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Quince a?os de investigación en trastornos de la conducta alimentaria

机译:饮食失调研究十五年

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Background: There is a substantial number of publications on eating disorders (ED) in the foreign literature; nevertheless, in our country there is just a small amount of published research in specialized reviews. Objective: To summarized our main findings in ED females patients published in national literature. Method: An exhausted review was made of published articles along 15 years by the author and coworkers in specialized national reviews on epidemiological, psychosocial and clinical aspects of ED. Results: Risk groups (students, overweight adolescents, pregnant women, gym users) (n= 2.171) fluctuated between 15% and 41%. The prevailing profile of ED was characterized by higher drive for thinness, perfectionism and body dissatisfaction and lower interoceptive awareness (p < 0.001). The prevalence of social anxiety was 40.7% (p < 0.001), particularly among anorexics (66.6%) (p < 0.001); of severe depression was 18.5 % (p < 0.001), especially in anorexics (66.6%) (p < 0.001); of moderate and/or severe obsessive-compulsive disorder was 26% (p < 0.001), higher in anorectics (33.3%) (p = 0,009). Identification with female gender role stereotype was significant in ED (42.9%), mainly in restrictive anorexia, considered as a risk factor for developing ED. The more restrictive and bulimic behaviors, the less assertive were the ED patients (7.5 points) mainly in submissive and dependant behaviors (-0.6 points) (p < 0.001). Lack of assertiveness showed a significant predictive capacity (53.2%) for developing an ED. Conclusions: Our findings confirmed the evidence of the international literature satisfying the research guidelines for ED according to the American Psychiatric Association.
机译:背景:国外文献中有大量关于饮食失调(ED)的出版物。但是,在我国,只有少数发表的专业评论研究。目的:总结我们在国家文献中发表的关于ED女性患者的主要发现。方法:作者和同事在15年来针对ED的流行病学,社会心理和临床方面的专门国家评论中,对发表的文章进行了详尽的评论。结果:高危人群(学生,超重青少年,孕妇,健身房使用者)(n = 2.171)在15%至41%之间波动。 ED的普遍特征是对薄型,完美主义和身体不满的更高驱动力和较低的感知觉意识(p <0.001)。社交焦虑症的患病率为40.7%(p <0.001),尤其是厌食症患者(66.6%)(p <0.001);严重抑郁症的发生率为18.5%(p <0.001),尤其是厌食症患者(66.6%)(p <0.001);中度和/或重度强迫症的比例为26%(p <0.001),而厌食症的比例更高(33.3%)(p = 0,009)。 ED中女性性别角色刻板印象的识别率很高(42.9%),主要在限制性厌食症中,这被认为是发展ED的危险因素。 ED患者的限制性和暴食行为越多,则主观上就越不自信(7.5分),主要表现在顺从和依存行为(-0.6分)(p <0.001)。缺乏自信显示出开发ED的显着预测能力(53.2%)。结论:我们的发现证实了根据美国精神病学协会,国际文献满足ED研究指南的证据。

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