Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample
Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample
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DOI：
10.1192/bjp.168.4.500
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发表时间：
1996-04-01
影响因子：
10.5
通讯作者：
Woodside, DB
中科院分区：
文献类型：
--
作者：
Garfinkel, PE;Lin, E;Woodside, DB
背景。本研究比较了患有神经性厌食症的女性与具有除闭经之外的该疾病所有诊断特征的女性的特征。方法。该研究使用了加拿大安大略省家庭居民心理健康状况的大型社区流行病学调查数据。多阶段分层抽样设计生成了 4285 名 15-64 岁女性样本。 DSM-III-R 诊断是使用综合国际诊断访谈结果进行的。 4285 名女性受访者中有 84 人符合神经性厌食症的全部或部分综合征标准。这两组的比较显示，在人口统计、精神合并症、家族史或早期经历方面几乎没有统计学上的显着差异。结论。闭经并没有在许多相关变量上区分患有神经性厌食症的女性和具有除闭经以外所有特征的女性。作者质疑闭经作为诊断标准的实用性。
Background. This study compares the characteristics of women with anorexia nervosa with those of women who have all the diagnostic features of that disorder except amenorrhoea.Method. The study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada. A multi-stage stratified sampling design generated a sample of 4285 females aged 15-64. DSM-III-R diagnoses were made using the Composite International Diagnostic Interview.Results. Eighty-four out of 4285 female respondents met full or partial-syndrome criteria for anorexia nervosa. Comparison of these two groups revealed few statistically significant differences in terms of demographics, psychiatric comorbidity, family history or early experiences.Conclusions. Amenorrhoea did not discriminate between women with anorexia nervosa and women with all the features except amenorrhoea across a number of relevant variables. The authors question the utility of amenorrhoea as a diagnostic criterion.