探索自杀念头和暴饮暴食 eating disorders之间的关联:一个基于一般人口的调查调查
Walter Santos Gonçalves1, Carlos Eduardo F Moraes1, Cassia de Carvalho Moulin1
1Obesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
概括
患有饮食障碍的人,包括过度饮食障碍,神经性 булимия和反复的过度饮食行为,表现出明显更高的自杀念头率. 这种关联似乎主要与并发性抑郁症状有关.
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
- 公共卫生 公共卫生
背景情况:
- 饮食障碍 (ED) 与自杀念头 (SI) 的风险增加密切相关.
- 精神病相关疾病被认为在ED-SI关系中发挥着重要作用.
- 了解这些联系对于有效的干预和预防策略至关重要.
研究的目的:
- 调查自杀念头 (SI) 和暴饮暴食谱状况 (BESC) 之间的关联.
- BESC包括过度饮食障碍 (BED),神经过度饮食 (BN) 和反复过度饮食行为 (RBE).
- 这项研究是在巴西里约热内卢的一个成年人代表样本上进行的.
主要方法:
- 对2297名成年人进行了内部采访.
- 使用PHQ-9.9进行自杀念头 (SI) 的评估.
- 用QEWP-5选BESC并通过临床确认;用验证的仪器评估精神病并发症;用后勤回归分析关联.
主要成果:
- 与普通人群 (7.5%) 相比,BESC患者的SI率显著更高 (BED: 39.6%,BN: 40.8%,RBE: 26.5%).
- 在BED (OR 7.1),BN (OR 7.3) 和RBE (OR 4.0) 中观察到SI的更高赔率比率.
- 经过对抑郁症状进行调整后,BESC与普通人群之间SI患病率的这些显著差异不再具有统计学意义.
结论:
- 在过度饮食谱状况 (BESC) 的人群中,发现了自杀念头 (SI) 的高患病率.
- 这些发现表明,在BESC中SI的风险增加可能是一个间接效应,由伴随性抑郁症状介导.
- 解决抑郁症状可能是管理SI在这个人群中的关键.
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