武汉地区大一女生神经性厌食症的初步调查  

A preliminary investigation of eating disorder of anorexia nervosa （type of non-- fat phobic） sampling female fresh--student in Wuhan area

作　　者：周娟[1] 殷茵[2] 童俊[1] 

机构地区：[1]华中科技大学同济医学院附属市精神卫生中心武汉市心理医院,430019 [2]中国地质大学武汉生物地质与环境地质国家重点实验室

出　　处：《神经疾病与精神卫生》2012年第5期439-442,共4页Journal of Neuroscience and Mental Health

基　　金：国家科技支撑计划（2009BA177B05）;人的发展与心理健康湖北省重点实验室开放课题（200902）;武汉市卫生局科研项目（WG08A01）

摘　　要：目的调查武汉地区大一女生的体重和体重指数以及异常进食行为，了解武汉地区大一女生摄食障碍和神经性厌食症（非肥胖恐惧型）的发生率。方法以2009年9月份入学的大一女生8520人为抽样研究对象，根据摄食障碍问卷（EDI）筛选出可疑摄食障碍学生589名，然后用EDE和SCID量表对这些学生进行访谈诊断，75名学生被诊断为摄食障碍。结果（1）武汉地区大一女生的理想体重普遍比实际体重低，理想体重指数与实际体重指数之间差异有统计学意义；（2）摄食障碍的发生率为8．803‰，其中AN0．352‰、BN1．174‰、EDNOS（包括BED）7．277‰，EDNOS是摄食障碍类型中最普遍的一个类别；（3）没有发现AN（非肥胖恐惧型）患者；（4）摄食障碍组与非摄食障碍组被试在EDI量表的求瘦倾向、内省、贪食、躯体不满、无效感以及成熟恐惧分量表上的得分都要高，且差异有统计学意义。结论女大学生是摄食障碍的高危群体，需给予重视。肥胖恐惧依然是摄食障碍的核心表现。Objective To explore the prevalence of the eating disorders and anorexia nervosa （non--obese fear） of female college students of Wuhan by studying body weight, body mass index and eating behavior of these students. Methods The research of this article was based on a study of 8 520 fe- male freshman students from 3 of universities in Wuhan. A total of 589 subjects were found with poten- tial eating behavior using EDI paper based survey and screening in accordance of EDI manual. With com- bined test results from EDE and SCID Hemo--survey, 75 students were diagnosed of eating disorder. Results （1） Female fresh--students, ideal weight was generally lower than their actual weight, and there were obvious differences between their ideal weight indexes and actual body mass indexes. （2）The incidence rate of eating disorder was 8. 803‰, and anorexia nervosa 0. 352‰, bulimia nervosa 1. 174‰, and eating disorder of not otherwise specified （including binge eating disorder） 7. 277 ‰. Eating disorder of not otherwise specified was the most common type of eating disorder. （3）We did not find the candi- dates of NFP--AN. （4）The scores of begged thin tendency, introspection, gluttony, body dissatisfac- tion, invalid feeling and fear of mature （they were the subscales of eating disorder investigation） of eat- ing disorder group, were higher than those in the group of non--eating disorder at a significant level. Conclusions Female college students are high--risk population for eating disorders therefore need parti- cular attention. Obesity--phobic is still the core manifestation of the eating disorders

关 键 词：神经性厌食症 非肥胖恐惧 大一女生 社会文化 

分 类 号：R749.7[医药卫生—神经病学与精神病学]