Prevalence of Eating Disorders in Individuals With Schizophrenia Spectrum Disorder: A Systematic Review and Meta-Analysis

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-04-19 DOI:10.1002/erv.3199

Swastik Subhankar Sahu, Mahalaqua Nazli Khatib, Rekha MM, Mandeep Kaur, Girish Chandra Sharma, Puneet Sudan, K. Satyam Naidu, Rajesh Singh, Brajgopal Kushwaha, Tripti Desai, Muhammed Shabil, Sanjay Singh Chauhan, Lokesh Verma, Amritpal Sidhu, Rachana Mehta, Prakasini Satapathy, Sanjit Sah, Abhay M. Gaidhane, Ganesh Bushi

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引用次数: 0

Abstract

Background

Eating disorders (EDs) are significant comorbidities in individuals with schizophrenia spectrum disorders (SSDs), yet they are often under recognized. This systematic review and meta-analysis aimed to synthesise existing evidence on the prevalence of EDs in SSD populations and to explore potential moderators such as geographical location and diagnostic tools.

Methods

We conducted a systematic search of PubMed, Embase and Web of Science for studies reporting the prevalence of EDs in individuals with SSDs. Subgroup analyses examined the influence of geographical location and screening tools on prevalence estimates. Sensitivity analyses and a funnel plot were used to assess the robustness of the findings and potential publication bias.

Results

A total of 13 studies, comprising 1135 participants, were included in the review, with 12 studies contributing to the meta-analysis using R v4.4. The pooled prevalence of EDs in individuals with SSDs was 15.65% (95% CI: 8.04–28.26), with a prediction interval ranging from 1.62% to 67.66%. Subgroup analysis by geographical location revealed substantial variability, with prevalence estimates ranging from 5.88% in Southern Europe to 28.99% in the Middle East and North Africa. Studies using questionnaire-based tools reported a higher pooled prevalence (19.25%) compared to those employing DSM-based diagnostic criteria (11.90%). Significant heterogeneity was observed across studies (I² = 87%).

Conclusions

This study highlights the considerable prevalence of EDs in SSD populations, emphasising the need for early identification and integrated care. The variability in prevalence estimates suggests that geographical, cultural and methodological factors play an important role in the findings. Future research should focus on longitudinal studies, the development of standardized diagnostic tools, and the inclusion of underrepresented regions to enhance understanding and improve care for this vulnerable population.

查看原文本刊更多论文

精神分裂症谱系障碍患者饮食失调的患病率：一项系统综述和荟萃分析。

背景：饮食失调（EDs）是精神分裂症谱系障碍（ssd）患者的重要合并症，但通常未得到充分认识。本系统综述和荟萃分析旨在综合SSD人群中ed患病率的现有证据，并探索地理位置和诊断工具等潜在的调节因素。方法：我们对PubMed、Embase和Web of Science进行了系统的检索，以报告ssd患者中ed患病率的研究。亚组分析检查了地理位置和筛查工具对患病率估计的影响。采用敏感性分析和漏斗图来评估研究结果的稳健性和潜在的发表偏倚。结果：共纳入13项研究，包括1135名参与者，其中12项研究使用R v4.4进行meta分析。ssd患者ed的总患病率为15.65% (95% CI: 8.04 ~ 28.26)，预测区间为1.62% ~ 67.66%。按地理位置进行的亚组分析显示出很大的差异，患病率估计从南欧的5.88%到中东和北非的28.99%不等。与使用dsm诊断标准的研究（11.90%）相比，使用基于问卷的工具的研究报告了更高的总患病率（19.25%）。研究间存在显著的异质性（I2 = 87%）。结论：本研究强调了急诊科在SSD人群中相当普遍，强调了早期识别和综合护理的必要性。患病率估计值的差异表明，地理、文化和方法因素在调查结果中发挥了重要作用。未来的研究应侧重于纵向研究、标准化诊断工具的开发以及纳入代表性不足的地区，以加强对这一弱势群体的了解和改善护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.