging, and EDNOS bingeing) had more pathology than youths with SAN or EDNOS "other." There were no differences in these variables between AN and SAN; in contrast, compared with BN, youths with EDNOS bulimic variants reported lower EDE scores and higher self-esteem, although there were no between-group differences in depression. Conclusions: As in adults with eating disorders, EDNOS predominates and is heterogeneous with regard to eating disorder pathology and associated features in an adolescent clinical sample. Lack of differences between AN and SAN suggests that the strict criteria for AN could be relaxed; differences between BN and EDNOS bulimic variants do not support their combination.