Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 3/2014

01.03.2014 | Original Paper

A two-stage epidemiologic study on prevalence of eating disorders in female university students in Wuhan, China

verfasst von: Jun Tong, Shaojiang Miao, Jian Wang, Fan Yang, Haixiong Lai, Chunyan Zhang, Yanhua Zhang, L. K. George Hsu

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2014

Einloggen, um Zugang zu erhalten

Abstract

Background

The community prevalence of eating disorders among Chinese young women may now be similar to their western counterparts.

Aim

To investigate the prevalence of eating disorders (ED) in female university students in Wuhan, China, using a two-stage design.

Method

In stage one, 99.1 % (N = 8,444) of eligible students (N = 8,521) completed the eating disorder inventory-1 (EDI-1) and a survey of relevant anthropomorphic data. A total of 421 women scored above the cut-off for EDE-1, as defined by a set of criteria similar to those of Keski-Rahkonen (Int J Eat Disord 39:754–762, 2006). 257 (61 %) of these case-positive women and a random sample of case-negative women (312 out of 8,023, 4 %) whose scores did not exceed the defined cut-off were interviewed using the eating disorder examination (EDE) and the structured clinical interview for DSM-IV axis I disorders (SCID-I).

Results

On interview with the SCID-I, 79 women were diagnosed with an ED. Among them, 10 had anorexia nervosa (AN), 21 bulimia nervosa (BN), and 48 binge eating disorder (BED) The results showed a prevalence rate of 1.05 % (95 % CI = 0.02–2.08) for AN, 2.98 % (95 % CI = 1.21–4.74) for BN, and 3.53 % (95 % CI = 1.75–5.30) for BED.

