在避免/限制性食物摄入障碍 (ARFID) 中,形状/体重问题和客观暴饮暴食的频率和预测因素
P Evelyna Kambanis1,2, Lilian P Palmer1,2, Grace Jhe3,4,5
1Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
The International journal of eating disorders
|February 24, 2025
概括
患有回避性/限制性食物摄入障碍 (ARFID) 的成年人比一般人群表现出较低的形状/体重问题. 一小部分ARFID患者,特别是那些体重较高的人,可能会出现临床问题和过度饮食.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
背景情况:
- 精神疾病诊断和统计手册第五版 (DSM-5) 最初禁止诊断回避性/限制性饮食摄入障碍 (ARFID) 以及严重的形状/体重问题.
- 新兴的研究和DSM-5-TR的更新表明ARFID和形状/体重问题之间可能存在重叠,现在允许ARFID和伴随性暴饮暴食障碍.
研究的目的:
- 为了比较成年人与ARFID与健康对照 (HCs) 和非临床规范之间的形状/体重问题.
- 确定ARFID成年人中临床层面的形状/体重问题和过去一个月的客观暴饮暴食 (OBEs) 的患病率.
- 确定与高形状/重量问题和OBE相关的ARFID特征.
主要方法:
- 研究人员招募了被诊断为ARFID的成年人 (N=83) 和健康的对照人 (N=41).
- 参与者完成了饮食障碍检查问卷 (EDE-Q),以评估与饮食障碍相关的精神病理学.
主要成果:
- 患有ARFID的成年人报告的形状/体重担忧明显高于HC人,但与非临床规范相比,担忧较低.
- 一小部分 (2%) 的ARFID成年人表现出临床层面的形状/体重问题.
- 15%的ARFID成年人报告说,他们在过去一个月中经历了客观性暴饮暴食 (OBEs).
- 较高的体重被确定为这个队列中形状/体重问题的独特预测因素.
结论:
- 与一般人群相比,ARFID成年人的形状/体重问题通常不那么明显.
- 少数患有ARFID的成年人,特别是体重较高的成年人,可能会出现临床上显著的形状/体重问题和客观的狂欢发作.
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