Kurz Susanne, van Dyck Zoé, Dremmel Daniela, Munsch Simone, Hilbert Anja
Department of Psychology, University of Fribourg, Rue P.-A. Faucigny 2, 1700, Fribourg, Switzerland,
Eur Child Adolesc Psychiatry. 2015 Jul;24(7):779-85. doi: 10.1007/s00787-014-0622-z. Epub 2014 Oct 9.
This study sought to determine the distribution of early-onset restrictive eating disturbances characteristic of the new DSM-5 diagnosis, avoidant/restrictive food intake disorder (ARFID) in middle childhood, as well as to evaluate the screening instrument, Eating Disturbances in Youth-Questionnaire (EDY-Q). A total of 1,444 8- to 13-year-old children were screened in regular schools (3rd to 6th grade) in Switzerland using the self-report measure EDY-Q, consisting of 12 items based on the DSM-5 criteria for ARFID. 46 children (3.2%) reported features of ARFID in the self-rating. Group differences were found for body mass index, with underweight children reporting features of ARFID more often than normal and overweight children. The EDY-Q revealed good psychometric properties, including adequate discriminant and convergent validity. Early-onset restrictive eating disturbances are commonly reported in middle childhood. Because of possible negative short- and long-term impact, early detection is essential. Further studies with structured interviews and parent reports are needed to confirm this study's findings.
本研究旨在确定新的《精神疾病诊断与统计手册》第5版（DSM-5）诊断标准中早发性限制性饮食障碍——回避/限制性食物摄入障碍（ARFID）在童年中期的分布情况，并评估筛查工具《青少年饮食障碍问卷》（EDY-Q）。在瑞士的普通学校（三年级至六年级）中，使用自我报告测量工具EDY-Q对1444名8至13岁的儿童进行了筛查，该问卷由12个基于DSM-5中ARFID标准的项目组成。46名儿童（3.2%）在自评中报告了ARFID的特征。在体重指数方面发现了组间差异，体重过轻的儿童比正常体重和超重儿童更常报告ARFID的特征。EDY-Q显示出良好的心理测量学特性，包括足够的区分效度和聚合效度。早发性限制性饮食障碍在童年中期较为常见。由于可能产生负面的短期和长期影响，早期发现至关重要。需要进一步开展结构化访谈和家长报告的研究来证实本研究的结果。
