ADOLESCENT EATING DISORDERS: A SECOND LOOK

描述(改编自研究者的摘要)：进食障碍，a 公共卫生问题，因为其长期性和对健康的影响， 通常开始于青春期。这项研究的目标是确定 青少年的潜在风险和保护因素，这可能有助于 在儿科实践中筛查典型和非典型饮食障碍，以及 这可能会产生关于这些疾病的病因的假说。次要的 某县高中两阶段流行病学调查结果分析 建议在1984-1985年完成人口(n=5596)。第一阶段 包括一份调查问卷，其中提供了以下方面的评估 饮食态度，行为，其他精神病理学，以及体重史， 医疗问题和月经史。第二阶段包括 由经验丰富的临床医生进行的半结构化诊断性访谈， 其中产生了进食障碍的精神诊断，其他选择 以及有关进食相关因素的更详细信息 精神错乱。主要数据分析集中在精神疾病的患病率上。 青少年的症状和障碍，以及关于 饮食失调的潜在危险因素仅在初步研究中被探讨。 道路。鉴于饮食失调的病因学和统计学方面的进展 方法，重新审视这个数据集是重要的，也是及时的。在一系列 分析将包括足够复杂的统计技术，我们 建议实现以下具体目标：(1)在男孩中确定 和女孩分别，潜在的危险和保护因素的关系 神经性厌食症(AN)和暴食症(BN)；需要检查的因素包括 发育、节食、体重、健康、其他精神病、家庭和 人口学因素；(2)确定DSM IV饮食综合征是否有明显差异 从AN和BN，如暴饮暴食障碍，可以在这个 以及，如果是，确定这些综合征的潜在危险因素； (3)制定有效的进食综合症筛查方案， 不仅要挖掘每个证候的基本特征，而且要挖掘潜在风险 上述因素。此应用程序的优势在于 进食障碍病因学的最新进展和应用 将复杂的统计技术应用于现有的数据集。这 独特的流行病学数据集，虽然横截面，但包含无与伦比的 关于饮食病理的相关信息。这项研究的发现 将有助于描述和检测饮食失调 青少年，将确定进食的潜在风险和保护因素 病理学，并将有助于产生关于青少年病因的假设 饮食失调。

Description (adapted from the investigator's abstract): Eating disorders, a public health problem because of their chronicity and impact on health, typically begin during adolescence. The goal of this study is to identify potential risk and protective factors in adolescents, that may be useful in screening for typical and atypical eating disorders in pediatric practice, and that may generate hypotheses about the etiology of these disorders. A secondary analysis of a two-stage epidemiological study of a countywide high school population (n=5596) completed in 1984-1985, is proposed. The first stage consisted of a survey questionnaire, which provided dimensional assessments of eating attitudes, behaviors, other psychopathology, as well as weight history, medical problems, and menstrual history. The second stage consisted of semi-structured diagnostic interviews, conducted by experienced clinicians, which yielded psychiatric diagnoses for eating disorders, other selected disorders, as well as more detailed information on correlates of eating disorders. The primary data analysis focused on the prevalence of psychiatric symptoms and disorders in adolescents, and data regarding the relation of potential risk factors to eating disorders was explored only in a preliminary way. Given advances in the nosology of eating disorders and in statistical methods, a second look at this data set is important and timely. In a series of analyses which will include adequate sophisticated statistical techniques, we propose to accomplish the following specific aims: (1) to determine, in boys and girls separately, the relation of potential risk and protective factors for Anorexia Nervosa (AN) and Bulimia Nervosa (BN); factors to be examined include developmental, dieting, weight, health, other psychopathology, family, and demographic factors; (2) to determine if DSM IV eating syndromes are distinct from AN and BN, such as Binge Eating Disorder can be identified in this population and, if so, to determine potential risk factors for these syndromes; (3) to develop efficient screening protocols for eating syndromes, which will exploit not only the cardinal features of each syndrome but also potential risk factors identified above. The strengths of this application lie in the application of both recent advances in the nosology of eating disorders and sophisticated statistical techniques applied to an existing data set. This unique epidemiological dataset, although cross-sectional, contains unparalleled information on the correlates of eating pathology. Findings from this study will contribute to the description and detection of eating disorders in adolescents, will identify potential risk and protective factors for eating pathology and will help generate hypotheses about the etiology of adolescent eating disorders.