Elevated eating disorder symptoms in women with a history of oral contraceptive side effects
Elevated eating disorder symptoms in women with a history of oral contraceptive side effects
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DOI：
10.1007/s00737-011-0229-z
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发表时间：
2011-08-01
影响因子：
4.5
通讯作者：
Oinonen, Kirsten A.
中科院分区：
文献类型：
--
作者：
Bird, Jessica L.;Oinonen, Kirsten A.
先前的研究表明性腺激素和饮食失调症之间存在联系。本研究通过使用口服避孕药（OC）副作用史作为激素敏感性的指标，探讨了性腺激素和激素敏感性在进食障碍（艾德）症状中的作用。一份问卷，其中包括两个规模的饮食失调清单-2和OC副作用量表完成了174名健康妇女谁使用过OC。情绪和身体OC副作用的历史被评估为身体不满和瘦的驱动器的预测。有阴性OC副作用史的女性有更高水平的艾德症状。在控制了体重指数（BMI）和抑郁评分后，OC副作用史仍然是身体不满和追求苗条的重要预测因素。OC副作用的经验可能表明增加进食障碍症状的风险更大。这些发现进一步支持了激素与艾德症状的联系，因为对外源性性腺激素更“敏感”的女性也会经历更多的艾德症状。
Previous research suggests a link between gonadal hormones and eating disorder symptomatology. This study examined the role of gonadal hormones and hormonal sensitivity in eating disorder (ED) symptoms by using oral contraceptive (OC) side effect history as an indicator of hormonal sensitivity. A questionnaire containing two scales of the Eating Disorder Inventory-2 and an OC side effect scale was completed by 174 healthy women who had used OCs. Histories of emotional and physical OC side effects were evaluated as predictors of body dissatisfaction and drive for thinness. Women with a history of negative OC side effects had higher levels of ED symptoms. After controlling for body mass index (BMI) and depression scores, OC side effect history remained a significant predictor of body dissatisfaction and drive for thinness. The experience of OC side effects may indicate a greater risk for increased eating disorder symptoms. The findings provide further support for a hormonal link to ED symptoms, as women who are more "sensitive" to exogenous gonadal hormones also experience more ED symptoms.