Fichter M M, Elton M, Sourdi L, Weyerer S, Koptagel-Ilal G
Psychiatrische Klinik, Universität München, Federal Republic of Germany.
Eur Arch Psychiatry Neurol Sci. 1988;237(4):200-8. doi: 10.1007/BF00449908.
Five samples of adolescents were assessed in three countries: (1) 867 Greek pupils in Munich (Germany), (2) 2,700 Greek pupils in Veria (Greece), (3) 567 girls in Ioannina (Greece), (4) 2,783 adolescents in Istanbul (Turkey), and (5) 157 adolescents in Upper Bavaria (Germany). A two-stage procedure was used for samples one, two and four using the Anorexia Nervosa Inventory for Self-rating (ANIS) for screening and a standardized interview (Structured Interview for Anorexia Nervosa and Bulimia) for personal exploration of possible cases and final case identification. Results of all samples were compared. Greek girls in Germany scored higher than Greek boys in Germany and Greek boys and girls in Germany scored lower than Greek girls in Veria in the ANIS factors figure consciousness, insufficiency, anancasm, negative effect of meals and bulimia in practically all age groups. The frequency distribution of the ANIS main factor figure consciousness was the same for both Greek samples in Greece, while the Turkish sample and the Greek sample in Munich had significantly lower scores. In the second stage the prevalence rates for anorexia nervosa according to Feighner criteria (modified for the purpose of a field study) were: 1.10% for Greek girls in Munich, 0.41% for Greek girls in Veria and 0.35% for Greeks in Ioannina. Thus, while Greek girls in Germany had lower scores in ANIS factors and other self-ratings (General Health Questionnaire) the actual rate of anorexic syndromes was highest among Greek girls in Munich. Socio-cultural influences and selection factors are discussed.
（1）在慕尼黑（德国）的867名希腊学生；（2）在韦里亚（希腊）的2700名希腊学生；（3）在约阿尼纳（希腊）的567名女孩；（4）在伊斯坦布尔（土耳其）的2783名青少年；以及（5）在上巴伐利亚（德国）的157名青少年。对样本一、二和四采用两阶段程序，使用神经性厌食症自评量表（ANIS）进行筛查，并通过标准化访谈（神经性厌食症和贪食症结构化访谈）对可能的病例进行个人探查和最终病例识别。比较了所有样本的结果。在ANIS因素中的体型意识、不足、强迫观念、进食的负面影响和贪食方面，德国的希腊女孩得分高于德国的希腊男孩，且德国的希腊男孩和女孩得分低于韦里亚的希腊女孩，几乎在所有年龄组都是如此。希腊国内的两个希腊样本中，ANIS主要因素体型意识的频率分布相同，而土耳其样本和慕尼黑的希腊样本得分显著更低。在第二阶段，根据费格纳标准（为实地研究目的进行了修改）得出的神经性厌食症患病率为：慕尼黑的希腊女孩为1.10%，韦里亚的希腊女孩为0.41%，约阿尼纳的希腊人为0.35%。因此，虽然德国的希腊女孩在ANIS因素和其他自评（一般健康问卷）中得分较低，但慕尼黑的希腊女孩中厌食综合征的实际发生率最高。文中讨论了社会文化影响和选择因素。
