An Epidemiological Study of Relationship Adolescents.

青少年关系的流行病学研究。

• 批准号: 14570354
• 负责人: TAKEUCHI Kazuo
• 金额: $ 1.34万
• 依托单位: Takasaki University of Health and Welfare
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14570354/
• 关键词: adolesents; dopressive state; eating disorder; epidemiologial study; questionnaire survey

The purpose of this study is to clarify the relationship between depressive states and eating disorder among Japanese adolescents, using self-administered questionnaires. Attempts on revision of the depression scale to improve the validity of screening with the findings obtained in pilot studies were also tried and newly revised questionnaires were used in the main studies. Study subjects were 485 junior high school students and 159 university students in pilot studies. The DSD based on the DSM-IV criteria and the EAT-26 were used for assessing depressive state and eating disorder, respectively. Factor analysis on the pilot data revealed strong relation between 'appetite'/weight change' items of the DSD and several bulimic items of the EAT-26. Thus, the DSD was revised with bulimic items from the EAT26 for the main studies. After the revision of the questionnaires, 480 junior high school students, 164 senior high school students and 141 university students were participated in the main studies. The 30 outpatients in a clinic for chills and adolescents psychiatry also participated in the questionnaire survey, with clinical diagnostic interview of the modified SCID. The agreement (kappa coefficients) on the MDE (Major Depressive Episode) diagnosis by the DSD and the modified SCID became a little bit higher in the clinical samples after the revision, although the finding may need to be confirmed in a large sized general population. Both among the general and clinical samples in the main studies, a strong association was found between depressive state and eating disorder symptoms, especially for girls. This tendency was prominent in the clinical samples, but in the general samples it seemed to be emphasized as the grade increased.

本研究的目的是澄清抑郁状态和饮食失调之间的关系，日本青少年，使用自填问卷。尝试修订抑郁量表，以提高筛选的有效性与试点研究中获得的结果也尝试和新修订的问卷中使用的主要研究。研究对象为485名初中生和159名大学生。采用基于DSM-IV标准的DSD和EAT-26分别评估抑郁状态和进食障碍。对试点数据的因子分析显示，DSD的“食欲”/体重变化“项目与EAT-26的几个暴食症项目之间存在密切关系。因此，使用EAT 26中的暴食症项目对主要研究的DSD进行了修订。修订后的问卷以480名初中生、164名高中生和141名大学生为被试。对某寒热病与青少年精神科门诊的30例患者进行问卷调查，并采用改良的SCID诊断性访谈。在修订后的临床样本中，DSD和改良SCID对MDE（重度抑郁发作）诊断的一致性（kappa系数）略高，尽管这一发现可能需要在大规模的一般人群中证实。在主要研究的一般和临床样本中，发现抑郁状态和饮食失调症状之间存在很强的关联，特别是对于女孩。这种趋势在临床样本中很突出，但在一般样本中，随着等级的增加，这种趋势似乎得到了强调。

项目成果

Uehara T.: "A princess obsessed by eating-the stories of eating Disorders."Seiwa Publisher. 176 (2004)

上原T.：“痴迷于饮食的公主——饮食失调的故事。”清和出版社。

竹内一夫: "思春期・青年期における精神保健疫学の動向-測定方法を中心に-"ヘルスサイエンス研究. 7. 3-8 (2003)

Kazuo Takeuchi：“青春期和青年期心理健康流行病学的趋势 - 关注测量方法 -”健康科学研究。7. 3-8 (2003)。

Uehara T, Takeuchi K, Ohmori I, Kawashima Y, Goto M, Mikuni M: "Factor-analytic study of the Anoretic Behavior Observation Scale in Japan : comparisons with the original Belgian study"Psychiatry Research. 111. 241-246 (2002)

Uehara T、Takeuchi K、Ohmori I、Kawashima Y、Goto M、Mikuni M：“日本厌食行为观察量表的因子分析研究：与原始比利时研究的比较”精神病学研究。

Uehara T, Takeuchi K, Ohmori I, Kawashima Y, Goto M, Mikuni M, Vandereycken W.: "Factor-analytic study of the Anoretic Behavior Observation Scale in Japan : comparisons with the original Belgian study"Psychiatry Research. 111. 241-246 (2002)

Uehara T、Takeuchi K、Ohmori I、Kawashima Y、Goto M、Mikuni M、Vandereycken W.：“日本厌食行为观察量表的因子分析研究：与原始比利时研究的比较”精神病学研究。

上原 徹: "「食」にとらわれたプリンセス-摂食障害をめぐる物語-"星和書店. 176 (2004)

上原彻：“痴迷于食物的公主 - 饮食失调的故事”清和书店 176 (2004)。