Zini A, Siani R, Sandri M, Soardo F, Siciliani O
Psychiatry and Clinical Psychology Section, Department of Medicine and Public Health, University of Verona, Verona, Italy.
Eat Weight Disord. 2007 Sep;12(3):125-31. doi: 10.1007/BF03327639.
Exploring the spectrum of eating disorders (ED) and its sociodemographic correlates in a population of adolescents.
The sample included 788 adolescent students (384 females and 404 males, 12-14 years old) from Verona, Northern Italy. A two-stage sampling procedure was adopted. Eating Disorder Inventory-2 (EDI-2), Body Image Satisfaction Questionnaire (BISQ) and a socio-demographic questionnaire were applied to the sample in the first stage. The sample was then partitioned in two strata, "below-cutoff" and "above-cutoff", using the threshold DT > or = 14 for the Drive for Thinness (DT) subscale. A second sample of 59+58 subjects was selected from the two strata. The structural interview of the second stage consisted of the Structured Clinical Interview for DSM-IV Axis I Disorders and the Symptom Checklist of EDI-2.
Partial syndromes of ED were diagnosed in 9.4% of the interviewed sample with a sex ratio F/M=6. The following factors resulted to be related to partial syndrome of ED: dieting to be thin, body mass index, mother's occupation and being a menstruating girl.
This study represents one of the few prevalence and association studies about ED in young Italian adolescents. It evidences that partial syndromes of ED, in particular the partial syndrome of binge eating disorder, are the most frequent syndromes in early adolescence. Some social and parental factors resulted to be significantly related to these syndromes.
探究青少年群体中饮食失调（ED）的范围及其社会人口学相关因素。
样本包括来自意大利北部维罗纳的788名青少年学生（384名女性和404名男性，年龄在12至14岁之间）。采用两阶段抽样程序。在第一阶段，对样本应用饮食失调问卷-2（EDI-2）、身体意象满意度问卷（BISQ）和一份社会人口学问卷。然后，使用瘦身驱力（DT）分量表的阈值DT≥14，将样本分为“低于临界值”和“高于临界值”两个层次。从这两个层次中选取了59 + 58名受试者作为第二个样本。第二阶段的结构化访谈包括《精神疾病诊断与统计手册》第四版轴I障碍结构化临床访谈和EDI-2症状清单。
在9.4%的受访样本中诊断出饮食失调的部分综合征，男女比例为F/M = 6。以下因素与饮食失调的部分综合征相关：为瘦身而节食、体重指数、母亲的职业以及初潮女孩。
本研究是关于意大利青少年饮食失调的少数患病率及相关性研究之一。研究表明，饮食失调的部分综合征，尤其是暴饮暴食障碍的部分综合征，是青春期早期最常见的综合征。一些社会和父母因素与这些综合征显著相关。
