School of Sociology, Research School of Social Sciences, Australian National University, Canberra, ACT 0200, Australia.
Aust N Z J Psychiatry. 2012 Jun;46(6):561-8. doi: 10.1177/0004867411433967. Epub 2012 Jan 10.
Studies of quality of life among individuals with eating disorders have relied almost exclusively on clinical samples. We examined impairment in quality of life in a community sample of women with eating disorders recruited as part of an epidemiological study.
Measures of health-related quality of life (Medical Outcomes Study 12-item Short-Form Physical and Mental Component Summary scales) and subjective well-being (WHOQOL-BREF Psychological Functioning and Social Relationships subscales) were completed by women with eating disorders (n = 159), primarily variants of bulimia nervosa and binge eating disorder, and a comparison group of healthy women (n = 232).
When compared with healthy women, women with eating disorders reported substantial impairment in aspects of quality of life relating to mental health, although item-level analysis indicated considerable variation in the extent to which specific aspects of emotional well-being were affected. Impairment in social relationship and in physical health was less pronounced and due, at least in part, to between-group differences in age, body weight and demographic characteristics. Impairment in certain aspects of perceived physical health was, however, apparent among women with eating disorders, even after controlling for between-group differences in body weight.
Community cases of women with eating disorders experience marked impairment in quality of life as this relates to mental health functioning and at least some impairment in physical health functioning. Personality characteristics and ego-syntonic aspects of eating-disordered behaviour may complicate the interpretation of findings relating to impairment in specific aspects of quality of life.
研究饮食障碍个体的生活质量几乎完全依赖于临床样本。我们在一项流行病学研究中，对饮食障碍的社区样本女性的生活质量受损情况进行了研究。
健康相关生活质量（医疗结果研究 12 项简明健康调查问卷身心成分总分）和主观幸福感（世界卫生组织生活质量简表心理功能和社会关系子量表）的测量由饮食障碍女性（n=159）完成，主要是神经性贪食症和暴食障碍的变异型，以及健康女性对照组（n=232）。
与健康女性相比，饮食障碍女性报告在心理健康相关的生活质量方面存在显著受损，尽管项目水平分析表明，情绪幸福感的具体方面受到影响的程度存在很大差异。社会关系和身体健康受损程度较低，这至少部分归因于组间在年龄、体重和人口统计学特征方面的差异。然而，即使在控制体重组间差异后，饮食障碍女性在某些感知身体健康方面也存在明显受损。
患有饮食障碍的社区女性在生活质量方面存在明显受损，这与心理健康功能有关，并且在某些身体健康功能方面也存在一定程度的受损。人格特征和进食障碍行为的自我和谐方面可能会使与生活质量特定方面受损相关的发现的解释变得复杂。
