过度饮食障碍患者的自我伤害:系统性审查和元分析
Elana Moore1,2, Caroline Clements3, Emily Flattery4
1Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK. elana.moore@postgrad.manchester.ac.uk.
Journal of eating disorders
|September 2, 2025
概括
暴饮暴食与自我伤害率高于一般人群. 这凸显了在BED治疗策略中整合自我伤害预防的必要性.
科学领域:
- 精神病学
- 临床心理学
- 公共卫生
背景情况:
- 暴饮暴食和自我伤害经常同时发生,
- 尽管BED的流行程度很低,
- 在BED群体与其他饮食障碍和对照群体的自我伤害比较率尚不清楚.
研究的目的:
- 系统地审查和对BED患者自我伤害的流行情况进行元分析.
- 将BED群体的自我伤害率与其他饮食障碍 (厌食症,其他特定的饮食障碍, Bulimia Nervosa) 和非临床对照组进行比较.
主要方法:
- 通过PsycINFO,MEDLINE和Web of Science发现的研究的系统审查和元分析.
- 包括标准:测量BED和自我伤害的研究.
- 与其他饮食障碍和对照组相比,对BED群体的自我伤害概率进行了分析.
主要成果:
- 在BED和神经性厌食症或其他特定饮食障碍之间,自伤率没有显著差异.
- 与非临床对照组相比,BED组的自我伤害可能性是1. 6倍.
- 自伤的可能性在BED组比Bulimia Nervosa组高0.6倍.
结论:
- 与非临床群体相比,BED与自我伤害的患病率更高.
- 自伤预防应纳入BED的饮食障碍干预措施.
- 需要对不同群体 (非西方,不同性别和性别认同) 进行进一步的研究.
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