Risk factors across the eating disorders

PSYCHIATRY RESEARCH

卷:220

Article

Hilbert, Anja¹  Pike, Kathleen M.²  Goldschmidt, Andrea B.³  Wilfley, Denise E.⁴  Fairburn, Christopher G.⁵  Dohm, Faith-Anne⁶  Walsh, B. Timothy²  Weissman, Ruth Striegel⁷ 

[1] Univ Leipzig, Med Ctr, Integrated Res & Treatment Ctr Adipos Dis, Dept Med Psychol & Med Sociol, D-04103 Leipzig, Germany

[2] Columbia Univ, Dept Psychiat, New York, NY USA

[3] Univ Chicago, Dept Psychiat & Behav Neurosci, Chicago, IL 60637 USA

[4] Washington Univ, Dept Psychiat, St Louis, MO USA

[5] Univ Oxford, Warneford Hosp, Dept Psychiat, Oxford, England

[6] Fairfield Univ, Grad Sch Educ & Allied Profess, Fairfield, CT 06430 USA

[7] Wesleyan Univ, Dept Psychol, Middletown, CT USA

关键词: Risk factors;    Eating disorders;    Anorexia nervosa;    Bulimia nervosa;    Binge eating disorder;   

DOI  :  10.1016/j.psychres.2014.05.054

来源: Elsevier

【 摘 要 】

This study sought to examine risk and onset patterns in anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Women with AN (n=71), BN (n=66), BED (n=160) and non-psychiatric controls (n=323) were compared retrospectively on risk factors, symptom onset, and diagnostic migration. Eating disorder groups reported greater risk exposure than non-psychiatric controls. AN and BED differed on premorbid personality/behavioral problems, childhood obesity, and family overeating. Risk factors for BN were shared with AN and BED. Dieting was the most common onset symptom in AN, whereas binge eating was most common in BN and BED. Migration between AN and BED was rare, but more frequent between AN and BN and between BN and BED. AN and BED have distinct risk factors and onset patterns, while BN shares similar risk factors and onset patterns with both AN and BED. Results should inform future classification schemes and prevention programs. (c) 2014 Published by Elsevier Ireland Ltd.

【 授权许可】

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