期刊
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY
卷 25, 期 8, 页码 903-918出版社
SPRINGER
DOI: 10.1007/s00787-015-0808-z
关键词
Anorexia nervosa; Bulimia nervosa; Prevalence; Stability; Epidemiology
资金
- German Federal Ministry of Education and Research (BMBF) [01EB9405/6, 01 EB 9901/6, EB01016200, 01EB0140, 01EB0440]
- Deutsche Forschungsgemeinschaft (DFG) [LA1148/1-1, WI2246/1-1, WI 709/7-1, WI 709/8-1]
- European Community's Seventh Framework Programme (FP7) [245009]
We aimed to assess the prevalence, incidence, age-of-onset and diagnostic stability of threshold and subthreshold anorexia nervosa (AN) and bulimia nervosa (BN) in the community. Data come from a prospective-longitudinal community study of 3021 subjects aged 14-24 at baseline, who were followed up at three assessment waves over 10 years. Eating disorder (ED) symptomatology was assessed with the DSM-IV/M-CIDI at each wave. Diagnostic stability was defined as the proportion of individuals still affected with at least symptomatic eating disorders (EDs) at follow-ups. Baseline lifetime prevalence for any threshold ED were 2.9 % among females and 0.1 % among males. For any subthreshold ED lifetime prevalence were 2.2 % for females and 0.7 % for males. Symptomatic expressions of EDs (including core symptoms of the respective disorder) were most common with a lifetime prevalence of 11.5 % among females and 1.8 % among males. Symptomatic AN showed the earliest onset with a considerable proportion of cases emerging in childhood. 47 % of initial threshold AN cases and 42 % of initial threshold BN cases showed at least symptomatic expressions of any ED at any follow-up assessment. Stability for subthreshold EDs and symptomatic expressions was 14-36 %. While threshold EDs are rare, ED symptomatology is common particularly in female adolescents and young women. Especially threshold EDs are associated with a substantial risk for stability. A considerable degree of symptom fluctuation is characteristic especially for subthreshold EDs.
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