ADOLESCENT EATING DISORDERS: A SECOND LOOK

青少年饮食失调：再观察

• 批准号: 6189094
• 负责人: Eva Petkova
• 金额: $ 7.82万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-01 至 2002-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6189094
• 关键词: adolescence (12-20); anorexia nervosa; attitude; behavioral /social science research tag; binge eating disorder; bulimia nervosa; clinical research; disease /disorder etiology; disease /disorder proneness /risk; eating disorders; gender difference; health behavior; human subject; interview; mental disorder diagnosis; nutrient intake activity; nutrition related tag; oral behavior; questionnaires

Description (adapted from the investigator's abstract): Eating disorders, a public health problem because of their chronicity and impact on health, typically begin during adolescence. The goal of this study is to identify potential risk and protective factors in adolescents, that may be useful in screening for typical and atypical eating disorders in pediatric practice, and that may generate hypotheses about the etiology of these disorders. A secondary analysis of a two-stage epidemiological study of a countywide high school population (n=5596) completed in 1984-1985, is proposed. The first stage consisted of a survey questionnaire, which provided dimensional assessments of eating attitudes, behaviors, other psychopathology, as well as weight history, medical problems, and menstrual history. The second stage consisted of semi-structured diagnostic interviews, conducted by experienced clinicians, which yielded psychiatric diagnoses for eating disorders, other selected disorders, as well as more detailed information on correlates of eating disorders. The primary data analysis focused on the prevalence of psychiatric symptoms and disorders in adolescents, and data regarding the relation of potential risk factors to eating disorders was explored only in a preliminary way. Given advances in the nosology of eating disorders and in statistical methods, a second look at this data set is important and timely. In a series of analyses which will include adequate sophisticated statistical techniques, we propose to accomplish the following specific aims: (1) to determine, in boys and girls separately, the relation of potential risk and protective factors for Anorexia Nervosa (AN) and Bulimia Nervosa (BN); factors to be examined include developmental, dieting, weight, health, other psychopathology, family, and demographic factors; (2) to determine if DSM IV eating syndromes are distinct from AN and BN, such as Binge Eating Disorder can be identified in this population and, if so, to determine potential risk factors for these syndromes; (3) to develop efficient screening protocols for eating syndromes, which will exploit not only the cardinal features of each syndrome but also potential risk factors identified above. The strengths of this application lie in the application of both recent advances in the nosology of eating disorders and sophisticated statistical techniques applied to an existing data set. This unique epidemiological dataset, although cross-sectional, contains unparalleled information on the correlates of eating pathology. Findings from this study will contribute to the description and detection of eating disorders in adolescents, will identify potential risk and protective factors for eating pathology and will help generate hypotheses about the etiology of adolescent eating disorders.

描述（改编自调查员的摘要）：饮食失调，一个 公共卫生问题由于其长期和对健康的影响， 通常在青春期开始。这项研究的目的是确定 青少年的潜在风险和保护因素，可能对 筛查儿科实践中典型和非典型饮食失调，以及 这可能会产生有关这些疾病病因的假设。次要 分析全县高中的两阶段流行病学研究 提出了1984 - 1985年完成的人口（n = 5596）。第一阶段 由调查问卷组成，该调查表提供了维度的评估 饮食态度，行为，其他心理病理学以及体重历史 医疗问题和月经病史。第二阶段包括 经验丰富的临床医生进行的半结构化诊断访谈， 对饮食失调的精神病诊断，其他选择 疾病，以及有关饮食相关的更详细信息 疾病。主要数据分析的重点是精神病的患病率 青少年的症状和疾病，以及有关关系的数据 饮食失调的潜在危险因素仅在初步中探索 方式。鉴于饮食失调和统计学的疾病学进展 方法，第二次查看此数据集很重要且及时。一系列 将包括足够复杂的统计技术的分析，我们 建议完成以下特定目标：（1）确定男孩 和女孩分别，潜在风险和保护因素的关系 神经性厌食症（AN）和神经性贪食症（BN）；要检查的因素包括 发展，节食，体重，健康，其他心理病理学，家庭和家庭 人口因素； （2）确定DSM IV饮食综合症是否不同 从一个和BN中，可以在此中识别出暴饮暴食障碍 人口，如果是这样，以确定这些综合征的潜在危险因素； （3）开发有效的饮食综合症筛查方案，这将 不仅利用每个综合征的基本特征，还可以利用潜在的风险 上面确定的因素。该应用的优势在于 在饮食失调和 复杂的统计技术应用于现有数据集。这 独特的流行病学数据集虽然横截面，但包含无与伦比的 有关饮食病理学相关性的信息。这项研究的结果 将有助于描述和检测饮食失调 青少年将确定饮食的潜在风险和保护因素 病理学并将有助于产生有关青少年病因的假设 饮食失调。