Eating Disorders Program, Specialised Child and Adolescent Mental Health Service, Child and Adolescent Health Service, Perth, Australia; School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia; School of Paediatrics and Child Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Australia; Department of Psychiatry, UNC Center of Excellence for Eating Disorders, The University of North Carolina at Chapel Hill, North Carolina.
Int J Eat Disord. 2014 Sep;47(6):666-70. doi: 10.1002/eat.22294. Epub 2014 May 4.
Given the importance of assessing depressive symptoms and suicidal ideation in adolescents with eating disorders (EDs), the aim was to provide normative data on the Children's Depression Inventory (CDI) for female adolescents presenting for treatment of an ED.
The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project registry (N = 1000), a prospective, ongoing registry study comprising consecutive pediatric tertiary ED referrals. Females (N = 256; 12-17 years) with DSM-5 EDs completed the CDI at intake.
Results on the CDI revealed a pattern of increasing depressive scores with age and higher scores among patients with anorexic spectrum disorders. The prevalence of suicidal ideation was high and had the same pattern as CDI scores. The mean score on the CDI in the sample was higher than community samples and clinical samples of adolescents with post-traumatic stress disorder, obsessive compulsive disorder, and other clinical disorders.
Females adolescents with EDs are at high-risk of depression and suicidal ideation. These data provide information about variation in CDI scores to guide clinicians in interpretation of scores.
鉴于评估患有饮食障碍（ED）的青少年的抑郁症状和自杀意念的重要性，本研究旨在为接受 ED 治疗的女性青少年提供儿童抑郁量表（CDI）的常模数据。
资料来源于帮助制定儿科饮食障碍（HOPE）项目登记（N=1000），这是一项包含连续儿科三级 ED 转诊的前瞻性、正在进行的登记研究。符合 DSM-5 ED 标准的女性（N=256；12-17 岁）在入院时完成 CDI。
CDI 的结果显示，抑郁评分随年龄增长而增加，且厌食症谱系障碍患者的评分更高。自杀意念的发生率很高，与 CDI 评分模式相同。该样本的 CDI 平均得分高于社区样本和患有创伤后应激障碍、强迫症和其他临床疾病的青少年的临床样本。
患有 ED 的女性青少年有很高的抑郁和自杀意念风险。这些数据提供了关于 CDI 评分变化的信息，以指导临床医生对评分进行解释。
