Traut Philipp, Halbeisen Georg, Braks Karsten, Huber Thomas J, Paslakis Georgios
University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr-University Bochum, Luebbecke, Germany.
Centre for Eating Disorders, Klinik am Korso, Bad Oeynhausen, Germany.
Front Psychiatry. 2023 Jul 7;14:1192693. doi: 10.3389/fpsyt.2023.1192693. eCollection 2023.
Eating disorders (EDs) are among the most severe mental disorders in women and men, often associated with high symptom burden and significant limitations in daily functioning, frequent comorbidities, chronic course of illness, and even high mortality rates. At the same time, differences between men and women with EDs remain poorly explored.
In this study, we compared 104 men to 104 diagnosis-matched women with EDs regarding sociodemographic and clinical features. Using latent class mixture modelling, we identified four distinct patient subgroups based on their sociodemographic features.
Men with EDs had significantly higher odds than women to belong to a "single-childfree-working" class. Moreover, while there were few overall differences in ED-related symptoms and general psychopathology between men and women, single-childfree-working men with EDs presented with higher general psychopathology symptoms than men in the other classes.
We discuss how considering sex and gender along with further sociodemographic differences in EDs may help to improve ED diagnosis and treatment.
饮食失调是男性和女性中最严重的精神障碍之一，通常伴有高症状负担和日常功能的显著受限、频繁的共病、慢性病程，甚至高死亡率。与此同时，患有饮食失调症的男性和女性之间的差异仍未得到充分探索。
在本研究中，我们比较了104名患有饮食失调症的男性和104名诊断匹配的女性的社会人口统计学和临床特征。使用潜在类别混合模型，我们根据他们的社会人口统计学特征确定了四个不同的患者亚组。
患有饮食失调症的男性属于“无子女单身在职”类别的几率显著高于女性。此外，虽然男性和女性在与饮食失调相关的症状和一般精神病理学方面总体差异不大，但患有饮食失调症的无子女单身在职男性比其他类别的男性表现出更高的一般精神病理学症状。
我们讨论了在饮食失调症中考虑性别以及进一步的社会人口统计学差异如何有助于改善饮食失调症的诊断和治疗。
