Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.61186/jrums
fa
jalali
1394
4
1
gregorian
2015
7
1
14
5
online
1
fulltext
fa
بررسی اختلالات خوردن (بیاشتهایی عصبی و پرخوری عصبی) در نوجوانان 13 تا 18 ساله شهرستان گناباد در سال 1393
Survey on Eating Disorders (Mental Anorexia , Bulimia) among 13-18-Year- Old Adolescents of Gonabad City in 2014
آمار و اپيدميولوژي
Statistics& Epidemiology
پژوهشي
Research
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.85pt margin-left: 10.5pt margin-bottom: 0.0001pt text-align: justify line-height: 122% "><b><span lang="FA" style="font-size: 12pt line-height: 122% font-family: 'B Nazanin' ">چکیده</span></b><b><span lang="AR-SA" style="font-size: 12pt line-height: 122% font-family: 'B Nazanin' "><o:p /></span></b></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.75pt margin-left: 8.4pt margin-bottom: 0.0001pt text-align: justify line-height: 125% "><b><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">زمینه و هدف:</span></b><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "> </span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">اختلالات خوردن از اختلالات شایع روانی/ روانتنی به شمار
میروند که مشکلات فراوانی در سلامت جسمانی و عملکرد روانی را باعث میشوند. از
این رو این مطالعه با هدف بررسی اختلالات خوردن در نوجوانان شهرستان گناباد انجام
گرفته است. <b><o:p /></b></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.75pt margin-left: 8.4pt margin-bottom: 0.0001pt text-align: justify line-height: 125% "><b><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">مواد و روشها</span></b><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">: طرح پژوهش حاضر
مقطعی است. نمونه این پژوهش را 1500 نفر از دانشآموزان 20 دبیرستان پایه اول و
دوم شهرستان گناباد در سال 1393 تشکیل دادند که به صورت تصادفی طبقهای انتخاب و
در پژوهش شرکت داده شدند. جهت اجرای پژوهش از پرسشنامه نگرش به خوردن (26-</span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">EAT</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span>) استفاده شد. جهت تجزیه و تحلیل دادهها از آزمون کای
اسکویر در نرمافزار </span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">SPSS</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span> استفاده گردید.<b><o:p /></b></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.75pt margin-left: 8.4pt margin-bottom: 0.0001pt text-align: justify line-height: 125% "><b><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">یافتهها</span></b><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">: دامنه سنی شرکتکنندگان 13 تا 18 سال و
میانگین و انحراف معیار سن 70/1±50/15 بود. در این پژوهش 7/15 % از دانشآموزان
در معرض اختلال خوردن قرار داشتند. شیوع اختلال بیاشتهایی عصبی و پرخوری عصبی در
این نمونه به ترتیب 1/1% و 2/3% بود.</span><span dir="LTR"></span><span lang="FA" dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif "><span dir="LTR"></span> </span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">بین دو جنس
دختر و پسر در اختلال خوردن تفاوت معناداری وجود داشت</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "> </span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">(001/0=</span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span>)</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">.
شیوع این اختلال با سن و پایه تحصیلی نیز ارتباطی معنادار داشت</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "> </span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">(001/0=</span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span>)</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">
و اختلال بیاشتهایی عصبی بین دو جنس </span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">(079/0=</span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span>)</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">، در سنین و پایههای تحصیل</span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">ی </span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">مختلف </span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">(115/0=</span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span>)</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">
شیوع یکسانی داشت. نتایج نشان داد فراوانی اختلال پرخوری در بین دختران بیشتر است</span><span dir="LTR"></span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif "><span dir="LTR"></span> .</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">بنابراین
بین دو جنس </span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">(014/0=</span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span>)</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">،
در سنین و پایههای تحصیلی مختلف </span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">(003/0=</span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span>) </span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">در شیوع این اختلال ارتباط معناداری وجود داشت (05/0</span><span dir="LTR" style="line-height: 125% font-family: 'Times New Roman', serif ">p<</span><span dir="RTL"></span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' "><span dir="RTL"></span>)<b>.<o:p /></b></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.75pt margin-left: 8.4pt margin-bottom: 0.0001pt text-align: justify line-height: 125% "><b><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">نتیجهگیری</span></b><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">: نتایج نشان
داد اختلال خوردن در دانشآموزان دختر شیوع بیشتری دارد که ممکن است به دلیل </span><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">گسترش</span><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">
فرهنگ غرب، الگوهای نامناسب تغدیهای، عوامل نژادی و طبقه اجتماعی که فرد در آن
قرار دارد، باشد که بررسی این عوامل در پژوهش<sub></sub>های مشابه توصیه میشود.<b><o:p /></b></span></p>
<p class="MsoNormalCxSpMiddle" dir="RTL" style="margin-top: 0cm margin-right: 2.75pt margin-left: 8.4pt margin-bottom: 0.0001pt text-align: justify line-height: 125% "><b><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">واژههای کلیدی</span></b><span lang="AR-SA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">: دانشآموز،
اختلال خوردن، بیاشتهایی عصبی، پرخوری عصبی</span><span lang="FA" style="font-size: 6pt line-height: 125% font-family: 'B Nazanin' "><o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Background
and Objective</span></b><span style="font-family: 'Times New Roman', serif ">: </span><span class="hps"><span lang="EN" style="font-family: 'Times New Roman', serif ">Eating disorders are</span></span><span class="Heading1Char"><span lang="EN" style="line-height: 150% font-family: 'Times New Roman', serif color: windowtext "> </span></span><span class="hps"><span lang="EN" style="font-family: 'Times New Roman', serif ">common</span></span><span lang="EN" style="font-family: 'Times New Roman', serif "> <span class="hps">mental</span> <span class="hps">/</span> <span class="hps">physical</span> <span class="hps">health</span> <span class="hps">disorders</span>
