Szabó P, Túry F
Kossuth Lajos Tudományegyetem, Pszichológiai Intézet, Debrecen.
Orv Hetil. 1995 Aug 20;136(34):1829-35.
In a recent multicentre study it turned out that both clinical and subclinical eating disorders are more prevalent in Hungarian college students than among their Austrian and German counterparts. Now the prevalence of eating disorders was assessed in a population of Hungarian workers. From 1800 working females and males 762 returned the questionnaires; data of 689 subjects (571 females and 118 males) were analysed. Among females the prevalence rates of bulimia nervosa (according to DSM-III-R), subclinical bulimia nervosa and subclinical anorexia nervosa are 0.7% (n = 4), 5.3% (n = 30) and 0.7% (n = 4), respectively. In males two persons (1.7%) met DSM-III-R criteria for bulimia nervosa, three (2.5%) were identified as having subclinical bulimia nervosa and two (1.7%) subclinical anorexia nervosa. No case of clinical anorexia nervosa was found. So the overall prevalences of clinical and subclinical eating disorder syndromes are 6.7% for females and 5.9% for males in the working population. These disorders that mostly remain hidden in the population under study do not seem to be quite recent. These rather unfavorably high prevalence rates can be explained by the tendency for over-identification with Western norms and values; in addition, in the group of workers, the risk factors are supposed to be combined with the relative lack of protective factors.
在最近一项多中心研究中发现，匈牙利大学生中临床和亚临床饮食失调的情况比奥地利和德国的同龄人更为普遍。现在对匈牙利工人群体中的饮食失调患病率进行了评估。在1800名在职女性和男性中，762人返回了问卷；对689名受试者（571名女性和118名男性）的数据进行了分析。在女性中，神经性贪食症（根据《精神疾病诊断与统计手册》第三版修订版）、亚临床神经性贪食症和亚临床神经性厌食症的患病率分别为0.7%（n = 4）、5.3%（n = 30）和0.7%（n = 4）。在男性中，有两人（1.7%）符合神经性贪食症的《精神疾病诊断与统计手册》第三版修订版标准，三人（2.5%）被确定为患有亚临床神经性贪食症，两人（1.7%）患有亚临床神经性厌食症。未发现临床神经性厌食症病例。因此，在职人群中女性临床和亚临床饮食失调综合征的总体患病率为6.7%，男性为5.9%。这些大多在研究人群中隐藏的疾病似乎并非近期才出现。这些相当高的患病率可以用过度认同西方规范和价值观的倾向来解释；此外，在工人群体中，危险因素被认为与相对缺乏保护因素有关。
