Eating disorders during adolescence and the risk for physical and mental disorders during early adulthood
Eating disorders during adolescence and the risk for physical and mental disorders during early adulthood
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DOI：
10.1001/archpsyc.59.6.545
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发表时间：
2002-06-01
影响因子：
--
通讯作者：
Brook, JS
中科院分区：
文献类型：
--
作者：
Johnson, JG;Cohen, P;Brook, JS
背景：以社区为基础的纵向调查数据被用来调查患有进食障碍的青少年在成年早期是否有更高的身体和精神障碍的风险。方法：对来自纽约州2个县的717名具有代表性的社区样本进行心理社会和精神病学访谈，时间分别为1983、1985-1986和1991-1993年。结果：在对年龄、性别、社会经济状况、共生精神障碍、青少年健康问题、体重指数、对健康的担忧等进行统计学控制后，饮食障碍青少年在成年初期患焦虑症、心血管症状、慢性疲劳、慢性疼痛、抑郁障碍、因健康原因导致的活动受限、传染病、失眠、神经症状和自杀企图的风险显著增加。青春期的饮食或体重问题预示着成年后健康状况不佳，无论是否存在饮食失调。目前患有饮食障碍的青少年中只有22%在过去一年内接受过精神治疗。结论：青春期饮食障碍可能与成年早期一系列身心健康问题的风险增加有关。
Background: Data from a community-based longitudinal investigation were used to investigate whether adolescents with eating disorders are at an elevated risk for physical and mental disorders during early adulthood.Methods: Psychosocial and psychiatric interviews were administered to a representative community sample of 717 adolescents and their mothers from 2 counties in the state of New York in 1983, 1985 to 1986, and 1991 to 1993. In 1983, the mean age of the youths was 13.8 years.Results: Adolescents with eating disorders were at a substantially elevated risk for anxiety disorders, cardiovascular symptoms, chronic fatigue, chronic pain, depressive disorders, limitations in activities due to poor health, infectious diseases, insomnia, neurological symptoms, and suicide attempts during early adulthood after age, sex, socioeconomic status, co-occurring psychiatric disorders, adolescent health problems, body mass index, and worries about health during adulthood were controlled statistically. Problems with eating or weight during adolescence predicted poor health outcomes during adulthood, regardless of whether an eating disorder had been present. Only 22% of the adolescents with current eating disorders had received psychiatric treatment within the past year.Conclusion: Eating disorders during adolescence may be associated with an elevated risk for a broad range of physical and mental health problems during early adulthood.