暴饮暴食症的风险因素：一项探索性研究。
Risk factors for binge-eating disorders: an exploratory study.
作者信息
Striegel-Moore Ruth H, Dohm Faith-Anne, Kraemer Helena C, Schreiber George B, Taylor C Barr, Daniels Stephen R
机构信息
Department of Psychology, Wesleyan University, Middletown, Connecticut 06459, USA.
出版信息
Int J Eat Disord. 2007 Sep;40(6):481-7. doi: 10.1002/eat.20400.
OBJECTIVE
This study examined a broad range of childhood risk factors for binge-eating disorders (bulimia nervosa or binge eating disorder, BN/BED), utilizing data that had been collected prospectively in the 10-year National Heart, Lung, and Blood Institute Growth and Health Study.
METHOD
Forty-five women with a history of BED/BN (with onset age > 14 and <20 years) and 1,515 women who did not have a history of an eating disorder were included.
RESULTS
Signal detection analysis indicated a single pathway that identified approximately 13% of the BED/BN cases. The pathway was based on an elevated level of perceived stress prior to the age of 14.
CONCLUSION
Our findings suggest that eating disorders may have multiple and complex etiologies. This is the first study to suggest that elevated levels of perceived stress may precede the onset of binge-eating disorders. Whether this is a causal association remains a question.
目的
本研究利用在为期10年的美国国立心肺血液研究所生长与健康研究中前瞻性收集的数据，对一系列广泛的儿童期暴饮暴食障碍（神经性贪食症或暴饮暴食症，BN/BED）风险因素进行了研究。
方法
纳入了45名有BED/BN病史（发病年龄>14岁且<20岁）的女性和1515名无饮食失调病史的女性。
结果
信号检测分析表明存在一条识别出约13%的BED/BN病例的单一途径。该途径基于14岁之前感知到的压力水平升高。
结论
我们的研究结果表明饮食失调可能有多种复杂的病因。这是第一项表明感知到的压力水平升高可能先于暴饮暴食障碍发病的研究。这是否为因果关联仍是一个问题。
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