Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Department of Psychology, Alma College, Alma, MI, United States.
Eat Behav. 2022 Apr;45:101622. doi: 10.1016/j.eatbeh.2022.101622. Epub 2022 Feb 28.
This study aimed to determine the associations between psychosis symptoms and eating disorders among a national sample of college and university students ages 18 to 26 years. Data from the 2020-2021 Healthy Minds Study (United States) were analyzed (N = 96,791). Multiple modified Poisson regression analyses were conducted to estimate the association between four self-reported lifetime psychosis symptoms and a positive eating disorder screen (measured using the SCOFF) and any self-reported lifetime eating disorder diagnosis, while adjusting for demographic and confounding variables. Participants who reported all four lifetime psychosis symptoms were more likely to screen positive for an eating disorder, while participants who reported three lifetime psychosis symptoms were more likely to report any lifetime eating disorder diagnosis. Those who reported a higher cumulative number of lifetime psychosis symptoms and reported any psychosis symptoms in the past 12 months were more likely to screen positive for an eating disorder and report any lifetime eating disorder diagnosis. Psychosis symptoms were associated with eating disorders among a national sample of college students. Health care professionals should be aware of the relationship between psychosis symptoms and eating disorders to ensure effective screening and early-intervention.
本研究旨在确定精神病症状与 18 至 26 岁的大学生和大学生群体中饮食障碍之间的关联。分析了 2020-2021 年健康思维研究（美国）的数据（N=96791）。进行了多项修正泊松回归分析，以估计四个自我报告的终生精神病症状与积极的饮食障碍筛查（使用 SCOFF 测量）和任何自我报告的终生饮食障碍诊断之间的关联，同时调整了人口统计学和混杂变量。报告所有四种终生精神病症状的参与者更有可能筛查出饮食障碍阳性，而报告三种终生精神病症状的参与者更有可能报告任何终生饮食障碍诊断。那些报告了更高数量的终生精神病症状且在过去 12 个月内报告了任何精神病症状的人更有可能筛查出饮食障碍阳性并报告任何终生饮食障碍诊断。精神病症状与大学生群体中的饮食障碍有关。医疗保健专业人员应该意识到精神病症状与饮食障碍之间的关系，以确保有效的筛查和早期干预。
