Prevalence and incidence of eating disorders in a suburban area

Prevalence and incidence of eating disorders in a suburban area
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郊区饮食失调的患病率和发生率

DOI:
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发表时间:
1988
影响因子:
6.7
通讯作者:
M. Engström
M. Engström
中科院分区:
医学1区
文献类型:
--
作者:
J. Cullberg;M. Engström

文献摘要

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以前没有关于神经性厌食症(AN)和贪食症(BU)的流行病学研究,其中非医疗护理人员也被纳入病例发现程序。在这项研究中,精神科,躯体,儿童精神科,社会和初级保健人员被系统地要求病人的信息。根据略微修改的DSM-III标准,在两年期间在78,000名居民的郊区集水区追踪了51例进食障碍病例(17例AN,34例BU)。这意味着两年患病率为66/100,000(22 AN和44 BU)。对于16-24岁的女性,AN的患病率为258/100,000; BU:473/100,000;总患病率为730/100,000(1/137)。还有10例“可能病例”,主要由于信息不足,无法确定诊断。如果加上这些患者,病例数将为61例(或患病率为79/100,000居民)。AN的1年发病率为2.6/100,000,BU为3.9。16-24岁女性的AN发病率为43/100,000(1/2326)。BU为65/100,000(1/1538)。似乎没有明确的社会阶层划分。在过去6年期间,20例(56%)成人患者因进食障碍住院。
There has been no previous epidemiological study on anorexia nervosa (AN) and bulimia (BU) where non‐medical care givers have also been included in the case‐finding procedure. In this study, psychiatric, somatic, child psychiatric, social and primary care personnel were systematically asked for information on patients. Fifty‐one cases of eating disorder (17 AN, 34 BU) according to slightly modified DSM‐III criteria were traced in a suburban catchment area of 78,000 inhabitants during a two‐year period. This means a two‐year prevalence of 66/100,000 (22 AN and 44 BU). For females between 16–24 years the prevalence of AN was 258/100,000; BU: 473/100,000; total 730/100,000 (1/137). There were also 10 “possible cases” where the diagnosis could not be established with certainty, mainly because of insufficient information. If these patients were added, the number of cases would be 61 (or a prevalence of 79/100,000 inhabitants). The one‐year incidence for AN was 2.6/100,000 and for BU 3.9. The incidence for AN was 43/100,000 for females 16–24 years old (1/2326). For BU it was 65/100,000 (1/1538). There seems to be no clear social class grouping. Twenty (56%) of the adult patients had been hospitalized for eating disorder during the last six‐year period.