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Toward an understanding of risk factors for binge-eating disorder in black and white women: a community-based case-control study.

机译:对黑人和白人妇女暴饮暴食障碍的危险因素的理解:一项基于社区的病例对照研究。

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BACKGROUND: This study sought to identify in white women risk factors specific to binge-eating disorder (BED) and for psychiatric disorders in general, and to compare black and white women on risk factors for BED. METHOD: A case-control design was used. Participants were recruited from the community and included 162 women who met DSM-IV criteria for BED and two comparison groups of women with no history of clinically significant eating disorder symptoms. The comparison women were matched to BED women on age, education and ethnicity and divided into a healthy comparison (HC) group, who had no current psychiatric disorder, and a psychiatric comparison (PC) group, who had a diagnosis of a DSM-IV Axis I psychiatric disorder. The study sample size was determined by the group with the least members (PC), including 107 women with BED and 214 matched comparison women. A broad range of risk factors was assessed with a Risk Factor Interview and the Parental Bonding Instrument. RESULTS: No significant effects forethnicity by diagnostic group were found. BED women reported higher exposure to childhood obesity, family overeating or binge-eating, family discord, and high parental demands than PC women. The combined BED and PC group scored significantly higher than the HC group on measures of negative affect, parental mood and substance disorders, perfectionism, separation from parents, and maternal problems with parenting. CONCLUSIONS: These findings indicate that childhood obesity and familial eating problems are reliable specific risk factors for BED. Ethnicity does not appear to moderate risk for BED.
机译:背景:本研究旨在确定白人女性暴食症(BED)和一般精神疾病的特定危险因素,并比较黑人和白人妇女BED的危险因素。方法:采用病例对照设计。参与者是从社区招募的,其中包括162位符合DSM-IV BED标准的妇女,以及两个没有临床上明显的饮食失调症状史的妇女对照组。在年龄,教育程度和种族方面,比较妇女与BED妇女相匹配,分为健康比较(HC)组(无当前精神病)和精神病比较(PC)组,其诊断为DSM-IV第一轴精神病。研究样本量由人数最少的一组(PC)确定,包括107名BED妇女和214名匹配的比较妇女。通过风险因素访谈和家长联系工具评估了广泛的风险因素。结果:诊断组对民族性无明显影响。 BED妇女报告说,与PC妇女相比,儿童肥胖,家庭暴饮暴食,暴饮暴食,家庭不和谐以及父母对父母的要求更高。在负面影响,父母情绪和物质障碍,完美主义,与父母分离以及父母育儿问题方面,BED和PC合并组的得分明显高于HC组。结论:这些发现表明,儿童肥胖和家族性进食问题是BED的可靠具体危险因素。种族似乎并未减轻BED的风险。

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