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Abstract：
BACKGROUND: Psychopathological disorders are often comorbid diagnosis in eating disorders (EDs). We aimed to assess the presence of psychopathological traits and symptoms associated with EDs in an Italian high school adolescent population.
METHODS: A sample of high school adolescents was enrolled, and demographic and clinical data were collected. Two self-report questionnaires, the Eating Disorder Inventory-3 (EDI-3) and the Questionnaire for the Assessment of Psychopathology in Adolescence (Q-PAD), were administered.
RESULTS: 548 adolescents (333 F/215 M; 16.89 ± 0.85 years) were included. Symptoms associated with EDs of clinical or high clinical concern were prevalent in a range of individuals, with percentages varying from 26.82% for body dissatisfaction to 51.83% for Interoceptive Deficits. The findings from the Q-PAD assessment indicated the presence of psychological distress, leading to discomfort or challenging situations requiring potential intervention in a percentage of adolescents ranging from 2.93% for psychosocial risks to 23.77% for anxiety. These percentages showed differences between genders (F > M, p < 0.001). Our study also highlighted an association between symptoms of EDs and lifestyle factors within families. We observed correlations between Q-PAD measures and EDI-3 scores, including a positive correlation between Q-PAD and EDI-3 body dissatisfaction (r = 0.7), Q-PAD interpersonal conflicts and EDI-3 interpersonal problems (r = 0.6) and a negative correlation between Q-PAD self-esteem and well-being and EDI-3 ineffectiveness Composite (r=-0.7).
CONCLUSIONS: a substantial prevalence of ED symptoms and psychological distress among high school adolescents were recorded. These conditions are interrelated, suggesting the importance of addressing them comprehensively. Early detection is essential to improve treatment outcomes and to implement preventive strategies.
METHODS: A sample of high school adolescents was enrolled, and demographic and clinical data were collected. Two self-report questionnaires, the Eating Disorder Inventory-3 (EDI-3) and the Questionnaire for the Assessment of Psychopathology in Adolescence (Q-PAD), were administered.
RESULTS: 548 adolescents (333 F/215 M; 16.89 ± 0.85 years) were included. Symptoms associated with EDs of clinical or high clinical concern were prevalent in a range of individuals, with percentages varying from 26.82% for body dissatisfaction to 51.83% for Interoceptive Deficits. The findings from the Q-PAD assessment indicated the presence of psychological distress, leading to discomfort or challenging situations requiring potential intervention in a percentage of adolescents ranging from 2.93% for psychosocial risks to 23.77% for anxiety. These percentages showed differences between genders (F > M, p < 0.001). Our study also highlighted an association between symptoms of EDs and lifestyle factors within families. We observed correlations between Q-PAD measures and EDI-3 scores, including a positive correlation between Q-PAD and EDI-3 body dissatisfaction (r = 0.7), Q-PAD interpersonal conflicts and EDI-3 interpersonal problems (r = 0.6) and a negative correlation between Q-PAD self-esteem and well-being and EDI-3 ineffectiveness Composite (r=-0.7).
CONCLUSIONS: a substantial prevalence of ED symptoms and psychological distress among high school adolescents were recorded. These conditions are interrelated, suggesting the importance of addressing them comprehensively. Early detection is essential to improve treatment outcomes and to implement preventive strategies.
摘要：
背景：精神病理学障碍通常是进食障碍（ED）的共病诊断。我们旨在评估意大利高中青少年人群中与ED相关的精神病理学特征和症状的存在。
方法：招募了一个高中青少年样本，收集人口统计学和临床数据。两份自我报告问卷，饮食失调量表-3（EDI-3）和青少年精神病理学评估问卷（Q-PAD），被管理。
结果：纳入548名青少年（333F/215M；16.89±0.85岁）。与临床或高度临床关注的ED相关的症状在一系列个体中普遍存在，百分比从身体不满意的26.82％到感受缺陷的51.83％不等。Q-PAD评估的结果表明存在心理困扰，导致不适或具有挑战性的情况，需要对青少年进行潜在干预的比例从2.93％的心理社会风险到23.77％的焦虑。这些百分比显示了性别之间的差异(F>M，p<0.001)。我们的研究还强调了ED的症状与家庭中的生活方式因素之间的关联。我们观察到Q-PAD测量值与EDI-3得分之间的相关性，包括Q-PAD和EDI-3身体不满之间的正相关（r=0.7），Q-PAD人际冲突与EDI-3人际问题呈负相关(r=0.6),Q-PAD自尊与幸福感和EDI-3无效性复合(r=-0.7)。
结论：记录了高中青少年中ED症状和心理困扰的相当普遍。这些条件是相互关联的，表明全面解决这些问题的重要性。早期发现对于改善治疗结果和实施预防策略至关重要。
方法：招募了一个高中青少年样本，收集人口统计学和临床数据。两份自我报告问卷，饮食失调量表-3（EDI-3）和青少年精神病理学评估问卷（Q-PAD），被管理。
结果：纳入548名青少年（333F/215M；16.89±0.85岁）。与临床或高度临床关注的ED相关的症状在一系列个体中普遍存在，百分比从身体不满意的26.82％到感受缺陷的51.83％不等。Q-PAD评估的结果表明存在心理困扰，导致不适或具有挑战性的情况，需要对青少年进行潜在干预的比例从2.93％的心理社会风险到23.77％的焦虑。这些百分比显示了性别之间的差异(F>M，p<0.001)。我们的研究还强调了ED的症状与家庭中的生活方式因素之间的关联。我们观察到Q-PAD测量值与EDI-3得分之间的相关性，包括Q-PAD和EDI-3身体不满之间的正相关（r=0.7），Q-PAD人际冲突与EDI-3人际问题呈负相关(r=0.6),Q-PAD自尊与幸福感和EDI-3无效性复合(r=-0.7)。
结论：记录了高中青少年中ED症状和心理困扰的相当普遍。这些条件是相互关联的，表明全面解决这些问题的重要性。早期发现对于改善治疗结果和实施预防策略至关重要。
