Non-eating disorders psychopathology in children and adolescents with eating disorders: Implications for malnutrition and symptom severity
Non-eating disorders psychopathology in children and adolescents with eating disorders: Implications for malnutrition and symptom severity
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DOI：
10.1016/j.jpsychores.2005.08.004
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发表时间：
2006-03-01
影响因子：
4.7
通讯作者：
Gibbon, P
中科院分区：
文献类型：
--
作者：
McDermott, B;Forbes, D;Gibbon, P
目的：比较饮食失调 (ED) 和儿童心理健康门诊样本的一般精神病理学，并研究合并症对 ED 严重程度的心理和身体测量的影响。方法：将 136 名 DSM-IV ED 诊断的儿童和青少年与年龄和性别匹配的对照进行比较。措施包括饮食失调检查和儿童行为检查表。结果：ED 组的一般和外化精神病理学评分较低，内化（焦虑抑郁）症状没有差异。在神经性厌食症组中，49% 的人患有共病精神病理学。该组患者的 ED 精神病理学水平明显较高、病程较长、胃肠道症状较多，但营养不良状况没有差异。未另行指定的饮食失调（EDNos）组测量受合并症状态的影响较小。结论：焦虑抑郁症状在患有 ED 的儿童和青少年中非常常见。合并症状况影响疾病的严重程度，尤其是在神经性厌食症组中。讨论了这些发现的管理意义。 (c) 2006 Elsevier Inc. 保留所有权利。
Objectives: To compare the general psychopathology in an eating disorders (ED) and a child mental health Outpatient sample and investigate the implications of comorbidity on psychological and physical measures of ED severity. Methods: One hundred thirty-six children and adolescents with a DSM-IV ED diagnosis were compared with age- and gender-matched controls. Measures included the Eating Disorders Examination and the Child Behavior Checklist. Results: The ED group had lower general and externalizing psychopathology scores and no difference in internalizing (anxiety-depression) symptoms. Of the anorexia nervosa group, 49% experienced comorbid psychopathology. This group had significantly higher ED psychopathology, longer duration of illness, and more gastrointestinal symptoms, but no difference in malnutrition status. Eating disorders not otherwise specified (EDNos) group measures were less influenced by comorbidity status. Conclusions: Anxiety-depressive symptoms are very common in children and adolescents with EDs. Comorbidity status influences illness severity, especially in the anorexia nervosa group. The management implications of these findings are discussed. (c) 2006 Elsevier Inc. All rights reserved.