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Prevalence, Correlates and Comorbidities of Feeding and Eating Disorders in a Nationally Representative Sample of Iranian Children and Adolescents Publisher Pubmed



Mohammadi MR1 ; Mostafavi SA1 ; Hooshyari Z1 ; Khaleghi A1 ; Ahmadi N2 ; Molavi P3 ; Armani Kian A4 ; Safavi P5 ; Delpisheh A6 ; Talepasand S7 ; Hojjat SK8 ; Pourdehghan P1 ; Ostovar R9 ; Hosseini SH10 Show All Authors
Authors
  1. Mohammadi MR1
  2. Mostafavi SA1
  3. Hooshyari Z1
  4. Khaleghi A1
  5. Ahmadi N2
  6. Molavi P3
  7. Armani Kian A4
  8. Safavi P5
  9. Delpisheh A6
  10. Talepasand S7
  11. Hojjat SK8
  12. Pourdehghan P1
  13. Ostovar R9
  14. Hosseini SH10
  15. Mohammadzadeh S11
  16. Salmanian M1
  17. Alavi SS1
  18. Ahmadi A1
  19. Zarafshan H1
Show Affiliations
Authors Affiliations
  1. 1. Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  3. 3. Department of Psychiatry, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran
  4. 4. Department of Psychiatry, Zanjan University of Medical Sciences, Zanjan, Iran
  5. 5. Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran
  6. 6. Department of Clinical Epidemiology Faculty of Medicine, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
  7. 7. Department of Psychology, Semnan University, Semnan, Iran
  8. 8. Addiction and Behavioral Sciences Research center, North Khorasan University of Medical Sciences, Bojnurd, Iran
  9. 9. Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
  10. 10. Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
  11. 11. Department of Psychiatry, Neuroscience Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran

Source: International Journal of Eating Disorders Published:2020


Abstract

Objective: This study investigated the prevalence of feeding and eating disorders, and identified their correlates and comorbidities among children and adolescents. Method: We used the nationally representative sample of the Iranian Children and Adolescents' Psychiatric disorders (IRCAP) survey, with 30,532 participants randomly selected by a multistage cluster sampling method. We employed the kiddie schedule for affective disorders and schizophrenia-present and lifetime version (K-SADS-PL) semi-structured face-to-face interview to screen for any psychiatric disorders, including feeding and eating disorders, and associated factors. We used multivariate binary logistic regression to analyze the data. Results: Valid data from 27,111 participants were analyzed. The total prevalence of feeding and eating disorders among children and adolescents was 0.89 (0.81–1.10). In all types of feeding and eating disorders, the adjusted odds ratio was higher among girls (except binge-eating disorder) and older adolescents but was lower among rural residents. The most common psychiatric comorbidities observed in children and adolescents with feeding and eating disorders were obsessive–compulsive disorder (20.2%), agoraphobia (20.2%), depressive disorder (16.4%), social phobia (10.1%), oppositional defiant disorder (10.1%), generalized anxiety disorder (9.4%), attention deficit hyperactivity disorder (7.5%), and conduct disorder (5.7%), which were significantly more common compared to their peers without feeding and eating disorders. Discussion: Older age, female gender and living in an urban area are predisposing factors in feeding and eating disorders (in binge-eating disorder, the male gender is a positive correlate). We suggest that future works pay attention to the role of gender, comorbidities and predisposing factors. © 2019 Wiley Periodicals, Inc.
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