Conclusion

The prevalence of ED among female university students in China is now similar to that of their western counterparts, and BED is the most common ED followed by BN and AN similarly.
Literatur
1.
Zurück zum Zitat Klump KL, Builk CM, Kaye WH, Treasure J, Tyson E (2009) Academy for eating disorders position paper: eating disorders are serious mental illnesses. Int J Eat Disord 42:97–103PubMedCrossRef Klump KL, Builk CM, Kaye WH, Treasure J, Tyson E (2009) Academy for eating disorders position paper: eating disorders are serious mental illnesses. Int J Eat Disord 42:97–103PubMedCrossRef
2.
Zurück zum Zitat Thompson A, Shaw M, Harrison G, Ho D, Gunnell D, Verne J (2004) Patterns of hospital admission for adult psychiatric illness in England: analysis of hospital episode statistics data. Br J Psychiatry 185:334–341PubMedCrossRef Thompson A, Shaw M, Harrison G, Ho D, Gunnell D, Verne J (2004) Patterns of hospital admission for adult psychiatric illness in England: analysis of hospital episode statistics data. Br J Psychiatry 185:334–341PubMedCrossRef
3.
Zurück zum Zitat Striegel-Moore RH, DeBar L, Wilson GT, Dickerson J, Rosselli F, Perrin N et al (2008) Health services use in eating disorders. Psychol Med 38:1465–1474PubMedCentralPubMed Striegel-Moore RH, DeBar L, Wilson GT, Dickerson J, Rosselli F, Perrin N et al (2008) Health services use in eating disorders. Psychol Med 38:1465–1474PubMedCentralPubMed
4.
Zurück zum Zitat Hudson JI, Hiripi E, Pope Harrison G, Kessler RC Jr (2007) The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 61:348–358PubMedCentralPubMedCrossRef Hudson JI, Hiripi E, Pope Harrison G, Kessler RC Jr (2007) The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 61:348–358PubMedCentralPubMedCrossRef
5.
Zurück zum Zitat Mitchell JE, Crows S (2006) Medical complications of anorexia nervosa and bulimia nervosa. Curr Opin Psychiatry 19:438–443PubMedCrossRef Mitchell JE, Crows S (2006) Medical complications of anorexia nervosa and bulimia nervosa. Curr Opin Psychiatry 19:438–443PubMedCrossRef
6.
Zurück zum Zitat Sullivan PF (1995) Mortality in anorexia nervosa. Am J Psychiatry 152:1073–1074PubMed Sullivan PF (1995) Mortality in anorexia nervosa. Am J Psychiatry 152:1073–1074PubMed
7.
Zurück zum Zitat Swanson SA, Crow SJ, Grange DL, Swendsen J, Merikangas KR (2011) Prevalence and correlates of eating disorders in adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry 68:714–723PubMedCrossRef Swanson SA, Crow SJ, Grange DL, Swendsen J, Merikangas KR (2011) Prevalence and correlates of eating disorders in adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry 68:714–723PubMedCrossRef
8.
Zurück zum Zitat van Son GE, van Hoeken D, van Furth EF, Donker GA, Hoek HW (2010) Course and outcome of eating disorders in a primary care-based cohort. Int J Eat Disord 43:130–138PubMed van Son GE, van Hoeken D, van Furth EF, Donker GA, Hoek HW (2010) Course and outcome of eating disorders in a primary care-based cohort. Int J Eat Disord 43:130–138PubMed
9.
Zurück zum Zitat Keski-Rahkonen A, Hoek HW, Susser ES, Linna M, Sihvola E, Raevuori A et al (2007) Epidemiology and course of anorexia nervosa in the community. Am J Psychiatry 164:1259–1265PubMedCrossRef Keski-Rahkonen A, Hoek HW, Susser ES, Linna M, Sihvola E, Raevuori A et al (2007) Epidemiology and course of anorexia nervosa in the community. Am J Psychiatry 164:1259–1265PubMedCrossRef
10.
Zurück zum Zitat Lee S, Lee AM (2000) Disordered eating in three communities of China: a comparative study of female high school students in Hong Kong, Shenzhen, and rural Hunan. Int J Eat Disord 27:317–327PubMedCrossRef Lee S, Lee AM (2000) Disordered eating in three communities of China: a comparative study of female high school students in Hong Kong, Shenzhen, and rural Hunan. Int J Eat Disord 27:317–327PubMedCrossRef
11.
Zurück zum Zitat Lee S, Ng KL, Kwok K, Fung C (2010) The changing profile of eating disorders at a tertiary psychiatric clinic in Hong Kong (1987–2007). Int J Eat Disord 43:307–314PubMedCrossRef Lee S, Ng KL, Kwok K, Fung C (2010) The changing profile of eating disorders at a tertiary psychiatric clinic in Hong Kong (1987–2007). Int J Eat Disord 43:307–314PubMedCrossRef
12.
Zurück zum Zitat Ackard DM, Fulkerson JA, Neumark-Sztainer D (2007) Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. Int J Eat Disord 40:409–417PubMedCrossRef Ackard DM, Fulkerson JA, Neumark-Sztainer D (2007) Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. Int J Eat Disord 40:409–417PubMedCrossRef
13.
Zurück zum Zitat Gauvin L, Steiger H, Brodeur JM (2009) Eating-disorder symptoms and syndromes in a sample of urban-dwelling Canadian women: contributions toward a population health perspective. Int J Eat Disord 42:158–165PubMedCrossRef Gauvin L, Steiger H, Brodeur JM (2009) Eating-disorder symptoms and syndromes in a sample of urban-dwelling Canadian women: contributions toward a population health perspective. Int J Eat Disord 42:158–165PubMedCrossRef
