Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
Int J Eat Disord. 2021 Mar;54(3):438-444. doi: 10.1002/eat.23434. Epub 2020 Dec 9.
We describe and compare eating disorder (ED) psychopathology prevalence in Canadian females and males across five age groups.
This secondary data analysis study used the Eating Disorder Examination Questionnaire (EDE-Q) to assess ED psychopathology in 1,316 Alberta community-based female and male participants, aged 15 to 71.
Overall, 15.3% of female and 8.2% of male participants reported clinically-significant ED disturbances. Female participants reported greater global ED psychopathology than male participants, except older men and women aged 65-71, who reported similar, relatively low levels of global ED psychopathology. Women aged 65-71 endorsed less global ED psychopathology than younger females. More females than males reported regular binge eating and self-induced vomiting, whereas other ED behaviors were endorsed at similar rates.
This large-scale study, the first involving a Canadian sample, contributes to a small literature on ED psychopathology in community-based samples. The finding that 15% of female and 8% of male Albertans aged 15 to 71 endorsed clinically-significant ED disturbances is concerning; however, women aged 65-71 reported lower ED psychopathology than younger females. Gender and age differences were observed in global ED psychopathology. Routine ED screening of non-clinical adolescents and adults is warranted to permit prevention and early intervention.
我们描述并比较了加拿大女性和男性在五个年龄组中饮食失调(ED)精神病理学的患病率。
本二次数据分析研究使用饮食失调检查问卷(EDE-Q)评估了 1316 名艾伯塔省基于社区的女性和男性参与者(年龄在 15 至 71 岁之间)的 ED 精神病理学。
总体而言,15.3%的女性和 8.2%的男性参与者报告存在临床显著的 ED 障碍。女性参与者报告的整体 ED 精神病理学比男性参与者更为严重,除了年龄较大的男性和 65-71 岁的老年女性,他们报告了相似的、相对较低水平的整体 ED 精神病理学。65-71 岁的女性比年轻女性报告的整体 ED 精神病理学要少。与男性相比,更多的女性报告有规律的暴食和自我诱导呕吐,而其他 ED 行为的发生率相似。
这项大规模研究是首次涉及加拿大样本的研究,为基于社区的样本中 ED 精神病理学的少量文献做出了贡献。15%的 15 至 71 岁艾伯塔省女性和 8%的男性参与者报告存在临床显著的 ED 障碍这一发现令人担忧;然而,65-71 岁的女性比年轻女性报告的 ED 精神病理学要少。观察到了全球 ED 精神病理学方面的性别和年龄差异。有必要对非临床青少年和成年人进行常规 ED 筛查,以允许进行预防和早期干预。