大一女生非典型摄食障碍的初步调查

目的 了解非典型摄食障碍(EDNOS)的特征表现.方法 采用进食情况调查表(EDI)进行自评问卷调查、摄食障碍检查问卷( EDE)和SCID —I的H部分进行访谈的方法,对8 600名大一女生筛选和确诊摄食障碍,并获取各类摄食障碍的心理行为特征.结果 EDNOS的发病率最高,为7.277‰.EDNOS的代偿行为基本少于神经性厌食症和神经性贪食症;EDNOS群体中,选择剧烈运动和采取一种代偿行为所占的比例相对较高,分别为38.7％和43.5％.三类摄食障碍的EDI与EDE所有因子分的差异均无统计学意义;EDE的条目中,EDNOS的空腹和体重重要性分值低于神经性厌食症,而秘密进食分值低于神经性贪食症.结论 EDNOS总体上具有摄食障碍的所有临床特征,在某些症状上表现较轻,需要鉴别和引起重视.

Preliminary study of eating disorder of not otherwise specified in female college freshmen

Objective To explore specific manifestations of eating disorder of not otherwise specified （EDNOS）. Methods Screening and diagnosing eating disorder among 8600 female college freshmen were done using EDI, EDE and SCID-- I , and manifestations of every type of eating disorder were recorded. Results Compared with anorexia nervosa （AN） and bulimia nervosa （BN） girls, EDNOS girls had the highest incidence （7. 277‰） and less compensatory behavior in general, and tended to choose strenuous exercise （38.7%） and single compensatory behavior （43.5%）. The statistical difference had not been found in any factors of EDI and EDE among these 3 types. But EDNOS girls＇ scores of limosis and importance of weight were lower than ANs＇, and their score of secret eating was lower than BNs＇. Conclusions EDNOS has all manifestations of eating disorder, with some mild symptoms, and need to be diagnosed and managed early.