The prevalence and correlates of eating disorders in the national comorbidity survey replication
The prevalence and correlates of eating disorders in the national comorbidity survey replication
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DOI：
10.1016/j.biopsych.2006.03.040
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发表时间：
2007-02-01
影响因子：
10.6
通讯作者：
Kessler, Ronald C.
中科院分区：
文献类型：
--
作者：
Hudson, James I.;Hiripi, Eva;Kessler, Ronald C.
背景：关于饮食失调的患病率或相关因素的基于人群的数据很少。方法：2001-2003年进行的一项全国代表性的面对面家庭调查（n = 9282）中，饮食失调的患病率和相关因素采用世卫组织综合国际诊断访谈进行评估。结果：DSM-IV神经性厌食症、神经性贪食症和暴食症的终生患病率估计为。女性的比例分别为9%、1.5%和3.5%。3%。5%，男性为2.0%。基于回顾性发病年龄报告的生存分析表明，神经性贪食症和暴食症的风险随着连续出生队列的增加而增加。所有这三种疾病都与许多其他DSM-IV疾病有明显的合并症。终生神经性厌食症与低当前体重（体重指数< 18.5）显著相关，而终生暴饮暴食症与当前严重肥胖（体重指数>= 40）相关。虽然大多数患有12个月神经性贪食症和暴食症的受访者报告了一些角色损害（由于没有受访者符合12个月患病率标准，因此无法获得神经性厌食症的数据），但只有少数病例曾寻求治疗。结论：饮食失调，虽然相对不常见，但代表了一个公共卫生问题，因为它们经常与其他精神病理和功能障碍相关，并且经常得不到治疗。
Background: Little population-based data exist on the prevalence or correlates of eating disorders.Methods: Prevalence and correlates of eating disorders from the National Comorbidity Replication, a nationally representative face-to-face household survey (n = 9282), conducted in 2001-2003, were assessed using the WHO Composite International Diagnostic Interview.Results: Lifetime prevalence estimates of DSM-IV anorexia nervosa, bulimia nervosa, and binge eating disorder are .9%, 1.5%, and 3.5% among women, and .3% .5%, and 2.0% among men. Survival analysis based on retrospective age-of-onset reports suggests that risk of bulimia nervosa and binge eating disorder increased with successive birth cohorts. All 3 disorders are significantly comorbid with many other DSM-IV disorders. Lifetime anorexia nervosa is significantly associated with low current weight (body-mass index < 18.5), whereas lifetime binge eating disorder is associated with current severe obesity (body-mass index >= 40). Although most respondents with 12-month bulimia nervosa and binge eating disorder report some role impairment (data unavailable for anorexia nervosa since no respondents met criteria for 12-month prevalence), only a minority of cases ever sought treatment.Conclusions: Eating disorders, although relatively uncommon, represent a public health concern because they are frequently associated with other psychopathology and role impairment, and are frequently under-treated.