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[学生群体中的饮食失调。流行病学数据]

[Eating disorders in a student population. Epidemiologic data].

作者信息

Bouvard M P, Mouren-Simeoni M C, Le Heuzey M F, Dugas M

机构信息

Service de Psychopathologie de l'Enfant et de l'Adolescent, Hôpital Robert Debré, Paris.

出版信息

Encephale. 1989 Mar-Apr;15(2 Spec No):219-26.

PMID:2667950
Abstract

Most epidemiologic studies about eating disorders have emphasized the frequency of bulimic syndromes and occasional bulimic behaviors among students. The variability of clinical rates and diagnostic criteria used, partly explains the heterogeneousness of those studies. In our study, we used the BULIT questionnaire on a population of speech-therapy students, including all three years levels of training. 548 questionnaires were then analysed. We chose 88 as a discriminative score for occasional bulimic behaviors, and 102 for bulimic syndromes, as previously proposed by the authors of the questionnaire. We found that occasional bulimic behaviors and bulimic syndromes are less frequent in our sample compared to other studies. Nevertheless, a more precise analysis of the different items showed: a feeling of dissatisfaction towards eating habits, an exagerated fear of loss of control, frequent dysphoric feelings after overeating episodes. These findings confirm that eating is a very important concern in student population. These clinical symptoms could be considered as risk factors for eating disorders bulimia type, and might help prevention in such a population.

摘要

大多数关于饮食失调的流行病学研究都强调了学生中暴食症候群的发生率以及偶尔出现的暴食行为。临床发生率和所用诊断标准的差异,在一定程度上解释了这些研究的异质性。在我们的研究中,我们对言语治疗专业的学生群体使用了BULIT问卷,这些学生涵盖了所有三个年级的培训阶段。然后对548份问卷进行了分析。正如该问卷的作者之前所提议的,我们将88分作为偶尔暴食行为的判别分数,102分作为暴食症候群的判别分数。我们发现,与其他研究相比,我们样本中偶尔的暴食行为和暴食症候群的发生率较低。然而,对不同项目的更精确分析显示:对饮食习惯的不满情绪、对失控的过度恐惧、暴饮暴食后频繁出现的烦躁情绪。这些发现证实,饮食在学生群体中是一个非常重要的问题。这些临床症状可被视为暴食型饮食失调的风险因素,可能有助于在这类人群中进行预防。

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