14.
Zurück zum Zitat Keski-Rahkonen A, Hoek HW, Linna MS, Raevuori A, Sihvola E, Bulik CM et al (2009) Incidence and outcomes of bulimia nervosa: a nationwide population-based study. Psychol Med 39:823–831PubMedCrossRef Keski-Rahkonen A, Hoek HW, Linna MS, Raevuori A, Sihvola E, Bulik CM et al (2009) Incidence and outcomes of bulimia nervosa: a nationwide population-based study. Psychol Med 39:823–831PubMedCrossRef
15.
Zurück zum Zitat Fu DD, Wang JP, Wang XY, Chen W (2008) Eating disorder of female university students in Beijing and its relation with personality. Chin J Clin Psychol 16:31–33 Fu DD, Wang JP, Wang XY, Chen W (2008) Eating disorder of female university students in Beijing and its relation with personality. Chin J Clin Psychol 16:31–33
16.
Zurück zum Zitat Van Son GE, Van HD, Bartelds AI, Van Furth EF, Hoek HW (2006) Urbanization and the incidence of eating disorders. Br J Psychiatry 189:562–563PubMedCrossRef Van Son GE, Van HD, Bartelds AI, Van Furth EF, Hoek HW (2006) Urbanization and the incidence of eating disorders. Br J Psychiatry 189:562–563PubMedCrossRef
17.
Zurück zum Zitat Pavlova B, Uher R, Dragomirecka E, Papezova H (2010) Trends in hospital admissions for eating disorders in a country undergoing a socio-cultural transition, the Czech Republic 1981–2005 Pavlova B, Uher R, Dragomirecka E, Papezova H (2010) Trends in hospital admissions for eating disorders in a country undergoing a socio-cultural transition, the Czech Republic 1981–2005
18.
Zurück zum Zitat Garner DM, Olmsted MP, Polivy J (1983) Development and validation of a multidimensional eating disorder inventory for anorexia and bulimia. Int J Eat Disord 2:15–34CrossRef Garner DM, Olmsted MP, Polivy J (1983) Development and validation of a multidimensional eating disorder inventory for anorexia and bulimia. Int J Eat Disord 2:15–34CrossRef
19.
Zurück zum Zitat Podar I, Allik J (2009) A cross-cultural comparison of the eating disorder inventory. Int J Eat Disord 42:346–355PubMedCrossRef Podar I, Allik J (2009) A cross-cultural comparison of the eating disorder inventory. Int J Eat Disord 42:346–355PubMedCrossRef
20.
Zurück zum Zitat Zhang DR, Kong QM (2004) Applicability of EDI-1 in Beijing. Chin Mental Health J 18:48–50 Zhang DR, Kong QM (2004) Applicability of EDI-1 in Beijing. Chin Mental Health J 18:48–50
21.
Zurück zum Zitat Tachi T, Murakami K, Washizuka T, Ikuta N, Nishizono AM, Miyake Y (2005) Application of the eating disorder examination (EDE) to Japanese patients with eating disorders: reliability and validity of the Japanese version of EDE. Jpn J Psychosom Med 45(5):785–792 Tachi T, Murakami K, Washizuka T, Ikuta N, Nishizono AM, Miyake Y (2005) Application of the eating disorder examination (EDE) to Japanese patients with eating disorders: reliability and validity of the Japanese version of EDE. Jpn J Psychosom Med 45(5):785–792
22.
Zurück zum Zitat Lau LLS, Lee S, Lee E, Wong W (2006) Cross-cultural validity of the eating disorder examination: a study of Chinese outpatients with eating disorders in Hong Kong. Hong Kong J Psychiatry 16:132–136 Lau LLS, Lee S, Lee E, Wong W (2006) Cross-cultural validity of the eating disorder examination: a study of Chinese outpatients with eating disorders in Hong Kong. Hong Kong J Psychiatry 16:132–136
23.
Zurück zum Zitat Lee HY, Lock J (2007) Anorexia nervosa in Asian-American adolescents: do they differ from their non-Asian peers? Int J Eat Disord 40:227–231PubMedCrossRef Lee HY, Lock J (2007) Anorexia nervosa in Asian-American adolescents: do they differ from their non-Asian peers? Int J Eat Disord 40:227–231PubMedCrossRef
24.
Zurück zum Zitat Tong J, Shi J, Wang J, Zhang H, Zhang SF, Wu XY et al (2011) Validity and reliability of the Chinese language version of the eating disorder examination (CEDE) in Mainland China: implications for the identity and nosology of the eating disorders. Int J Eat Disord 44:76–80PubMedCrossRef Tong J, Shi J, Wang J, Zhang H, Zhang SF, Wu XY et al (2011) Validity and reliability of the Chinese language version of the eating disorder examination (CEDE) in Mainland China: implications for the identity and nosology of the eating disorders. Int J Eat Disord 44:76–80PubMedCrossRef
25.
Zurück zum Zitat Keski-Rahkonen A, Sihvola E, Raevuori A, Kaukoranta J, Bulik CM, Hoek HW et al (2006) Reliability of self-reported eating disorders: optimizing population screening. Int J Eat Disord 39:754–762PubMedCrossRef Keski-Rahkonen A, Sihvola E, Raevuori A, Kaukoranta J, Bulik CM, Hoek HW et al (2006) Reliability of self-reported eating disorders: optimizing population screening. Int J Eat Disord 39:754–762PubMedCrossRef
