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European eating disorders review : the journal of the Eating Disorders Association. 2024 Oct 26. doi: 10.1002/erv.3147 Q13.92024

Purging frequency and number of purging methods as indicators of severity in bulimia nervosa: Interactive effects with binge eating episodes

在神经性贪食症中,清除频率和清除方法的数量作为严重程度的指标:与暴食发作的交互作用 翻译改进

Anna L Dieffenbacher  1  2, Adrian Meule  3, Ulrich Voderholzer  1  2  4

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作者单位

  • 1 Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
  • 2 Schoen Clinic Roseneck, Prien am Chiemsee, Germany.
  • 3 Department of Psychology, University of Regensburg, Regensburg, Germany.
  • 4 Department of Psychiatry and Psychotherapy, University Hospital of Freiburg, Freiburg, Germany.
  • DOI: 10.1002/erv.3147 PMID: 39460725

    摘要 中英对照阅读

    Objective: In the Diagnostic and Statistical Manual of Mental Disorders-5, severity of bulimia nervosa (BN) is defined by the frequency of purging behaviour. Previous research suggests the number of purging methods as an alternative rating. The current analysis investigated characteristics (sociodemographic and treatment-related variables, body mass index [BMI], eating disorder-specific and general psychopathology) of persons with BN as a function of purging frequency and number of purging methods in order to examine which approach might be better suited for indicating severity of BN.

    Method: Two-hundred and sixty-one persons (98.5% female; mean age 25.2 years, SD = 9.41; mean BMI 22.0 kg/m2, SD = 3.79) with BN completed self-report questionnaires on eating disorder-specific and general psychopathology at admission to inpatient (n = 214) or daypatient (n = 47) treatment.

    Results: Higher severity based on either purging frequency or number of purging methods tended to relate to lower BMI and higher eating disorder-specific and general psychopathology. In addition, binge-eating frequency differentially related to eating disorder-specific and general psychopathology as a function of severity groups.

    Conclusions: This study partially supports the utility of both purging frequency and the number of purging methods as indicators of severity in persons with BN. However, focussing only on purging behaviours may be short-sighted as it appears necessary to consider the number of binge-eating episodes as well when evaluating severity of BN.

    Keywords: binge eating; bulimia nervosa; psychopathology; purging; severity.

    Keywords:purging frequency; bulimia nervosa; binge eating episodes

    目的:在《精神障碍诊断和统计手册-5》中,神经性贪食症(BN)的严重程度由清除行为的频率来定义。之前的研究表明,清洗方法的数量是一种替代评级。目前的分析调查了BN患者的特征(社会人口学和治疗相关变量、体重指数[BMI]、饮食障碍特异性和一般精神病理学),作为清除频率和清除方法数量的函数,以检查哪种方法可能更适合指示BN的严重程度。结果:基于清洗频率或清洗方法数量的严重程度越高,往往与较低的BMI和较高的饮食失调特异性和一般精神病理学有关。此外,作为严重程度组的函数,暴饮暴食频率与饮食障碍特异性和一般精神病理学有差异。结论:本研究部分支持将清洗频率和清洗方法的数量作为BN患者严重程度的指标。然而,仅关注清洗行为可能是短视的,因为在评估BN的严重程度时,似乎有必要考虑暴饮暴食的次数。关键词:暴饮暴食;神经性贪食症;精神病理学;吹扫;严重程度。©2024作者。饮食失调协会和John Wiley&Sons有限公司出版的《欧洲饮食失调评论》。

    关键词:清除频率; 神经性贪食症; 暴饮暴食发作

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    Copyright © European eating disorders review : the journal of the Eating Disorders Association. 中文内容为AI机器翻译,仅供参考!

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    期刊名:European eating disorders review

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    ISSN:1072-4133

    e-ISSN:1099-0968

    IF/分区:3.9/Q1

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