Eating Disorders Clinical Trial
Official title:
Epidemiological Studies of Eating Disorders in Gifted Dance Students and Ordinary High School Students:Prevalence Rate, Risk Factors and 1-Year Outcome (1st Year).
This is the first-year part of a two-phase prospective study. The aims of the study are to
investigate the prevalence rate of eating disorders in Taiwan, it's correlated psychosocial
risk factors and establish the validity index of BITE. The study subjects consist of
Taiwanese gifted dance high school students and age, sex, school-matched ordinary class
students. All students completed questionnaires(Eating Altitude Test(EAT-26), Bulimic
Investigatory Test, Ediburgh (BITE), Body Shape Questionnaire (BSQ), Physical Appearance
Related Teasing Scale, Pubertal Develoment Scale, and Brief Symptom Rating Scale (BSRS) at
first phase. All subjects who are above threshold (EAT-26 score≧20 and BMI≦17.5m2; the
symptom scale score of BITE≧15 and/or severity scale≧5),and 10% of the sub-threshold cases
need to receive second-phase interview by two senior psychiatrists. The contents of
interview included SCID-IP, and risk factors assessment for eating disorders. The known risk
factors included both personal factors (history of obesity, psychiatric, menstruation,
teasing, or sexual or physical abuse, etc.) as well as family factors (parental problems,
history of obesity, dieting, psychiatric illness etc.).
Statistical analyses were conducted using SPSS 10.0 for Windows/PC. Categorical data were
analyzed by nonparametric test (Chi-square test). ANOVA or Student’s t-test was used for
continuous data analyses. Reliability is assessed by internal consistency and test-retest
reliability. Inter-rater reliability was assessed by Kappa statistics. The sensitivity and
specificity for eating disorders were calculated for individual screening instrument.ROC
analyses were undertaken to evaluate the overall performance of the BITE +/- EAT in
detecting eating disorder cases. Regression analysis was applied to determine predictors of
disordered eating or eating disorder status. A value of P< 0.05 was considered statistically
significant.
This is the first-year part of a two-phase prospective study. The aims of this study are to
investigate the prevalence rate of eating disorders in Taiwan, it's correlated psychosocial
risk factors and establish the validity index of BITE. The study subjects consist of
Taiwanese gifted dance high school students and comparable ordinary class students. Parental
informed consent for nonpartipation was delivered 3 days before study started.All students
completed questionnaires(Eating Altitude Test (EAT-26), Bulimic Investigatory Test, Ediburgh
(BITE), Body Shape Questionnaire (BSQ), Physical Appearance Related Teasing Scale, Pubertal
Develoment Scale, and Brief Symptom Rating Scale (BSRS) at first phase. All subjects who are
above threshold (EAT-26 score≧20 and BMI≦17.5Kg/m2; the symptom scale score of BITE≧15
and/or severity scale≧5),and 10% of the sub-threshold cases need to receive second-phase
interview by two senior psychiatrists. The contents of interview included SCID-IP, and risk
factors assessment for eating disorders. The known risk factors included both personal
factors (history of obesity, psychiatric, menstruation, teasing, or sexual or physical
abuse, etc.) as well as family factors (parental problems, history of obesity, dieting,
psychiatric illness etc.).
Statistical analyses were conducted using SPSS 10.0 for Windows/PC. Categorical data were
analyzed by nonparametric test (Chi-square test). ANOVA or Student’s t-test was used for
continuous data analyses. Reliability is assessed by internal consistency and test-retest
reliability. Inter-rater reliability was assessed by Kappa statistics. The sensitivity and
specificity for eating disorders were calculated for individual screening instrument.ROC
analyses were undertaken to evaluate the overall performance of the BITE +/- EAT in
detecting eating disorder cases. Regression analysis was applied to determine predictors of
disordered eating or eating disorder status. A value of P< 0.05 was considered statistically
significant.
;
Observational Model: Defined Population, Primary Purpose: Screening, Time Perspective: Longitudinal
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