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青少年暴饮暴食症的叙述性综述:患病率、影响及心理治疗策略

A narrative review of binge eating disorder in adolescence: prevalence, impact, and psychological treatment strategies.

作者信息

Marzilli Eleonora, Cerniglia Luca, Cimino Silvia

机构信息

Department of Dynamic and Clinical Psychology, Psychology and Medicine Faculty, Sapienza - University of Rome.

Department of Psychology, Psychology Faculty, International Telematic University Uninettuno, Rome, Italy.

出版信息

Adolesc Health Med Ther. 2018 Jan 5;9:17-30. doi: 10.2147/AHMT.S148050. eCollection 2018.

Abstract

Binge eating disorder (BED) represents one of the most problematic clinical conditions among youths. Research has shown that the developmental stage of adolescence is a critical stage for the onset of eating disorders (EDs), with a peak prevalence of BED at the age of 16-17 years. Several studies among adults with BED have underlined that it is associated with a broad spectrum of negative consequences, including higher concern about shape and weight, difficulties in social functioning, and emotional-behavioral problems. This review aimed to examine studies focused on the prevalence of BED in the adolescent population, its impact in terms of physical, social, and psychological outcomes, and possible strategies of psychological intervention. The review of international literature was made on paper material and electronic databases ProQuest, PsycArticles, and PsycInfo, and the Scopus index were used to verify the scientific relevance of the papers. Epidemiological research that examined the prevalence of BED in adolescent samples in accordance with showed a prevalence ranging from 1% to 4%. More recently, only a few studies have investigated the prevalence of BED, in accordance with the criteria, reporting a prevalence of ~1%-5%. Studies that focused on the possible impact that BED may have on physical, psychological, and social functioning showed that adolescents with BED have an increased risk of developing various adverse consequences, including obesity, social problems, substance use, suicidality, and other psychological difficulties, especially in the internalizing area. Despite the evidence, to date, reviews on possible and effective psychological treatment for BED among young population are rare and focused primarily on adolescent females.

摘要

暴饮暴食症(BED)是青少年中最具问题的临床病症之一。研究表明,青春期是饮食失调(EDs)发病的关键阶段,暴饮暴食症的患病率在16至17岁达到峰值。多项针对患有暴饮暴食症的成年人的研究强调,它与一系列负面后果相关,包括对体型和体重的更高关注度、社交功能障碍以及情绪行为问题。本综述旨在研究聚焦于青少年人群中暴饮暴食症患病率、其在身体、社交和心理方面的影响以及可能的心理干预策略的研究。通过纸质材料以及电子数据库ProQuest、PsycArticles和PsycInfo对国际文献进行了综述,并使用Scopus索引来验证论文的科学相关性。按照[相关标准]对青少年样本中暴饮暴食症患病率进行调查的流行病学研究显示,患病率在1%至4%之间。最近,只有少数研究按照[相关标准]调查了暴饮暴食症的患病率,报告的患病率约为1% - 5%。关注暴饮暴食症可能对身体、心理和社交功能产生的影响的研究表明,患有暴饮暴食症的青少年出现各种不良后果的风险增加,包括肥胖、社交问题、物质使用、自杀倾向以及其他心理困扰,尤其是在内化领域。尽管有这些证据,但迄今为止,针对青少年人群中暴饮暴食症可能有效的心理治疗的综述很少,且主要集中在青少年女性身上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a27/5759856/a335cb16aac1/ahmt-9-017Fig1.jpg

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