Child and Adolescent Psychiatry Department, Erasme Hospital, Brussels University Hospital (HUB), route de Lennik 808, 1070, Brussels, Belgium,
Psychiatr Danub. 2024 Sep;36(Suppl 2):317-320.
Early onset anorexia nervosa accounts for 8% of anorexia cases worldwide. Very few studies on this subject exist, given the difficulty of obtaining a sufficiently significant sample. The aim of this study was to supplement the literature and investigate the clinical characteristics of early onset anorexia nervosa.
This is a monocentric retrospective study carried out on the records of patients aged 8 to 12 years with early onset anorexia nervosa, hospitalized in the child psychiatry unit at the Queen Fabiola University Children's Hospital, in Brussels, from 01/01/2000 to 01/07/2023. Descriptive statistics were then performed on the sample and compared with the data found in the literature.
This study included 48 children aged 8 to 12 with early onset anorexia nervosa. In the sample, three children were diagnosed with autism spectrum disorder during hospitalization. The sample included 36 girls and 12 boys, with an average age of 11 years and 7 months. The patients had an average body mass index of 13.6 kg/m on admission. A total of 87% of the parents had a history of psychiatric illness. A large majority of the children had underlying depressive and anxiety disorders. The duration of anorexia nervosa in these children was 13.5 months from diagnosis, with an average hospital stay of 5.4 months.
This study seems to show the difficulty for parents and caregivers in diagnosing this illness and the probable impact of genetics and maternal depression on the development of early onset anorexia nervosa.
早发性厌食症占全球厌食症病例的 8%。由于难以获得足够大的样本量，因此针对这一主题的研究非常少。本研究旨在补充文献并研究早发性厌食症的临床特征。
这是一项在位于布鲁塞尔的法比奥拉女王大学儿童医院儿童精神病科住院的 8 至 12 岁早发性厌食症患者的病历中开展的单中心回顾性研究。然后对样本进行描述性统计，并与文献中的数据进行比较。
本研究纳入了 48 名 8 至 12 岁的早发性厌食症患儿。在住院期间，3 名儿童被诊断为自闭症谱系障碍。样本包括 36 名女孩和 12 名男孩，平均年龄为 11 岁 7 个月。入院时，患者的平均 BMI 为 13.6kg/m²。87%的父母有精神病史。大多数患儿都有潜在的抑郁和焦虑障碍。从确诊到厌食症的发病时间为 13.5 个月，平均住院时间为 5.4 个月。
本研究似乎表明，父母和照顾者在诊断这种疾病方面存在困难，并且遗传和产妇抑郁可能对早发性厌食症的发展有影响。
