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神经性厌食症的“流行”:又一个医学神话?

The "epidemic" of anorexia nervosa: another medical myth?

作者信息

Williams P, King M

出版信息

Lancet. 1987 Jan 24;1(8526):205-7. doi: 10.1016/s0140-6736(87)90015-8.

Abstract

Examination of data on patients admitted to psychiatric facilities in England in 1972-81, inclusive, with a main diagnosis of anorexia nervosa showed that first admissions for women rose significantly with time--age-period-cohort analysis showed that this was due entirely to an increase in the number of young women in the population rather than to an increase in risk of morbidity. There were significant increases with time in the readmission rates for both sexes. For the women, these were due to a complex interrelation between age, period, and cohort effects. This rising readmission rate may have contributed to the widely held impression that the incidence of anorexia nervosa has risen sharply.

摘要

对1972年至1981年(含)期间入住英国精神病院、主要诊断为神经性厌食症的患者数据进行检查后发现,女性首次入院人数随时间显著增加——年龄-时期-队列分析表明,这完全是由于人口中年轻女性数量的增加,而非发病率风险的上升。两性的再入院率均随时间显著增加。对于女性而言,这是年龄、时期和队列效应之间复杂的相互关系所致。这种不断上升的再入院率可能导致了人们普遍认为神经性厌食症的发病率急剧上升。

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