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Detection of eating disorders in a small rural town: an epidemiological study

  • Günther Rathner (a1) and Klara Messner (a1)
Abstract
Synopsis

The occurrence of eating disorders among 517 school girls (11 to 20 years of age) in a small rural Italian town was studied using a three-stage prospective procedure. The screening stage was aimed at defining risk and sub-risk groups. One year later, the risk group (N = 44) and a random sample of the sub-risk (N = 25) and of the screen-negative group (N = 32) were interviewed to detect cases of anorexia/bulimia nervosa. The case registers of four hospitals over a period of 3 years were investigated to detect any additional cases that may have been overlooked in the survey. A minimum point prevalence rate of 1·30% clinical anorexia nervosa, 1·30 % sub-clinical anorexia nervosa and 0·87 % sub-clinical bulimia nervosa was found for age 15 and above. No case of clinical bulimia nervosa was detected. For age 15 and below no clinical or sub-clinical cases were found. All cases of (sub-)clinical eating disorder initially belonged to the predefined sub-risk and risk groups. Because of the low positive predictive value of any single risk factor, this study shows that early case detection can be improved by using multiple risk indices. In this rural area the prevalence was as high as in metropolitan or urban areas. Urban–rural differences should be assessed in further studies.

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Corresponding author
1Address for correspondence: Dr Günther Rathner, Department of Paediatrics, University of Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria.
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P. I. Carter & R. A. Moss (1984). Screening for anorexia and bulimia nervosa in a college population: Problems and limitations. Addictive Behaviors 9, 417419.

A. H. Crisp , R. L. Palmer & R. S. Kalucy (1976). How common is anorexia nervosa? A prevalence study. British Journal of Psychiatry 128, 549554.

J. Cullberg & M. Engström-Lindberg (1988). Prevalence and incidence of eating disorders in a suburban area. Acta Psychiatrica Scandinavica 78, 314319.

B. P. Dohrenwend & B. S. Dohrenwend (1974). Social and cultural influences on psychopathology. Annual Review of Psychology 25, 417452.

I. Eisler & G. I. Szmukler (1985). Social class as a confounding variable in the Eating Attitudes test. Journal of Psychiatric Research 19, 171176.

M. M. Fichter & W. Keeser (1980). Das Anorexia-nervosa-lnventar zür Selbstbeurteilung (ANIS). Archiv der Psychiatrie und Nervenkrankheiten 228, 6789.

M. M. Fichter , M. Elton , L. Sourdi , S. Weyerer & G. Koptagel-Ilal (1988). Anorexia nervosa in Greek and Turkish adolescents. European Archives of Psychiatry and Neurological Sciences 237, 200208.

D. J. Jones , M. M. Fox , H. M. Babigian & H. E. Hutton (1980). Epidemiology of anorexia nervosa in Monroe County. New York: 1960–1976. Psychosomatic Medicine 42, 551558.

P. Leichner , J. Arnett , J. S. Rallo , S. Srikameswaran & B. Vulcano (1986). An epidemiologic study of maladaptive eating attitudes in a Canadian school age population. International Journal of Eating Disorders 5, 969982.

A. R. Lucas , C. M. Beard , W. M. O'Fallon & L.T. Kurland (1988). Anorexia nervosa in Rochester, Minnesota: a 45-year study. Mayo Clinics Proceedings 63, 433442.

I. Meller , M. M. Fichter & S. Weyerer (1986). Use of psychiatric facilities in the upper Bavarian follow-up field study. European Archives of Psychiatry and Neurological Sciences 236, 8893.

D. B. Mumford , A. M. Whitehouse & M. Platts (1991). Socio-cultural correlates of eating disorders among Asian schoolgirls in Bradford. British Journal of Psychiatry 158, 222228.

S. Nielsen (1990). The epidemiology of anorexia nervosa in Denmark from 1973 to 1987: a nationwide register study of psychiatric admission. Acta Psychiatrica Scandinavica 81, 507514.

D. R. Offord , M. H. Boyle & Y. Racine (1989). Ontario Child Health Study: correlates of disorder. Journal of the American Academy of Child and Adolescent Psychiatry 28, 856860.

T. Ohzeki , K Hanaki , H. Motozumi , N. Ishitani , H. Matsuda-Ohdahara , M. Sunaguchi & K. Shiraki (1990). Prevalence of obesity, leanness and anorexia nervosa in Japanese boys and girls aged 12–14 years. Annals of Nutrition and Metabolism 34, 208212.

M. Rutter (1989). Isle of Wight revisited. Twenty-five years of child psychiatric epidemiology. Journal of the American Academy of Child and Adolescent Psychiatry 28, 633653.

J. Sobal & A. J. Stunkard (1989). Socioeconomic status and obesity: A review of the literature. Psychological Bulletin 105, 260275.

H. C. Steinhausen (1984). Transcultural comparison of eating attitudes in young females and anorectic patients. European Archives of Psychiatry and Neurological Sciences 234, 198201.

G. I. Szmukler (1985). The epidemiology of anorexia and bulimia. Journal of Psychiatric Research 19, 143153.

W. Vandereycken & J. Vanderlinden (1983). Denial of illness and the use of self-reporting measures in anorexia nervosa patients. International Journal of Eating Disorders 2, 101107.

A. Whitaker , J. Johnson , D. Shaffer , J. L. Rapoport , K. Kalikow , B. T. Walsh , M. Davies , S. Braiman & A. Dolinsky (1990). Uncommon troubles in young people: prevalence estimates of selected psychiatric disorders in a nonreferred adolescent population. Archives of General Psychiatry 47, 487496.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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