From the Department of Psychology, Georgia State University, Atlanta, GA.
Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC; and the.
Menopause. 2023 Mar 1;30(3):275-282. doi: 10.1097/GME.0000000000002141. Epub 2023 Jan 17.
Eating disorders (EDs) are often stereotyped as disorders of adolescence and young adulthood; however, they can occur at any age. Prevalence of EDs at midlife are approximately 3.5% and specific symptoms at midlife can have prevalences as high as 29.3%. Studies also inconsistently suggest that EDs and related symptoms may be more prevalent in midlife aged women during perimenopause compared with midlife aged women at pre-menopause. To date few studies have examined the structure of and associations between ED symptoms in women specifically during perimenopause and early postmenopause. Thus, the purpose of the current study is to investigate the structure of ED symptoms specifically during perimenopause and early postmenopause.
Participants included 36 participants (45-61 y old) in a larger clinical trial who completed the Eating Disorder Examination Questionnaire (EDE-Q) at a baseline study visit. Network analysis statistical models were used to examine the structure of and associations between ED symptoms assessed via the EDE-Q.
Shape dissatisfaction and weight dissatisfaction were the top 2 central symptoms in the network.
Results corroborate previous studies and indicate that, similar to young adult samples, dissatisfaction with body image is a core feature of ED pathology across the lifespan.
饮食失调（ED）常被刻板地认为是青少年和成年早期的疾病；然而，它们可能发生在任何年龄。中年饮食失调的患病率约为 3.5%，特定的中年症状的患病率高达 29.3%。研究也不一致地表明，与绝经前的中年女性相比，围绝经期和绝经早期的中年女性中，饮食失调和相关症状可能更为普遍。迄今为止，很少有研究专门探讨围绝经期和绝经早期女性饮食失调症状的结构及其之间的关联。因此，本研究的目的是专门研究围绝经期和绝经早期女性饮食失调症状的结构。
本研究纳入了一项较大的临床试验中的 36 名参与者（45-61 岁），他们在基线研究访视时完成了饮食失调检查问卷（EDE-Q）。使用网络分析统计模型来检查通过 EDE-Q 评估的 ED 症状的结构及其之间的关联。
体型不满和体重不满是网络中的前 2 个中心症状。
结果与之前的研究一致，表明与年轻成年样本相似，对身体形象的不满是整个生命周期中 ED 病理的核心特征。
