L'anorexie et la boulimie: des affections en augmentation? Une revue de litterature sur l'epidemiologie des dysfonctions alimentaires. [Anorexia and bulimia: increasing disorders? A review of the literature on the epidemiology of eating disorders]

Details

Serval ID
serval:BIB_85EA9B47B9E9
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
L'anorexie et la boulimie: des affections en augmentation? Une revue de litterature sur l'epidemiologie des dysfonctions alimentaires. [Anorexia and bulimia: increasing disorders? A review of the literature on the epidemiology of eating disorders]
Journal
Revue d'Epidémiologie et de Santé Publique
Author(s)
Devaud  C., Michaud  P. A., Narring  F.
ISSN
0398-7620 (Print)
Publication state
Published
Issued date
1995
Volume
43
Number
4
Pages
347-60
Notes
English Abstract
Journal Article
Review
Abstract
More and more clinicians are facing young girls suffering from anorexia or bulimia, but the question as to whether these diseases are really increasing remains open. This paper reviews the epidemiological literature published over the last 30-40 years. Until 1980, the authors of retrospective studies claim that the incidence of anorexia has increased. From 1990 on more strictly defined retrospective researches conclude that the incidence and prevalence of anorexia remains steady, although atypical anorectical disorders--often self limited--are increasing. Thus, the incidence of anorexia--strictly defined--is evaluated at 1/100,000 inhabitants within the general population and at 20 to 30/100,000 inhabitants among 15 to 45 year-old females. Moreover, from 1980 on, using new diagnostic tools such as the EAT (Eating Attitude Test), authors describe new nutritional disorders such as bulimia, the incidence of which is calculated at 2 to 5% among 15-45 year-old females. The variability of the results--i.e. the rates--is probably explained by the heterogeneity of the epidemiological approaches, as well as a tendency to denial from the subjects suffering from severe diseases. In the future, one will have to remain cautious in the interpretation of such data: self-administered questionnaires can more easily detect minor eating disorders, and the diagnosis of true anorexia or severe bulimia should be assessed through clinical interviews.
Keywords
Adolescent Adult Anorexia Nervosa/*epidemiology Bias (Epidemiology) Bulimia/*epidemiology Denial (Psychology) Epidemiologic Methods Female Humans Incidence Middle Aged Prevalence Questionnaires Research Design Retrospective Studies Switzerland/epidemiology
Pubmed
Web of science
Create date
25/01/2008 14:22
Last modification date
20/08/2019 15:45
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