关键词: Comorbidity Eating disorder Treatment Weight status

Mesh : Humans Female Feeding and Eating Disorders / therapy epidemiology psychology Adult Young Adult Adolescent United States / epidemiology Depression / epidemiology Anxiety / epidemiology Middle Aged

来  源:   DOI:10.1186/s12889-024-19283-2   PDF(Pubmed)

Abstract:
BACKGROUND: The minority of people with an eating disorder receive treatment. Little is known about predictors of receiving treatment.
METHODS: Using data from the Growing Up Today Study we identified correlates of receiving treatment for an eating disorder among the 1237 U.S. women who answered questions on treatment history in 2013 and reported meeting criteria for subthreshold eating disorder in ≥ 1 year between 1996 and 2013. Logistic regression models using generalized estimating equations were used to estimate the relative odds of receiving treatment.
RESULTS: Approximately 11% of the women reported receiving treatment for an eating disorder. Independent of type of eating disorder, those who had received a diagnosis of depression or anxiety were more likely (odds ratio (OR) = 3.05 95% confidence interval (CI) 1.87-4.97) to receive treatment for an eating disorder. Women with obesity were approximately 85% less likely to receive treatment (OR = 0.13, 95% CI 0.04-0.46) regardless of their type of eating disorder or history of depression of anxiety diagnosis.
CONCLUSIONS: Most women meeting criteria for an eating disorder do not receive treatment. Women with BED or obesity are the least likely to receive treatment.
摘要:
背景:少数患有进食障碍的人接受治疗。关于接受治疗的预测因素知之甚少。
方法:使用“今日成长”研究的数据,我们确定了1237名美国女性接受饮食失调治疗的相关性,这些女性在2013年回答了关于治疗史的问题,并报告在1996年至2013年的1年内达到亚阈值饮食失调的标准。使用使用广义估计方程的Logistic回归模型来估计接受治疗的相对几率。
结果:大约11%的女性报告接受饮食失调治疗。独立于进食障碍的类型,那些被诊断为抑郁或焦虑的患者更有可能(比值比(OR)=3.0595%置信区间(CI)1.87~4.97)接受进食障碍治疗.肥胖女性接受治疗的可能性降低了约85%(OR=0.13,95%CI0.04-0.46),无论其饮食失调类型或焦虑抑郁史。
结论:大多数符合饮食失调标准的女性不接受治疗。患有BED或肥胖的女性最不可能接受治疗。
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