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患有神经性贪食症且进食障碍未另作说明(仅为清除型)的青少年。

Adolescents with bulimia nervosa and eating disorder not otherwise specified-purging only.

作者信息

Binford Roslyn B, le Grange Daniel

机构信息

Eating Disorders Program, Department of Psychiatry, Section of Child and Adolescent Psychiatry, The University of Chicago, Chicago, Illinois 60637, USA.

出版信息

Int J Eat Disord. 2005 Sep;38(2):157-61. doi: 10.1002/eat.20167.

Abstract

OBJECTIVE

The purpose of the study was to better understand the phenomenology of bulimic symptomatology in an adolescent clinic sample.

METHOD

Adolescents with bulimia nervosa (BN; n = 36) and eating disorders not otherwise specified-purging but no objective bulimic episodes (EDNOS-P; n = 20) were compared on the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), the Rosenberg Self-Esteem Scale (RSES), and the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS).

RESULTS

Subjects with EDNOS-P and BN were equivalent in terms of age and weight, but were less likely to have intact families. Nearly one half of EDNOS-P subjects purged exclusively outside of eating episodes in which they experienced a sense of loss of control. Although still at clinically significant levels, EDNOS-P subjects reported less concerns regarding weight, shape, and eating relative to BN. Groups were not significantly different on psychiatric comorbidity, but differed on self-esteem.

DISCUSSION

Results prompt reappraisal of current criteria of BN to encompass those who purge without binge eating.

摘要

目的

本研究旨在更深入地了解青少年临床样本中贪食症症状的现象学。

方法

对神经性贪食症(BN;n = 36)青少年和未另行指定的饮食失调症——有清除行为但无客观贪食发作(EDNOS-P;n = 20)的青少年进行比较,比较内容包括饮食失调检查(EDE)、贝克抑郁量表(BDI)、罗森伯格自尊量表(RSES)以及学龄儿童情感障碍和精神分裂症量表(K-SADS)。

结果

EDNOS-P组和BN组在年龄和体重方面相当,但拥有完整家庭的可能性较小。近一半的EDNOS-P组受试者仅在未经历失控感的进食发作之外进行清除行为。尽管仍处于临床显著水平,但与BN组相比,EDNOS-P组受试者对体重、体型和饮食的担忧较少。两组在精神共病方面无显著差异,但在自尊方面存在差异。

讨论

研究结果促使重新评估当前BN的标准,以涵盖那些有清除行为但无暴饮暴食的人。

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