Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA 70803, USA.
J Psychiatr Res. 2010 Sep;44(12):781-7. doi: 10.1016/j.jpsychires.2010.01.014. Epub 2010 Feb 24.
This study examined the temporal sequencing of eating and anxiety disorders to delineate which anxiety disorders increase eating disorder risk and whether individuals with eating disorders are at greater risk for particular anxiety disorders. The sample was drawn from the Oregon Adolescent Depression Project. Temporal relations between specific eating and anxiety disorders were examined after controlling for relevant variables (e.g., mood disorders, other anxiety disorders) over 14 years. After excluding those with anorexia nervosa (AN) in adolescence (T1), OCD was the only T1 anxiety disorder to predict AN by age 30 (T4). No T1 anxiety disorder was associated with T4 bulimia nervosa (BN). Although T1 AN did not increase risk of any T4 anxiety disorder, T1 BN appeared to increase risk for social anxiety and panic disorders. Evidence that eating disorders may have differential relations to particular anxiety disorders could inform prevention and treatment efforts.
这项研究考察了进食障碍和焦虑障碍的时间顺序，以明确哪些焦虑障碍会增加进食障碍的风险，以及是否患有进食障碍的个体更容易患上特定的焦虑障碍。该样本来自俄勒冈州青少年抑郁项目。在控制了相关变量（例如，情绪障碍、其他焦虑障碍）14 年后，研究人员检查了特定的进食障碍和焦虑障碍之间的时间关系。在排除了青少年时期患有神经性厌食症 (AN)的个体后（T1），强迫症 (OCD) 是唯一一种在 30 岁时预测 AN 的 T1 焦虑障碍（T4）。没有 T1 焦虑障碍与 T4 暴食症 (BN) 相关。尽管 T1 AN 不会增加任何 T4 焦虑障碍的风险，但 T1 BN 似乎会增加社交焦虑和恐慌障碍的风险。这些证据表明，进食障碍可能与特定的焦虑障碍存在不同的关系，这可以为预防和治疗提供信息。
