{"title":"饮食失调女性的性功能障碍：系统回顾和荟萃分析。","authors":"Tatiana Hess, Zuzana Špacírová","doi":"10.1002/erv.3189","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Eating disorders (EDs) are common mental health conditions that impact people globally. Sexual health problems are also widely researched across various contexts. This paper explores the connection between these two areas by conducting a meta-analysis to assess sexual dysfunction (SD) in women with EDs compared to healthy individuals.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Multiple electronic databases were searched. Studies reporting mean scores of SD scales in women with EDs compared to women without these conditions, were included. The combined analyses used standardized mean deviations (SMDs), with relevant 95% confidence intervals (CIs). Each study was weighted using inverse variance models with random effects. The risk of publication bias was estimated.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>From an initial pool of 2665 studies, 7 studies met inclusion criteria for the systematic review, involving 908 individuals. Out of these, five studies focussing on women with AN or BN were eligible for meta-analysis. No study involving the BED female group met the inclusion criteria to be included in the meta-analysis. The association between SD and AN showed a random-effects pooled SMD of −0.95 (95% <i>CI =</i> −1.40 to −0.50) with high heterogeneity (<i>I</i><sup>2</sup> = 78.32%, <i>p</i> = 0.01). For BN, this was of −0.51 (95% <i>CI</i> = −0.88 to −0.13) with no heterogeneity (<i>I</i><sup>2</sup> = 0.00%, <i>p</i> = 0.76). Sensitivity analyses showed that the overall effect is sensitive to the type of questionnaire used to measure the SD.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The results indicate that SD is more pronounced in women with AN than in those with BN. More studies with robust methodological designs are necessary to further investigate SD. The female BED group should be included in future studies focussing on SD. The findings suggest that sexual health interventions should target women with EDs, as these conditions have a significant impact on relationships and sexual satisfaction.</p>\n </section>\n </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"879-894"},"PeriodicalIF":3.4000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sexual Dysfunction in Women With Eating Disorders: Systematic Review and Meta-Analysis\",\"authors\":\"Tatiana Hess, Zuzana Špacírová\",\"doi\":\"10.1002/erv.3189\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Eating disorders (EDs) are common mental health conditions that impact people globally. Sexual health problems are also widely researched across various contexts. This paper explores the connection between these two areas by conducting a meta-analysis to assess sexual dysfunction (SD) in women with EDs compared to healthy individuals.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Multiple electronic databases were searched. Studies reporting mean scores of SD scales in women with EDs compared to women without these conditions, were included. The combined analyses used standardized mean deviations (SMDs), with relevant 95% confidence intervals (CIs). Each study was weighted using inverse variance models with random effects. The risk of publication bias was estimated.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>From an initial pool of 2665 studies, 7 studies met inclusion criteria for the systematic review, involving 908 individuals. Out of these, five studies focussing on women with AN or BN were eligible for meta-analysis. No study involving the BED female group met the inclusion criteria to be included in the meta-analysis. The association between SD and AN showed a random-effects pooled SMD of −0.95 (95% <i>CI =</i> −1.40 to −0.50) with high heterogeneity (<i>I</i><sup>2</sup> = 78.32%, <i>p</i> = 0.01). For BN, this was of −0.51 (95% <i>CI</i> = −0.88 to −0.13) with no heterogeneity (<i>I</i><sup>2</sup> = 0.00%, <i>p</i> = 0.76). Sensitivity analyses showed that the overall effect is sensitive to the type of questionnaire used to measure the SD.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The results indicate that SD is more pronounced in women with AN than in those with BN. More studies with robust methodological designs are necessary to further investigate SD. The female BED group should be included in future studies focussing on SD. The findings suggest that sexual health interventions should target women with EDs, as these conditions have a significant impact on relationships and sexual satisfaction.</p>\\n </section>\\n </div>\",\"PeriodicalId\":48117,\"journal\":{\"name\":\"European Eating Disorders Review\",\"volume\":\"33 5\",\"pages\":\"879-894\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-03-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Eating Disorders Review\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/erv.3189\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Eating Disorders Review","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/erv.3189","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
背景：饮食失调（EDs）是影响全球人们的常见心理健康状况。性健康问题也在各种背景下得到广泛研究。本文通过荟萃分析来评估ed女性的性功能障碍（SD）与健康个体的关系，探讨了这两个领域之间的联系。方法：检索多个电子数据库。研究报告了有ed的女性与没有这些疾病的女性的SD量表平均得分。联合分析使用标准化平均偏差（SMDs）和相关的95%置信区间（ci）。每个研究使用随机效应的逆方差模型进行加权。估计发表偏倚的风险。结果：从最初的2665项研究中，有7项研究符合系统评价的纳入标准，涉及908名个体。在这些研究中，有5项针对患有AN或BN的女性的研究符合荟萃分析的条件。没有涉及BED女性组的研究符合纳入标准，可以纳入meta分析。SD和AN之间的关联显示随机效应池SMD为-0.95 (95% CI = -1.40 ~ -0.50)，异质性高（I2 = 78.32%, p = 0.01）。对于BN，该值为-0.51 (95% CI = -0.88至-0.13)，无异质性（I2 = 0.00%, p = 0.76）。敏感性分析表明，总体效果对用于测量SD的问卷类型敏感。结论：AN患者的SD明显高于BN患者。需要更多具有可靠方法学设计的研究来进一步研究SD。女性BED组应纳入未来关注SD的研究。研究结果表明，性健康干预措施应该针对患有急症的女性，因为这些疾病对两性关系和性满意度有重大影响。
Sexual Dysfunction in Women With Eating Disorders: Systematic Review and Meta-Analysis
Background
Eating disorders (EDs) are common mental health conditions that impact people globally. Sexual health problems are also widely researched across various contexts. This paper explores the connection between these two areas by conducting a meta-analysis to assess sexual dysfunction (SD) in women with EDs compared to healthy individuals.
Methods
Multiple electronic databases were searched. Studies reporting mean scores of SD scales in women with EDs compared to women without these conditions, were included. The combined analyses used standardized mean deviations (SMDs), with relevant 95% confidence intervals (CIs). Each study was weighted using inverse variance models with random effects. The risk of publication bias was estimated.
Results
From an initial pool of 2665 studies, 7 studies met inclusion criteria for the systematic review, involving 908 individuals. Out of these, five studies focussing on women with AN or BN were eligible for meta-analysis. No study involving the BED female group met the inclusion criteria to be included in the meta-analysis. The association between SD and AN showed a random-effects pooled SMD of −0.95 (95% CI = −1.40 to −0.50) with high heterogeneity (I2 = 78.32%, p = 0.01). For BN, this was of −0.51 (95% CI = −0.88 to −0.13) with no heterogeneity (I2 = 0.00%, p = 0.76). Sensitivity analyses showed that the overall effect is sensitive to the type of questionnaire used to measure the SD.
Conclusion
The results indicate that SD is more pronounced in women with AN than in those with BN. More studies with robust methodological designs are necessary to further investigate SD. The female BED group should be included in future studies focussing on SD. The findings suggest that sexual health interventions should target women with EDs, as these conditions have a significant impact on relationships and sexual satisfaction.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
