Department of Psychiatry, Yale University School of Medicine, PO Box 208098, New Haven, CT 06520, USA.
Compr Psychiatry. 2010 Mar-Apr;51(2):142-50. doi: 10.1016/j.comppsych.2009.03.005. Epub 2009 May 2.
The aim of this study was to examine psychosocial correlates of specific aspects of eating disorder (ED) psychopathology (ie, dietary restriction, body dissatisfaction, binge eating, and self-induced vomiting) in psychiatrically hospitalized adolescent girls and boys.
A total of 492 psychiatric inpatients (286 adolescent girls and 206 adolescent boys), aged 12 to 19 years, completed self-report measures of psychosocial and behavioral functioning, including measures of suicide risk and ED psychopathology. Associations between ED psychopathology and psychosocial functioning were examined separately by sex and after controlling for depressive/negative affect using Beck Depression Inventory scores.
Among the adolescent boys and girls, after controlling for depressive/negative affect, ED psychopathology was significantly associated with anxiety, low self-esteem, and current distress regarding childhood abuse. Among adolescent girls, after controlling for depressive/negative affect, ED psychopathology was significantly related to hopelessness and suicidality. Among adolescent boys, after controlling for depressive/negative affect, ED psychopathology was positively related to self-reported history of sexual abuse and various externalizing problems (drug abuse, violence, and impulsivity).
In psychiatrically hospitalized adolescents, ED psychopathology may be an important marker of broad psychosocial distress and behavioral problems among girls and boys, although the nature of the specific associations differs by sex.
本研究旨在探讨饮食障碍（ED）心理病理学特定方面（即饮食限制、身体不满、暴食和自我诱导呕吐）的心理社会相关因素，研究对象为精神病院住院的青少年女孩和男孩。
共有 492 名 12 至 19 岁的精神病住院患者（286 名少女和 206 名少年）完成了心理社会和行为功能的自我报告测量，包括自杀风险和 ED 心理病理学的测量。分别对男性和女性进行 ED 心理病理学与心理社会功能之间的关联进行了研究，并在使用贝克抑郁量表评分控制抑郁/消极情绪后进行了控制。
在青少年男孩和女孩中，在控制抑郁/消极情绪后，ED 心理病理学与焦虑、低自尊和对童年虐待的当前困扰显著相关。在控制抑郁/消极情绪后，在青少年女孩中，ED 心理病理学与绝望和自杀意念显著相关。在控制抑郁/消极情绪后，在青少年男孩中，ED 心理病理学与自我报告的性虐待史和各种外化问题（药物滥用、暴力和冲动）呈正相关。
在精神病住院的青少年中，ED 心理病理学可能是女孩和男孩广泛心理社会困扰和行为问题的重要标志，尽管特定关联的性质因性别而异。