which cause <span class="hps">psychosomatic</span> <span class="hps">and</span> <span class="hps">psychological</span> dys<span class="hps">function</span> <span class="hps">and also the poor</span> <span class="hps">quality of life</span> <span class="hps">and even death</span>. The purpose of this study was to investigate
the prevalence of eating disorders among adolescents </span><span lang="EN" style="font-family: 'Times New Roman', serif "><span> </span></span><span style="font-family: 'Times New Roman', serif ">of </span><span style="font-family: 'Times New Roman', serif ">Gonabad
city</span><span lang="EN" style="font-family: 'Times New Roman', serif ">.<span> </span><o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span lang="EN" style="font-family: 'Times New Roman', serif ">Materials and Methods:</span></b><span lang="EN" style="font-family: 'Times New Roman', serif "> This is a cross-sectional study. The samples were
attained from the first- and second- grade students of 20 high schools of
Gonabad city in 2014. They were selected by stratified randomization and Participated
in this study. Data were obtained using eating attitudes questionnaire (26-
EAT). </span><span style="font-family: 'Times New Roman', serif ">Chi-square</span><span style="font-family: 'Times New Roman', serif "> <span lang="EN">test was used for data analysis.<o:p /></span></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span lang="EN" style="font-family: 'Times New Roman', serif ">Results:</span></b><span lang="EN" style="font-family: 'Times New Roman', serif "> The participants were in the 13-18 age range with an
average of 15.50</span><span dir="RTL"></span><b><span lang="FA" dir="RTL" style="font-family: 'Times New Roman', serif "><span dir="RTL"></span>±</span></b><span dir="LTR"></span><span lang="EN" style="font-family: 'Times New Roman', serif "><span dir="LTR"></span>1.70. In this study, 15.7% of
students were at risk for eating disorders. Mental anorexia disorder and
bulimia were, 1</span><span dir="RTL"></span><span lang="AR-SA" dir="RTL" style="font-family: 'B Nazanin' "><span dir="RTL"></span>.</span><span dir="LTR"></span><span lang="EN" style="font-family: 'Times New Roman', serif "><span dir="LTR"></span>1% and </span><span style="font-family: 'Times New Roman', serif ">3</span><span lang="EN" style="font-family: 'Times New Roman', serif ">.2%, respectively.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><span lang="EN" style="font-family: 'Times New Roman', serif ">There was a significant
difference in eating disorder between girls and boys (p= 0.001). The prevalence
of this disorder also had a significant association with age and educational
level (p= 0.001). The prevalence of mental anorexia disorder was similar between
the opposite sex (p= 0.079) and various educational levels (p=0.115).<span class="hps"> The results showed that</span> <span class="hps">the prevalence of</span>
<span class="hps">eating</span> <span class="hps">disorders</span> <span class="hps">among</span>
<span class="hps">girls</span> <span class="hps">is higher.</span> There was a
significant association in prevalence of this disorder among these opposite
sexes (p=0.014), with different ages and grads (p=0.003).<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span lang="EN" style="font-family: 'Times New Roman', serif ">Conclusion:</span></b><span lang="EN" style="font-family: 'Times New Roman', serif "> The results showed that the eating disorders are more
common in girls which may be due to the expansion of the West culture, poor
nutritional patterns, racial and social factors. It is recommended to
investigate the mentioned factors in a similar study.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span lang="EN" style="font-family: 'Times New Roman', serif ">Key words: </span></b><span lang="EN" style="font-family: 'Times New Roman', serif ">Student, Eating disorders, Mental anorexia , Bulimia<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify direction: ltr unicode-bidi: embed "><span lang="FA" dir="RTL" style="font-family: 'B Nazanin' "><!--stripped--> <!--stripped--></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Funding:</span></b><span style="font-family: 'Times New Roman', serif "> This research was funded by Semnan University. <o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Conflict of interest:</span></b><span style="font-family: 'Times New Roman', serif "> None declared.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Ethical approval:</span></b><span style="font-family: 'Times New Roman', serif "> The Ethics Committee of Semnan University approved the
study.</span><span lang="FA" dir="RTL" style="font-family: 'B Nazanin' "><o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif "><!--stripped--> <!--stripped--></span></b></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">How
to cite this article:</span></b><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif "> Safarzade S, Mahmoody khorandi Z</span><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif ">.
</span><span lang="EN" style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif ">Survey on Eating
Disorders (Mental Anorexia , Bulimia) </span><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif ">among 13-18-Year-Old</span><span lang="EN" style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif "> Adolescents</span><span dir="RTL"></span><span lang="EN" dir="RTL" style="font-size: 9pt line-height: 150% font-family: 'B Nazanin' "><span dir="RTL"></span>
</span><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif ">of</span><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif "> </span><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif ">Gonabad City in 2014.</span><i><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif ">
J RafsanjanUniv Med Sci</span></i><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif "> </span><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif ">2015 14(5):</span><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif "> 393-404. [Farsi]<o:p /></span></p>
دانشآموز, اختلال خوردن, بیاشتهایی عصبی, پرخوری عصبی
Student, Eating disorders, Mental anorexia , Bulimia
393
404
http://journal.rums.ac.ir/browse.php?a_code=A-10-2070-1&slc_lang=fa&sid=1
S.
Safarzade
سمیه
صفرزاده
somayeh.safarzade@yahoo.com
6900319475328460016635
6900319475328460016635
No
Z.
Mahmoody Khorandi
زینب
محمودی خورندی
z.mahmoody1390@yahoo.com
6900319475328460016636
6900319475328460016636
Yes