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New contributions to the prevalence of eating disorders in Spanish adolescents: detection of false negatives

Published online by Cambridge University Press:  16 April 2020

Teresa Rodríguez-Cano ,
Luis Beato-Fernández  and
Antonia Belmonte-Llario
Teresa Rodríguez-Cano
Affiliation:
Department of Psychiatry, Ciudad Real Hospital, Ciudad Real, Spain
Luis Beato-Fernández*
Affiliation:
Department of Psychiatry, Eating Disorders Unit, Ciudad Real Hospital, Carretera de Valdepeñas, 5, P-3 4°-B 13004, Ciudad Real, Spain
Antonia Belmonte-Llario
Affiliation:
Department of Psychiatry, Ciudad Real Hospital, Ciudad Real, Spain
*
*Corresponding author. E-mail address: [email protected] (L. Beato-Fernández).
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Abstract

Background

Although the epidemiology of Eating Disorders (ED) has been highly developed in Spain, further research considering false negatives and also the prevalence of these disorders in males are needed. They were the aims of the present study.

Methods

One thousand and seventy six adolescents (500 males and 576 females) participated in a two-stage survey. At the age of 13, apart from exploring numerous clinical and psychosocial variables, they were assessed by means of self-administered screening instruments, the eating attitude test (EAT), bulimic investigatory test Edinburgh (BITE), and body shape questionnaire (BSQ). The subjects were interviewed again 2 years later. Afterwards, 159 probable cases and 150 controls were interviewed by means of the structured interview SCAN.

Results

Prevalence of ED in adolescents was 3.71% (95% CI 2.58–4.83; 6.4% of females, 0.6% of males): anorexia nervosa 0.1%, bulimia nervosa 0.75%, eating disorder not otherwise specified (EDNOS) = 2.88%. The rate of false negative was 2.6% of the control group and most of them were EDNOS.

Conclusions

The prevalence of ED obtained in our study, higher than others found in previous Spanish research, and a relatively high percentage of false negatives both indicate that up to now the prevalence of ED in Spanish adolescents could be underestimated.

Keywords

Eating disordersAdolescentsPrevalenceFalse negativeMales
Type
Original article
Information
European Psychiatry , Volume 20 , Issue 2 , March 2005 , pp. 173 - 178

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References

American Psychiatric Association Diagnostic and statistical manual of mental disorders. 4th ed 1994 Washington (DC)Google Scholar
Baños, RM, Guillen, VPsychometric characteristics in normal and social phobic samples for a Spanish version of the Rosenberg self-esteem scale. Psychol Rep. 87:2000 269–274.CrossRefGoogle ScholarPubMed
Bellon, JA, Delgado, A, Luna del Castillo, JD, Lardelli, PValidez y fiabilidad del cuestionario de función familiar Apgar-familiar. Aten Primaria 1996;18(6): 289–296.Google Scholar
Canals, J, Carbajo, G, Fernandez-Ballart, JDiscriminant validity of the eating attitudes test according to American Psychiatric Association and World Health Organization criteria of eating disorders. Psychol Rep. 91 3 Pt 2 2002 1052–1056.CrossRefGoogle ScholarPubMed
Canals, J, Doménech, E, Carbajo, G, Bladé, JPrevalence of DSM-III-R and ICD-10 psychiatric disorders in a Spanish population of 18-years-old. Acta Psychiatr Scand 1997;96(4): 287–294.CrossRefGoogle Scholar
Castro J, Toro J, Salamero M. The eating attitudes test: validation of the Spanish version. Psychol Assess 175–90.Google Scholar
Cervera, S, Gual, MP, Lasa, L, Prat, O, Zandio, M, Hernández, Cet al.Protocolo de atención a pacientes con trastornos de la conducta alimentaria. Clínica Universitaria de Navarra. España: Universidad de Navarra; 1995Google Scholar
Cotrufo, P, Barretta, V, Monteleone, PAn epidemiological study on eating disorders in two high schools in Naples. Eur Psychiatry. 12:1997 342–344.CrossRefGoogle ScholarPubMed
Fombonne, EAnorexia nervosa: no evidence of an increase. Br J Psychiatry 1995;166(4): 462–471.CrossRefGoogle ScholarPubMed
Ghaderi, A, Scott, BPrevalence, incidence and prospective risk factors for eating disorders. Acta Psychiatr Scand 2001;104: 122–130.CrossRefGoogle ScholarPubMed
Lobo, A, Pérez-Echevarría, MJ, Artal, JValidity of the scaled version of the General Health Questionnaire in a Spanish population. Psychol Med. 16:1986 135–140.CrossRefGoogle Scholar
McCallum, KEating disorders. Curr Opin Psychiatry. 6:1993 480–485.CrossRefGoogle Scholar
Miotto, P, De Coppi, M, Frezza, M, Preti, AThe spectrum of eating disorders: prevalence in an area of Northeast Italy. Psychiatry Res. 119 1–2 2003 145–154.CrossRefGoogle Scholar
Morandé, GTrastornos de la conducta alimentaria en adolescentes Una epidemia. An Esp Pediatr. 48:1998 229–232.Google Scholar
Morandé, G, Celada, J, Casas, JJPrevalence of eating disorders in a Spanish school-age population. J Adolesc Health 1999;24(3): 212–219.CrossRefGoogle Scholar
Nielsen, SEpidemiology and mortality of eating disorders. Psychiatr Clin N Am Eat Disord 2001;24(2): 201–215.CrossRefGoogle ScholarPubMed
Norusis, MJSPSS for Windows: base system user’s guide and advanced statistics, Release 6.1. Chicago: SPSS; 1994Google Scholar
Pérez-Gaspar, M, Gual, P, de Irala-Estévez, J, Martínez-González, MA, Lahortiga, F, Cervera, SPrevalence de trastornos de la conducta alimentaria en las adolescentes navarras. Med Clin (Bar) 2000;114(14): 481–486.CrossRefGoogle Scholar
Raich, RM, Deus, J, Muñoz, MJ, Pérez, O, Requena, AEstudio de actitudes alimentarias en una muestra de adolescentes. Rev Psiquiatr Fac Med Barna 1991; 18:305–315.Google Scholar
Rojo, L, Livianos, LEpidemiología de los trastornos de la conducta alimentaria. Rojo-Moreno, LCava, LBarcelona: Anorexia nerviosa; 2003 29–52.Google Scholar
Ruiz, PM, Alonso, JP, Velilla, JM, Lobo, A, Martín, A, Paumard, Cet al.Estudio de prevalence de trastornos de la conducta alimentaria en adolescentes de Zaragoza. Rev Psiquiatr Infanto-Juv 1998; 3:148–162.Google Scholar
Ruiz-Lázaro, PMEpidemiología de los trastornos de la conducta alimentaria en España. Actas Esp Psiquiatr 2003;31: (2) 85–94.Google Scholar
Vazquez-Barquero, JL, Gaite, L, Artal Simon, J, Arenal, A, Herrera Castanedo, S, Diez Manrique, JFet al.Development and verification of the Spanish version of the “scanning system” psychiatric interview. “Questionnaires for clinical evaluation in neuropsychiatry”. Actas Luso-Esp Neurol Psiquiatr 1994; 22:109–120.Google Scholar
Wlodarczyk-Bisaga, K, Dolan, BA two-stage epidemiological study of abnormal eating attitudes and their prospective risk factors in Polish schoolgirls. Psychol Med 1996; 26:1021–1032.CrossRefGoogle ScholarPubMed
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