Influence of overanxious disorder of childhood on the expression of anorexia nervosa
Influence of overanxious disorder of childhood on the expression of anorexia nervosa
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DOI：
10.1002/eat.20508
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发表时间：
2008-05-01
影响因子：
5.5
通讯作者：
Bulik, Cynthia M.
中科院分区：
文献类型：
--
作者：
Raney, T. J.;Thornton, Laura M.;Bulik, Cynthia M.
目的：儿童期焦虑通常先于神经性厌食症（AN）的发作，并可能标志着一些女性出现饮食失调的倾向。本研究调查了AN女性中过度焦虑症（OAD）的患病率，并探讨了OAD如何影响AN症状和人格特质。方法：参与者为637名AN女性，她们完成了饮食障碍史、DSM-IV轴I障碍的结构化临床访谈、儿童焦虑、饮食障碍态度和相关人格特质的评估。在报告有OAD病史的249名女性（39.1%）中，235名（94.4%）在符合AN标准之前符合OAD标准。与那些没有OAD相比，AN和CAD的女性自我报告更极端的人格特质和态度，他们从事更多的补偿behaviors.Conclusion：在AN的个人，那些进入AN的途径，通过OAD目前更严重的饮食失调病理。(C)出版社：Wiley Periodicals，Inc.
Objective: Childhood anxiety often precedes the onset of anorexia nervosa (AN) and may mark a liability to the emergence of an eating disorder for some women. This study investigates the prevalence of overanxious disorder (OAD) among women with AN and explores how OAD impacts AN symptoms and personality traits.Method: Participants were 637 women with AN who completed an eating disorders history, the Structured Clinical Interview for DSM-IV Axis I Disorders, and assessments for childhood anxiety, eating disorder attitudes, and associated personality traits.Results: Of 249 women (39.1%) reporting a history of OAD, 235 (94.4%) met criteria for OAD before meeting criteria for AN. In comparison to those without OAD, women with AN and CAD self-reported more extreme personality traits and attitudes and they engaged in more compensatory behaviors.Conclusion: Among individuals with AN, those entering AN on a pathway via OAD present with more severe eating disorder pathology. (C) 2008 by Wiley Periodicals, Inc.