Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood
Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood
复制标题
DOI：
10.1097/00004583-200010000-00016
复制
发表时间：
2000-10-01
影响因子：
13.3
通讯作者：
Seeley, JR
中科院分区：
文献类型：
--
作者：
Lewinsohn, PM;Striegel-Moore, RH;Seeley, JR
目的：描述社区青少年女性样本中进食障碍（艾德）的流行病学;比较完全综合征（FS）和部分综合征（PS）艾德病例的临床特征;并提供有关青少年艾德和年轻成人精神病理学之间连续性的信息。方法：在青春期（n = 891）和一年后（n = 810），和分层子集（n = 538）进行了评估，在他们的第24年的高中女生随机选择的样本进行了评估。评估包括学龄儿童情感障碍和精神分裂症量表、纵向间隔随访评估、功能水平。心理健康治疗利用率、自杀企图史和身体症状。结果：18岁时艾德的发病率低于2.8%，19 - 23岁的发病率为1.3%。与其他精神病理学的共病率（89.5%），尤其是抑郁症，非常高。FS-和PS-ED组在大多数结局指标上与无障碍对照组有显著差异。超过70%的青少年FS-和PS-ED病例符合成年早期轴I障碍的标准。结论：FS-和PS-ED与大量合并症治疗寻求、功能受损和青年期精神病理学风险相关。
Objectives: To describe the epidemiology of eating disorders (ED) in a community sample of adolescent girls; to compare the clinical characteristics of full-syndrome (FS) and partial-syndrome (PS) ED cases; and to provide information about the continuity between adolescent ED and young adult psychopathology. Method: A randomly selected sample of high school girls were assessed during adolescence (n = 891) and a year later (n = 810), and a stratified subset (n = 538) was assessed during their 24th year. The assessments included the Schedule for Affective Disorders and Schizophrenia for School-Age Children, the Longitudinal Interval Follow-up Evaluation, level of functioning. mental health treatment utilization, history of suicide attempt, and physical symptoms. Results: The incidence of ED was less than 2.8% by age 18, and 1.3% for ages 19 through 23. Comorbidity with other psychopathology (89.5%), but especially depression, was very high. FS- and PS-ED groups differed significantly from a no-disorder comparison group on most outcome measures. and more than 70% of the adolescent FS- and PS-ED cases met criteria for an Axis I disorder in young adulthood. Conclusions: FS- and PS-ED are associated with substantial comorbidity treatment seeking, impaired functioning, and risk for psychopathology in young adulthood.