杂综合征和杂障碍的流行:系统性审查和元分析
Jordan J Haworth1,2, Sam Treadway2, Anthony R Hobson2
1Newcastle University, Newcastle, United Kingdom.
Neurogastroenterology and motility
|April 2, 2024
概括
化在成年人中比儿童更为普遍. 成年人的反与女性性别,焦虑和抑郁有关,因此需要进一步研究这些关联和诊断标准.
科学领域:
- 胃肠病学和精神病学 在
- 饮食和饮食障碍 饮食和饮食障碍
- 肠-大脑相互作用
背景情况:
- 食涉及反复吐食物,被归类为食综合征 (肠脑相互作用) 或食障碍 (食和饮食障碍).
- 在罗马标准 (综合征) 和DSM-5 (疾病) 之间,诊断标准不同.
- 这项研究的目的是利用这些不同的标准来确定所有年龄段的反动物的全球流行率.
研究的目的:
- 用罗马标准来确定反症候群和DSM-5标准来确定反症的全球流行情况.
- 分析不同年龄组的患病率,并确定成年人的相关因素.
主要方法:
- 一项对30项涉及114,228名参与者 (61,534名成年人,52,694名儿童) 的研究的系统审查和元分析.
- 搜索了MEDLINE,EMBASE和PsychINFO (2006-2023) 关于社区环境中反发生率的研究.
- 根据诊断标准 (罗马III/IV,DSM-5验证的评估),年龄和性别分析数据.
主要成果:
- 转综合征的综合流行率在儿童中为1.0% (罗马III),在儿童中为0.4%,在成年人中为3.7% (罗马IV).
- 转障碍的综合患病率在儿童中为2.1% (EDY-Q),在成人中为0.7% (EDY-Q).
- 总体上,成年人 (3.0%) 的发病率高于儿童 (0.8%),成人反与女性性别,焦虑和抑郁有关.
结论:
- 与儿童和青少年相比,在成年人中,化明显更为常见.
- 焦虑,抑郁和女性性别独立地与成年人的反有关.
- 建议进行进一步的研究,以探索成年人患病率较高的原因,并比较DSM-5评估与罗马标准的诊断效用.
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