儿童饮食障碍的患病率,预测因素和治疗:一项全国性研究
Christina M Sanzari1, Rachel Y Levin2,3, Richard T Liu2,3
1Department of Psychology, University at Albany, State University of New York, Albany, NY, USA.
Psychological medicine
|July 14, 2023
概括
青春期前饮食障碍 (ED) 影响近1%的儿童,抑郁症是关键预测因素. 大多数患有ED的儿童没有接受治疗,这突出了关键的护理差距.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 精神卫生流行病学 精神卫生流行病学
- 饮食障碍 研究 研究 研究
背景情况:
- 青春期前儿童的饮食障碍 (ED) 正在增加,但对它们的相关性和治疗的理解仍然有限.
- 关于这个年龄段的ED的流行病学数据对于解决问题的范围至关重要.
- 这项研究重点关注前青少年儿童ED的流行病学,预测因素和治疗.
研究的目的:
- 为了澄清前青少年儿童饮食障碍 (ED) 的流行病学.
- 在这个人群中确定ED的相关性和预测因素.
- 检查青春期前儿童对EDs的治疗使用情况.
主要方法:
- 来自ABCD研究的数据分析 (N=11,721名9-10岁儿童).
- 针对DSM-5疾病,社会人口统计因素和精神病治疗利用率的诊断采访.
- 采用横截面和时间分析来评估协会.
主要成果:
- 在青春期前的儿童中,ED的终身患病率为0.95%.
- 预测因素包括黑人,多种族,父母未婚以及家庭经济不安全.
- 大型抑郁症与EDS有很强的关联;只有47.40%的EDS儿童接受了精神治疗.
结论:
- 大多数患有饮食障碍的青春期前儿童仍未接受治疗,这表明存在重大未满足的需求.
- 需要增加注意力和资源,以达到服务不足的家庭和患有ED的儿童.
- 建议在患有抑郁症的儿童中对ED进行查,以改善早期识别和干预.
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