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一生中进食问题与心境和焦虑障碍共病:来自加拿大精神健康和幸福感的社区健康调查的结果。

Comorbidity between lifetime eating problems and mood and anxiety disorders: results from the Canadian Community Health Survey of Mental Health and Well-being.

机构信息

Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada; Department of Psychiatry, McGill University, Douglas Hospital Research Centre, Montreal, Canada.

出版信息

Eur Eat Disord Rev. 2015 Mar;23(2):156-62. doi: 10.1002/erv.2347. Epub 2015 Jan 21.

Abstract

This study was to examine profiles of eating problems (EPs), mood and anxiety disorders and their comorbidities; explore risk patterns for these disorders; and document differences in health service utilization in a national population. Data were from the Canadian Community Health Survey of Mental Health and Well-being. The lifetime prevalence of EPs was 1.70% among Canadians, compared with 13.25% for mood disorder, 11.27% for anxiety disorder and 20.16% for any mood or anxiety disorder. Almost half of those with EPs also suffered with mood or anxiety disorders. A similar pattern in depressive symptoms was found among individuals with major depression and EPs, but individuals with EPs reported fewer symptoms. Factors associated with the comorbidity of EPs and mood and anxiety disorders were identified. Individuals with EPs reported more unmet needs. Patients with EPs should be concomitantly investigated for mood and anxiety disorders, as similar interventions may be effective for both.

摘要

本研究旨在探究进食障碍(EPs)、情绪和焦虑障碍及其共病的特征;探索这些障碍的风险模式;并记录全国人群中卫生服务利用的差异。数据来自加拿大心理健康和幸福感的社区健康调查。在加拿大,终生 EPs 的患病率为 1.70%,而心境障碍为 13.25%,焦虑障碍为 11.27%,任何心境或焦虑障碍为 20.16%。近一半的 EPs 患者还患有心境或焦虑障碍。在患有重度抑郁症和 EPs 的个体中也发现了类似的抑郁症状模式,但 EPs 患者报告的症状较少。确定了与 EPs 以及心境和焦虑障碍共病相关的因素。EPs 患者的未满足需求更多。应同时对 EPs 患者进行心境和焦虑障碍的检查,因为类似的干预措施可能对两者都有效。

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