Killen J D, Taylor C B, Hayward C, Haydel K F, Wilson D M, Hammer L, Kraemer H, Blair-Greiner A, Strachowski D
Department of Medicine, Stanford University School of Medicine, Palo Alto, California 94304, USA.
J Consult Clin Psychol. 1996 Oct;64(5):936-40. doi: 10.1037//0022-006x.64.5.936.
The authors examined factors prospectively associated with age of onset of partial syndrome eating disorders over a 4-year interval in a community sample (N = 877) of high school-age adolescent girls. Four percent developed a partial syndrome eating disorder over the interval. A measure of weight concerns was significantly associated with onset in a multivariate Cox proportional hazard analysis (p < .001). Girls scoring in the highest quartile on the measure of weight concerns had the highest incidence (10%) of partial syndrome onset, whereas none of the girls in the lowest quartile developed eating disorder symptoms. This finding is consistent with both theoretical and clinical perspectives and may represent a useful step toward the establishment of a rational basis for the choice of a prevention intervention target.
作者对一个高中年龄青少年女孩的社区样本（N = 877）进行了为期4年的前瞻性研究，考察与部分综合征饮食失调发病年龄相关的因素。在此期间，4%的人患上了部分综合征饮食失调。在多变量Cox比例风险分析中，对体重的关注程度与发病显著相关（p < .001）。在体重关注程度测量中得分处于最高四分位数的女孩，部分综合征发病的发生率最高（10%），而处于最低四分位数的女孩中没有一人出现饮食失调症状。这一发现与理论和临床观点均相符，可能代表着朝着为选择预防干预目标建立合理依据迈出了有益的一步。
