Does Sex Matter in the Clinical Presentation of Eating Disorders in Youth?
| Autor: | Erin C. Accurso, Andrea E. Kass, Kathryn R. Kinasz, Daniel Le Grange |
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| Rok vydání: | 2016 |
| Předmět: |
Male
050103 clinical psychology Youth Eating Disorders Comorbidity Anorexia nervosa Medical and Health Sciences 0302 clinical medicine Age of Onset Child Pediatric Bulimia nervosa Depression 05 social sciences Anxiety Disorders Anorexia Psychiatry and Mental health Eating disorders Mental Health Sex distribution Anxiety Female Public Health medicine.symptom Psychology Psychopathology Clinical psychology Adolescent Education Feeding and Eating Disorders 03 medical and health sciences Sex Factors Clinical Research Behavioral and Social Science medicine Body Image Humans 0501 psychology and cognitive sciences Nutrition Body Weight Psychology and Cognitive Sciences Public Health Environmental and Occupational Health medicine.disease 030227 psychiatry Brain Disorders Mood disorders Pediatrics Perinatology and Child Health Age of onset |
| Zdroj: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine, vol 58, iss 4 |
| Popis: | PurposeEating disorders (EDs) impact both males and females, but little is known about sex differences in ED psychopathology and overall clinical presentation. This study compared demographic and clinical characteristics of child and adolescent males and females who presented for ED treatment.MethodsParticipants included 619 youth (59 males and 560 females) ages 6-18 years who presented for treatment between 1999 and 2011.ResultsMales presented for ED treatment at a significantly younger age (p < .001), earlier age of onset (p = .004), and were more likely to be nonwhite (p = .023). Females showed more severe ED pathology across the Eating Disorder Examination subscales (weight concern: p < .001; eating concern: p < .001; restraint: p = .001; and shape concern: p = .019) and global score (p < .001). Males were more likely to present with an ED other than anorexia nervosa or bulimia nervosa (p = .002). Females presented with significantly higher rates of mood disorders (p = .027) and had a lower average percent of expected body weight (p = .020). Males and females did not differ in duration of illness, prior hospitalization or treatment, binging and purging episodes, anxiety disorders, behavioral disorders, or self-esteem. All analyses were controlled for age.ConclusionsResults indicate that further exploration into why the sexes present differently may be warranted. Developing ED psychopathology assessments that better capture nuances particular to males and reevaluating criteria to better categorize male ED diagnoses may allow for more targeted treatment. |
| Databáze: | OpenAIRE |
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