Prevalence and correlates of eating disorders in adolescents. Results from the national comorbidity survey replication adolescent supplement.

Prevalence and correlates of eating disorders in adolescents. Results from the national comorbidity survey replication adolescent supplement.
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DOI:
10.1001/archgenpsychiatry.2011.22
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发表时间:
2011-07
影响因子:
--
通讯作者:
Merikangas KR
Merikangas KR
中科院分区:
其他
文献类型:
--
作者:
Swanson SA;Crow SJ;Le Grange D;Swendsen J;Merikangas KR

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饮食失调是一种严重的疾病,但通过基于青少年的人口调查,人们对这些疾病的患病率或相关性知之甚少。调查美国青少年的大量代表性样本中饮食失调的患病率和相关性。使用改良版综合国际诊断访谈对青少年进行面对面访谈的横断面调查。结合家庭和学校青少年样本。 10 123 名 13 至 18 岁青少年的全国代表性样本。饮食失调和阈下状况的患病率和相关性。神经性厌食症、神经性贪食症和暴食症的终生患病率估计分别为 0.3%、0.9% 和 1.6%。在饮食失调亚型之间观察到在社会人口统计学相关性、精神共病、角色障碍和自杀方面的重要差异。尽管大多数患有饮食失调的青少年寻求某种形式的治疗,但只有少数人接受了专门针对饮食或体重问题的治疗。对 2 种相关阈下状况的分析表明,这些状况通常具有临床意义。饮食失调和阈下饮食状况在一般青少年群体中普遍存在。它们的影响体现在与其他精神疾病、角色障碍和自杀倾向的密切关联上。青少年群体中未得到满足的治疗需求使这些疾病成为重要的公共卫生问题。
Eating disorders are severe conditions, but little is known about the prevalence or correlates of these disorders from population-based surveys of adolescents. To examine the prevalence and correlates of eating disorders in a large, reprefentative sample of US adolescents. Cross-sectional survey of adolescents with face-to-face interviews using a modified version of the Composite International Diagnostic Interview. Combined household and school adolescent samples. Nationally representative sample of 10 123 adolescents aged 13 to 18 years. Prevalence and correlates of eating disorders and subthreshold conditions. Lifetime prevalence estimates of anorexia nervosa, bulimia nervosa, and binge-eating disorder were 0.3%, 0.9%, and 1.6%, respectively. Important differences were observed between eating disorder subtypes concerning sociodemographic correlates, psychiatric comorbidity, role impairment, and suicidality. Although the majority of adolescents with an eating disorder sought some form of treatment, only a minority received treatment specifically for their eating or weight problems. Analyses of 2 related subthreshold conditions suggest that these conditions are often clinically significant. Eating disorders and subthreshold eating conditions are prevalent in the general adolescent population. Their impact is demonstrated by generally strong associations with other psychiatric disorders, role impairment, and suicidality. The unmet treatment needs in the adolescent population place these disorders as important public health concerns.
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