Prevalence, incidence, and natural course of anorexia and bulimia nervosa among adolescents and young adults.
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 a...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 25; no. 8; pp. 903 - 919 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117108471&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117108471 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Aug2016 vid: 25 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 117108471 117108471 117108471 10.1007/s00787-015-0808-z 117108471 ppf: 903 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Prevalence, incidence, and natural course of anorexia and bulimia nervosa among adolescents and young adults. aug: au: Nagl, Michaela Jacobi, Corinna Paul, Martin Beesdo-Baum, Katja Höfler, Michael Lieb, Roselind Wittchen, Hans-Ulrich affil: Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Chemnitzer Straße 46 01187 Dresden Germany sug: subj: Anorexia Epidemiology Bulimia Nervosa Epidemiology Prevalence Incidence Anorexia Diagnosis Bulimia Nervosa Diagnosis Human Adolescence Young Adult Prospective Studies Descriptive Statistics Male Female Age of Onset Anorexia Symptoms Bulimia Nervosa Symptoms Germany Clinical Assessment Tools Kaplan-Meier Estimator Data Analysis Software P-Value Odds Ratio Confidence Intervals Sex Factors Disease Progression Multiple Logistic Regression Funding Source Adolescent: 13-18 years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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