住院医师与饮食失调：大马士革医院环境中患病率及相关因素的调查
Medical residents and eating disorders: an investigation of prevalence and correlates in hospital settings in Damascus.
作者信息
Nahas Lujain, Soqia Jameel, Mohamad Lama, Agha Laila Yakoub, Nahas Mehdy, Alsaid Bayan
机构信息
Faculty of Medicine, Damascus University, Damascus, Syria.
Laboratory of Anatomy, Faculty of Medicine, University of Damascus, Damascus, Syria.
出版信息
Biopsychosoc Med. 2025 Jul 18;19(1):12. doi: 10.1186/s13030-025-00330-2.
OBJECTIVE
To study how common are disordered eating behaviors among medical residents in different specialties and how certain preceding factors might contribute to that risk.
METHODS
Self-administered questionnaires were administered to residents from each year and specialty using the Eating Attitudes Test-26 (EAT-26) and the Sick, Control, One, Fat, Food (SCOFF) questionnaires. We used binary logistic regression to study the relationship between individuals at high risk and possible triggers of eating disorders.
RESULTS
Among the 399 participants, the risk of disordered eating behavior was 8% using the EAT-26 and 14.3% using SCOFF. There was no difference in the risk according to sex or specialty except for dermatology (p = 0.004). BMI was also among the affecting factors (p < 0.05), in addition to a positive family and personal history of mental disorders (p < 0.001). Recent exposure to stressors, living and marital status did not prove to affect risk.
CONCLUSION
We found that a percentage of medical residents in different specialties are at greater risk for developing eating disorders and exhibit alarming behaviors related to feeding habits. This risk stems from a number of variables, a few of which were studied in this article. Our results demonstrate a need for better awareness of mental health.
目的
研究不同专业的住院医师中饮食失调行为的普遍程度，以及某些先前因素可能如何导致这种风险。
方法
使用饮食态度测试-26（EAT-26）问卷和疾病、控制、单一、肥胖、食物（SCOFF）问卷，对各年级和各专业的住院医师进行自填式问卷调查。我们使用二元逻辑回归来研究高风险个体与饮食失调可能诱因之间的关系。
结果
在399名参与者中，使用EAT-26问卷得出饮食失调行为的风险为8%，使用SCOFF问卷得出的风险为14.3%。除皮肤科外，按性别或专业划分的风险没有差异（p = 0.004）。除了精神障碍的阳性家族史和个人史外（p < 0.001），体重指数也是影响因素之一（p < 0.05）。近期接触压力源、生活和婚姻状况并未被证明会影响风险。
结论
我们发现，不同专业的一部分住院医师患饮食失调症的风险更高，并表现出与饮食习惯相关的惊人行为。这种风险源于多个变量，本文对其中一些变量进行了研究。我们的结果表明需要更好地关注心理健康。
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