26.
Zurück zum Zitat Fairburn C, Cooper Z (1993) The eating disorder examination. In: Fairburn CG, Wilson GT (eds) Binge eating: nature, assessment, and treatment. Guilford Press, New York, pp 317–360 Fairburn C, Cooper Z (1993) The eating disorder examination. In: Fairburn CG, Wilson GT (eds) Binge eating: nature, assessment, and treatment. Guilford Press, New York, pp 317–360
27.
Zurück zum Zitat Berg KC, Peterson CB, Frazier P, Crow SJ (2012) Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int J Eat Disord 45:428–438PubMedCentralPubMedCrossRef Berg KC, Peterson CB, Frazier P, Crow SJ (2012) Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int J Eat Disord 45:428–438PubMedCentralPubMedCrossRef
28.
Zurück zum Zitat Pickles A, Dunn G, Vázquez-Barquero JL (1995) Screening for stratification in two-phase (two-stage) epidemiological surveys. Stat Methods Med Res 4:73–89PubMedCrossRef Pickles A, Dunn G, Vázquez-Barquero JL (1995) Screening for stratification in two-phase (two-stage) epidemiological surveys. Stat Methods Med Res 4:73–89PubMedCrossRef
29.
Zurück zum Zitat Phillips MR, Zhang J, Shi Q, Song Z, Ding Z, Pang S et al (2009) Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: an epidemiological survey. Lancet 373:2041–2053PubMedCrossRef Phillips MR, Zhang J, Shi Q, Song Z, Ding Z, Pang S et al (2009) Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: an epidemiological survey. Lancet 373:2041–2053PubMedCrossRef
30.
Zurück zum Zitat Guo WJ, Tsang A, Li T, Lee S (2011) Psychiatric epidemiological surveys in China 1960–2010: how real is the increase of mental disorders? Curr Opin Psychiatry 24:324–330PubMedCrossRef Guo WJ, Tsang A, Li T, Lee S (2011) Psychiatric epidemiological surveys in China 1960–2010: how real is the increase of mental disorders? Curr Opin Psychiatry 24:324–330PubMedCrossRef
31.
Zurück zum Zitat Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, WHO World Mental Health Survey Consortium et al (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291:2581–2590PubMedCrossRef Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, WHO World Mental Health Survey Consortium et al (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291:2581–2590PubMedCrossRef
32.
Zurück zum Zitat Tseng MM, Fang D, Lee MB, Chie WC, Liu JP, Chen WJ (2007) Two-phase survey of eating disorders in gifted dance and non-dance high-school students in Taiwan. Psychol Med 37:1085–1096PubMedCrossRef Tseng MM, Fang D, Lee MB, Chie WC, Liu JP, Chen WJ (2007) Two-phase survey of eating disorders in gifted dance and non-dance high-school students in Taiwan. Psychol Med 37:1085–1096PubMedCrossRef
33.
Zurück zum Zitat Lee S, Lee MTY, Chiu MYL, Kleinman A (2005) Experience of social stigma by people with schizophrenia in Hong Kong. Br J Psychiatry 186:153–157PubMedCrossRef Lee S, Lee MTY, Chiu MYL, Kleinman A (2005) Experience of social stigma by people with schizophrenia in Hong Kong. Br J Psychiatry 186:153–157PubMedCrossRef
34.
Zurück zum Zitat Hsu LKG, Wan YM, Chang H, Summergrad P, Tsang B, Chen HT (2008) Stigma of depression is more severe among Chinese Americans than Caucasian Americans. Psychiatry 71:210–218 Hsu LKG, Wan YM, Chang H, Summergrad P, Tsang B, Chen HT (2008) Stigma of depression is more severe among Chinese Americans than Caucasian Americans. Psychiatry 71:210–218
35.
Zurück zum Zitat Lee S, Kwok K, Liau C, Leung T (2002) Screening Chinese patients with eating disorders using the eating attitudes test in Hong Kong. Int J Eat Disord 32:91–97PubMedCrossRef Lee S, Kwok K, Liau C, Leung T (2002) Screening Chinese patients with eating disorders using the eating attitudes test in Hong Kong. Int J Eat Disord 32:91–97PubMedCrossRef
36.
Zurück zum Zitat Hoek HW, Hoeken D (2003) Review of the prevalence and incidence of eating disorders. Int J Eat Disord 34:383–396PubMedCrossRef Hoek HW, Hoeken D (2003) Review of the prevalence and incidence of eating disorders. Int J Eat Disord 34:383–396PubMedCrossRef
37.
Zurück zum Zitat Jacobi C, Abascal L, Taylor CB (2004) Screening for eating disorders and high-risk behavior: caution. Int J Eat Disord 36:280–295PubMedCrossRef Jacobi C, Abascal L, Taylor CB (2004) Screening for eating disorders and high-risk behavior: caution. Int J Eat Disord 36:280–295PubMedCrossRef
Metadaten
Titel
A two-stage epidemiologic study on prevalence of eating disorders in female university students in Wuhan, China
verfasst von
Jun Tong
Shaojiang Miao
Jian Wang
Fan Yang
Haixiong Lai
Chunyan Zhang
Yanhua Zhang
L. K. George Hsu
Publikationsdatum
01.03.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-013-0694-y

Weitere Artikel der Ausgabe 3/2014

Social Psychiatry and Psychiatric Epidemiology 3/2014 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.