青少年饮食紊乱行为与其他身心症状之间的关系。

Relationship between disturbed eating behavior and other psychosomatic symptoms in adolescents.

作者信息

Buddeberg-Fischer B, Bernet R, Schmid J, Buddeberg C

机构信息

Division of Psychosocial Medicine, University Hospital Zürich, Switzerland.

出版信息

Psychother Psychosom. 1996;65(6):319-26. doi: 10.1159/000289091.

DOI:10.1159/000289091

PMID:8946530

Abstract

BACKGROUND

There has been relatively little research on subthreshold eating disorders and factors which might promote their transition to eating disorders.

METHODS

A sample consisting of 1,944 Swiss adolescents of both sexes, 14-19 years of age, was investigated for eating behavior (EAT-26), psychological (SCL-90-R) and physical symptoms (GSCL-C). In addition, the relationship between eating behavior and other psychosomatic symptoms was analyzed.

RESULTS

The results revealed significantly higher scores for females than males on all except one scale of the questionnaires. Three categories of disturbed eating behavior based on the EAT scores were described: EAT 0-9 = not disturbed (77.5% girls, 93.1% boys), EAT 10-19 = moderately disturbed (14.1% girls, 5.5% boys), and EAT > or = 20 = severely disturbed (8.3% girls, 1.5% boys). With regard to the three aspects, eating habits, psychosomatic symptoms and suicidality a significant correlation between disturbed eating behavior and concurrent psychological and physical symptoms was found in female but not in male subjects.

CONCLUSIONS

The results emphasized that disordered eating behavior has to be seen as part of a broader psychopathological syndrome, especially in young women.

摘要

背景

关于阈下进食障碍及其可能向进食障碍转变的因素的研究相对较少。

方法

对1944名年龄在14至19岁的瑞士青少年（男女均有）进行了饮食行为（EAT - 26）、心理症状（SCL - 90 - R）和身体症状（GSCL - C）的调查。此外，还分析了饮食行为与其他心身症状之间的关系。

结果

结果显示，除一份问卷的一个量表外，女性在所有量表上的得分均显著高于男性。根据EAT得分描述了三类饮食行为紊乱：EAT 0 - 9 = 未紊乱（女孩77.5%，男孩93.1%），EAT 10 - 19 = 中度紊乱（女孩14.1%，男孩5.5%），EAT≥20 = 严重紊乱（女孩8.3%，男孩1.5%）。在饮食习惯、心身症状和自杀倾向这三个方面，女性中饮食行为紊乱与同时出现的心理和身体症状之间存在显著相关性，而男性中未发现这种相关性。