Eating Disorders with and without Comorbid Depression and Anxiety: Similarities and Differences in a Clinical Sample of Children and Adolescents
Eating Disorders with and without Comorbid Depression and Anxiety: Similarities and Differences in a Clinical Sample of Children and Adolescents
复制标题
DOI：
10.1002/erv.2234
复制
发表时间：
2013-09-01
影响因子：
5.3
通讯作者：
Le Grange, Daniel
中科院分区：
文献类型：
--
作者：
Hughes, Elizabeth K.;Goldschmidt, Andrea B.;Le Grange, Daniel
目的 本研究旨在描述和比较患有饮食失调 (ED) 并伴有抑郁或焦虑的儿童和青少年的人口统计学和临床特征。方法数据来自于 ED 专科诊所对儿童和青少年的摄入评估。对 217 名没有合并症的 ED 参与者、32 名患有共病焦虑的患者、86 名患有共病抑郁症的患者以及 36 名患有共病焦虑和抑郁的 ED 参与者之间的人口学特征（例如年龄和性别）和临床特征（例如体重、暴食和暴饮暴食）进行了比较。单独的共病焦虑，尤其是暴饮暴食、净化、饮食限制和体重/体形问题。讨论抑郁和焦虑与 ED 的临床特征有不同的相关性。这些发现对于理解这些疾病之间的关系及其影响 ED 治疗结果的潜力具有重要意义。版权所有 (c) 2013 John Wiley & Sons, Ltd 和饮食失调协会。
Objective This study aimed to describe and compare the demographic and clinical characteristics of children and adolescents with an eating disorder (ED) and comorbid depression or anxiety.Method Data were drawn from intake assessments of children and adolescents at a specialist ED clinic. Demographic characteristics (e.g. age and gender) and clinical characteristics (e.g. body mass, binge eating and purging) were compared between 217 ED participants without comorbidity, 32 with comorbid anxiety, 86 with comorbid depression and 36 with comorbid anxiety and depression.Results The groups with comorbid depression had more complex and severe presentations compared with those with an ED and no comorbid disorder and those with comorbid anxiety alone, especially in regard to binge eating, purging, dietary restraint and weight/shape concerns.Discussion Depression and anxiety were differentially related to clinical characteristics of EDs. The findings have implications for understanding the relations between these disorders and their potential to impact outcome of ED treatments. Copyright (c) 2013 John Wiley & Sons, Ltd and Eating Disorders Association.