患有饮食失调症的女性中的精神共病情况。
Psychiatric co-morbidity in women presenting across the continuum of disordered eating.
作者信息
Aspen Vandana, Weisman Hannah, Vannucci Anna, Nafiz Najia, Gredysa Dana, Kass Andrea E, Trockel Mickey, Jacobi Corinna, Wilfley Denise E, Taylor C Barr
出版信息
Eat Behav. 2014 Dec;15(4):686-93. doi: 10.1016/j.eatbeh.2014.08.023.
OBJECTIVE
To compare the prevalence and correlates of psychiatric co-morbidity across a large sample of college women without an eating disorder, those at high risk for an eating disorder and women diagnosed using DSM-5 criteria for an eating disorder.
PARTICIPANTS
549 college women aged 18-25.
METHODS
Data from the Eating Disorder Examination, the Structured Clinical Interview for DSM-IV Axis I disorders and self-report questionnaires were analyzed using logistic regression for categorical data and ANCOVA for continuous measures.
RESULTS
Eating disordered symptomatology was strongly associated with anxiety disorders, mood disorders and insomnia. These co-morbidities (type and severity) tend to increase with eating disorder symptom severity.
CONCLUSIONS
Prevention and treatment programs for eating disorders need to address the high levels of mood, anxiety and sleep problems in this population. The findings on insomnia are novel and suggest that sleep disturbance may play an integral role in eating-related difficulties.
目的
比较大量无进食障碍的大学女生、有进食障碍高风险的大学女生以及根据《精神疾病诊断与统计手册》第五版（DSM-5）标准诊断为进食障碍的女性中精神共病的患病率及其相关因素。
参与者
549名年龄在18至25岁之间的大学女生。
方法
使用针对分类数据的逻辑回归和针对连续测量的协方差分析，对来自进食障碍检查、DSM-IV轴I障碍结构化临床访谈和自我报告问卷的数据进行分析。
结果
进食障碍症状与焦虑症、情绪障碍和失眠密切相关。这些共病（类型和严重程度）往往随着进食障碍症状严重程度的增加而增加。
结论
进食障碍的预防和治疗方案需要解决该人群中高水平的情绪、焦虑和睡眠问题。关于失眠的研究结果是新颖的，表明睡眠障碍可能在与饮食相关的困难中起着不可或缺的作用。
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