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巴西南部青少年和年轻成年女性的异常饮食行为:四年后的重新评估。

Abnormal eating behaviors in adolescent and young adult women from southern Brazil: reassessment after four years.

作者信息

Nunes Maria Angélica, Olinto Maria Teresa A, Camey Suzi, Morgan Christina, de Jesus Mari Jair

机构信息

Dept. of Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2006 Dec;41(12):951-6. doi: 10.1007/s00127-006-0116-5. Epub 2006 Sep 29.

DOI:10.1007/s00127-006-0116-5
PMID:17013769
Abstract

OBJECTIVE

To investigate whether abnormal eating behaviors in young women could predict eating disorders after 4 years.

METHOD

56 women were identified as presenting abnormal eating behaviors in a cross-sectional study (Eating Attitudes Test-26 and Edinburgh Bulimic Investigation Test). They were matched for age and neighborhood to two controls (n = 112). Four years later, they were re-assessed with the two screening questionnaires plus the Composite International Diagnostic Interview (CIDI 2.1).

RESULTS

Women with abnormal eating behaviors at baseline showed a high probability of presenting abnormal eating behaviors but it was not associated with eating disorders 4 years later. They were also at higher risk for obsessive-compulsive disorder, post-traumatic stress disorder, and specific phobia.

DISCUSSION

Abnormal eating behaviors were related to the maintenance of the disturbed behavior over the years, and were associated with increased probability for psychiatric diagnoses.

摘要

目的

调查年轻女性的异常饮食行为是否能够预测4年后的饮食失调情况。

方法

在一项横断面研究中(饮食态度测试-26和爱丁堡贪食症调查测试),56名女性被认定存在异常饮食行为。根据年龄和居住区域,将她们与两名对照者(n = 112)进行匹配。4年后,使用这两份筛查问卷以及复合国际诊断访谈(CIDI 2.1)对她们进行重新评估。

结果

基线时存在异常饮食行为的女性表现出出现异常饮食行为的高可能性,但这与4年后的饮食失调并无关联。她们患强迫症、创伤后应激障碍和特定恐惧症的风险也更高。

讨论

异常饮食行为与这些年紊乱行为的持续存在有关,并且与精神疾病诊断概率的增加相关。

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本文引用的文献

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The reliability of the Brazilian version of the Composite International Diagnostic Interview (CIDI 2.1).巴西版综合国际诊断访谈(CIDI 2.1)的信度
Braz J Med Biol Res. 2004 Nov;37(11):1739-45. doi: 10.1590/s0100-879x2004001100020. Epub 2004 Oct 26.
2
Prevalence of abnormal eating behaviours and inappropriate methods of weight control in young women from Brazil: a population-based study.巴西年轻女性中异常饮食行为和不适当体重控制方法的患病率:一项基于人群的研究。
Eat Weight Disord. 2003 Jun;8(2):100-6. doi: 10.1007/BF03324998.
3
Loss of control over eating, adiposity, and psychopathology in overweight children.
超重儿童饮食控制、肥胖及精神病理学方面的失控
Int J Eat Disord. 2002 May;31(4):430-41. doi: 10.1002/eat.10038.
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The integration of primary anorexia nervosa and obsessive-compulsive disorder.原发性神经性厌食症与强迫症的合并症
Eat Weight Disord. 2001 Dec;6(4):174-80. doi: 10.1007/BF03339740.
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Arch Gen Psychiatry. 2000 Jul;57(7):659-65. doi: 10.1001/archpsyc.57.7.659.
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Psychological and behavioral factors unpredictive of disordered eating: a prospective study of the general adolescent population in Norway.对饮食失调无预测性的心理和行为因素:挪威普通青少年人群的一项前瞻性研究
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BMJ. 1999 Mar 20;318(7186):765-8. doi: 10.1136/bmj.318.7186.765.
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Issues and concerns associated with different risk models for eating disorders.与饮食失调不同风险模型相关的问题与担忧。
Int J Eat Disord. 1996 Apr;19(3):249-56. doi: 10.1002/(SICI)1098-108X(199604)19:3<249::AID-EAT3>3.0.CO;2-M.