Lewinsohn P M, Striegel-Moore R H, Seeley J R
Oregon Research Institute, Eugene 97403-1983, USA.
J Am Acad Child Adolesc Psychiatry. 2000 Oct;39(10):1284-92. doi: 10.1097/00004583-200010000-00016.
To describe the epidemiology of eating disorders (ED) in a community sample of adolescent girls; to compare the clinical characteristics of full-syndrome (FS) and partial-syndrome (PS) ED cases; and to provide information about the continuity between adolescent ED and young adult psychopathology.
A randomly selected sample of high school girls were assessed during adolescence (n = 891) and a year later (n = 810), and a stratified subset (n = 538) was assessed during their 24th year. The assessments included the Schedule for Affective Disorders and Schizophrenia for School-Age Children, the Longitudinal Interval Follow-up Evaluation, level of functioning, mental health treatment utilization, history of suicide attempt, and physical symptoms.
The incidence of ED was less than 2.8% by age 18, and 1.3% for ages 19 through 23. Comorbidity with other psychopathology (89.5%), but especially depression, was very high. FS- and PS-ED groups differed significantly from a no-disorder comparison group on most outcome measures, and more than 70% of the adolescent FS- and PS-ED cases met criteria for an Axis I disorder in young adulthood.
FS- and PS-ED are associated with substantial comorbidity, treatment seeking, impaired functioning, and risk for psychopathology in young adulthood.
描述青春期女孩社区样本中饮食失调（ED）的流行病学特征；比较完全综合征（FS）和部分综合征（PS）ED病例的临床特征；并提供有关青少年ED与青年期精神病理学之间连续性的信息。
随机选取一组高中女生，在青春期（n = 891）和一年后（n = 810）进行评估，并在她们24岁时对一个分层子集（n = 538）进行评估。评估内容包括学龄儿童情感障碍和精神分裂症量表、纵向间隔随访评估、功能水平、心理健康治疗利用情况、自杀未遂史和身体症状。
到18岁时ED的发病率低于2.8%，19岁至23岁为1.3%。与其他精神病理学的共病率（89.5%），尤其是抑郁症，非常高。在大多数结果指标上，FS-ED组和PS-ED组与无疾病对照组有显著差异，超过70%的青少年FS-ED和PS-ED病例在成年早期符合轴I障碍的标准。
FS-ED和PS-ED与大量共病、寻求治疗、功能受损以及成年早期精神病理学风险相关。
