Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women.
Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women.
复制标题
DOI：
10.1037/a0030679
复制
发表时间：
2013-05
影响因子：
4.6
通讯作者：
Rohde, Paul
中科院分区：
文献类型：
--
作者：
Stice, Eric;Marti, C. Nathan;Rohde, Paul
我们研究的患病率，发病率，损害，持续时间和课程的建议DSM-5饮食失调的社区样本496青少年女性谁完成了8年的年度诊断访谈。20岁时的终生患病率为神经性厌食症（AN）0.8%，神经性贪食症（BN）2.6%，暴食症（BED）3.0%，非典型AN 2.8%，阈下BN 4.4%，阈下BED 3.6%，排泄障碍（PD）3.4%;合并患病率为13.1%。（5.2%患有AN，BN或BED; 11.5%患有未在其他地方分类的喂养和进食障碍; FED-NEC）。AN的发病高峰年龄为19-20岁，BN为16-20岁，BED、PD和总体FED-NEC为18-20岁。患有这些饮食失调的青少年通常报告更大的功能障碍，痛苦，自杀，心理健康治疗和不健康的BMI，尽管非典型AN，阈下BN和PD的效应量相对较小。平均发作持续时间为2.9个月（BN）至11.2个月（非典型AN）。1年缓解率范围从非典型AN的71%到BN、阈下BN和BED的100%。复发率范围从PD的6%到BED和亚阈值BED的33%。从阈下到阈下进食障碍的诊断进展，BN和BED（32%和28%）高于AN（0%），这表明暴饮暴食的某种升级机制。从BED到BN的诊断交叉最大。结果表明，新的DSM-5饮食失调标准捕获临床显着的精神病理学和有效地分配饮食失调的个人同质的诊断类别。
We examined the prevalence, incidence, impairment, duration, and course for the proposed DSM-5 eating disorders in a community sample of 496 adolescent females who completed annual diagnostic interviews over 8-years. Lifetime prevalence by age 20 was 0.8% for anorexia nervosa (AN), 2.6% for bulimia nervosa (BN), 3.0% for binge eating disorder (BED), 2.8% for atypical AN, 4.4% for subthreshold BN, 3.6% for subthreshold BED, 3.4% for purging disorder (PD); with a combined prevalence of 13.1% (5.2% had AN, BN, or BED; 11.5% had a Feeding and Eating Disorders Not Elsewhere Classified; FED-NEC). Peak age of onset was 19-20 for AN, 16-20 for BN, and 18-20 for BED, PD, and overall FED-NEC. Youth with these eating disorders typically reported greater functional impairment, distress, suicidality, mental health treatment, and unhealthy BMIs, though effect sizes were relatively smaller for atypical AN, subthreshold BN, and PD. Average episode duration in months ranged from 2.9 for BN to 11.2 for atypical AN. One-year remission rates ranged from 71% for atypical AN to 100% for BN, subthreshold BN, and BED. Recurrence rates ranged from 6% for PD to 33% for BED and subthrehold BED. Diagnostic progression from subthreshold to threshold eating disorders was higher for BN and BED (32% and 28%) than for AN (0%), suggesting some sort of escalation mechanism for binge eating. Diagnostic crossover was greatest from BED to BN. Results imply that the new DSM-5 eating disorder criteria capture clinically significant psychopathology and usefully assign eating disordered individuals to homogeneous diagnostic categories.
登录
查看更多内容
影响因子：
5.5
作者：
Bohon, Cara;Stice, Eric;Burton, Emily
通讯作者：
Burton, Emily
影响因子：
7.1
作者：
Burger, Kyle S.;Stice, Eric
通讯作者：
Stice, Eric
影响因子：
17.7
作者：
Crow, Scott J.;Peterson, Carol B.;Mitchell, James E.
通讯作者：
Mitchell, James E.
影响因子：
4.1
作者：
Fairburn CG;Bohn K
通讯作者：
Bohn K
影响因子：
--
作者：
Kessler, RC;Barker, PR;Zaslavsky, AM
通讯作者：
Zaslavsky, AM