Marchi M, Cohen P
New York State Psychiatric Institute, NY 10032.
J Am Acad Child Adolesc Psychiatry. 1990 Jan;29(1):112-7. doi: 10.1097/00004583-199001000-00017.
Maladaptive eating patterns were traced longitudinally in a large random sample of children. Pickiness and concern with weight were more common in girls than in boys, and the prevalence of pickiness declined with age. No age or sex differences in family contention around meals nor in bingeing were shown. All problem behaviors showed significant stability over the 10-year span studied, beginning at ages 1 to 10. Certain eating and digestive problems in early childhood were predictive of symptoms of bulimia nervosa and anorexia nervosa in adolescence. Findings regarding prospective risks implicate pica and problem meals in early childhood for later bulimia nervosa; suggesting problems in self-control of eating behavior as well as eating-related family struggles. Risks in early childhood for subsequent symptoms of anorexia nervosa include picky eating and digestive problems.
在一个大型儿童随机样本中对适应不良的饮食模式进行了纵向追踪。挑食和对体重的关注在女孩中比在男孩中更常见，并且挑食的患病率随年龄下降。在围绕用餐的家庭争论或暴饮暴食方面未显示出年龄或性别差异。在研究的10年期间，所有问题行为都表现出显著的稳定性，始于1至10岁。幼儿期的某些饮食和消化问题可预测青少年期神经性贪食症和神经性厌食症的症状。关于前瞻性风险的研究结果表明，幼儿期的异食癖和问题用餐与后期的神经性贪食症有关；这表明在饮食行为的自我控制以及与饮食相关的家庭冲突方面存在问题。幼儿期出现后续神经性厌食症症状的风险包括挑食和消化问题。
