Comparing definitions of purging disorder on point prevalence and associations with external validators.

Comparing definitions of purging disorder on point prevalence and associations with external validators.
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DOI:
10.1002/eat.20712
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发表时间:
2010-07
影响因子:
5.5
通讯作者:
Keel, Pamela K.
Keel, Pamela K.
中科院分区:
医学2区
文献类型:
--
作者:
Haedt, Alissa A.;Keel, Pamela K.

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我们改变了净化障碍(PD)的两个定义特征:“净化”行为的广度(仅净化[狭义] vs.净化和非净化[广义])和最低行为频率(每周一次vs.每周两次),以检查它们对综合征有效性的影响。对1736名女性和755名男性的调查数据进行了分析。女性PD点患病率高于男性,需要每周清洗两次的狭义定义的患病率最低。在验证分析中,狭义定义与显著的心理社会障碍和效应量增加有关。改变最小行为频率不会影响与外部验证器的关联。PD的广义定义包括任何补偿行为,减少了PD和正常之间的区别。将最低频率降低至每周一次并没有降低同质性或综合征严重程度的证据。每周清除一次可能是定义PD中枢行为特征的最佳起点。
We varied two defining features of Purging Disorder (PD): breadth of “purging” behaviors (purging only [narrow] vs. purging and nonpurging [broad]) and minimum behavioral frequency (once vs. twice per week) to examine their impact on syndrome validity. Survey data from 1736 women and 755 men were used for analyses. PD point prevalence was higher in women versus men, and prevalence was lowest for the narrow definition requiring purging twice per week. The narrow definition was associated with significant psychosocial impairment and increased effect sizes in validation analyses. Changing minimum behavioral frequencies did not impact associations with external validators. A broad definition of PD that included any compensatory behavior reduced distinctions between PD and normality. Reducing minimum frequency to once per week did not reduce homogeneity or evidence of syndrome severity. Purging once per week may represent the optimal starting point in defining the central behavioral feature of PD.
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