Adolescents with anorexia nervosa with or without non-suicidal self-injury: clinical and psychopathological features

Riva, Anna; Pigni, María Mercedes; Bomba, Monica; Nacinovich, Renata

doi:10.1007/s40519-021-01311-4

Cited by 6 publications

(6 citation statements)

References 51 publications

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“…High prevalence of borderline personality disorder could have brought additional difficulty to therapeutic alliance and response to treatment (Farstad et al., 2016; Voderholzer et al., 2007). BP‐AN and borderline personality disorders share psychiatric complications, such as higher risk of suicide (Bulik et al., 2008), non‐suicidal self‐injury (Riva et al., 2022), and substance use (Devoe et al., 2021). This may have added to the complexity of their management, particularly in the final stages when treatment is tapered and the risk of relapse is higher (for example, some patients may have relapsed into purging behaviours in the programme).…”

Section: Discussionmentioning

confidence: 99%

Trajectories and predictive factors of weight recovery in patients with anorexia nervosa completing treatment. A latent class mixed model approach

Di Lodovico,

Al Tabchi,

Clarke

et al. 2024

Euro Eating Disorders Rev

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BackgroundTreatment of anorexia nervosa (AN) sometimes requires hospitalisation, which is often lengthy, with little ability to predict individual trajectory. Depicting specific profiles of treatment response and their clinical predictors could be beneficial to tailor inpatient management. The aim of this research was to identify clusters of weight recovery during inpatient treatment, and their clinical predictors.MethodsA sample of 181 inpatients who completed a treatment programme for AN was included in a retrospective study. A latent class mixed model approach was used to identify distinct weight‐gain trajectories. Clinical variables were introduced in a multinomial logistic regression model as predictors of the different classes.ResultsA four‐class quadratic model was retained, able to correctly classify 63.7% of the cohort. It encompassed a late‐rising, flattening, moderate trajectory of body mass index (BMI) increase (class 1), a late‐rising, steady, high trajectory (class 2), an early‐rising, flattening, high trajectory (class 3) and an early‐rising, steady, high trajectory (class 4). Significant predictors of belonging to a class were baseline BMI (all classes), illness duration (class 2), and benzodiazepine prescription (class 3).ConclusionPredicting different kinetics of weight recovery based on routinely collected clinical indicators could improve clinician awareness and patient engagement by enabling shared expectations of treatment response.

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Section: Discussionmentioning

confidence: 99%

Trajectories and predictive factors of weight recovery in patients with anorexia nervosa completing treatment. A latent class mixed model approach

Di Lodovico,

Al Tabchi,

Clarke

et al. 2024

Euro Eating Disorders Rev

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“…Nonetheless, our study cannot confirm these suggestions as we have not compared the two AN subtypes on any psychometric scale and have not assessed psychiatric comorbidity. Future studies evaluating TL in the different subtypes of AN should assess psychiatric comorbidities and include relevant psychometric scales previously used for individuals with AN, e.g., the Eating Disorder Inventory-3 [54] or the Symptom Checklist-90-Revised test [55,56].…”

Section: Discussionmentioning

confidence: 99%

Differences in Telomere Length between Adolescent Females with Anorexia Nervosa Restricting Type and Anorexia Nervosa Binge-Purge Type

Uziel,

Dickstein,

Beery

et al. 2023

Nutrients

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Physiological and psychological distress may accelerate cellular aging, manifested by shortening of telomere length (TL). The present study focused on TL shortening in anorexia nervosa (AN), an illness combining physiological and psychological distress. For that purpose, we measured TL in 44 female adolescents with AN at admission to inpatient treatment, in a subset of 18 patients also at discharge, and in 22 controls. No differences in TL were found between patients with AN and controls. At admission, patients with AN-binge/purge type (AN-B/P; n = 18) showed shorter TL compared with patients with AN-restricting type (AN-R; n = 26). No change in TL was found from admission to discharge, despite an improvement in body mass index standard deviation score (BMI-SDS) following inpatient treatment. Older age was the only parameter assessed to be correlated with greater TL shortening. Several methodological changes have to be undertaken to better understand the putative association of shorter TL with B/P behaviors, including increasing the sample size and the assessment of the relevant pathological eating disorder (ED) and non-ED psychological correlates in the two AN subtypes.

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“…Restrictive eating disorders (REDs) are serious mental disorders associated with potential medical complications stemming from malnutrition (Riva, Falbo, et al, 2022; Riva, Pigni, et al, 2022) and heightened psychiatric comorbidities (Mensi, Rogantini, et al, 2020; Momen et al, 2022), significantly impacting psychophysical health as well as social and family relationships (Herpertz‐Dahlmann, 2015). RED encompasses anorexia nervosa and atypical anorexia nervosa including both restrictive and binge‐purge subtypes (American Psychiatric Association, 2022).…”

Section: Introductionmentioning

confidence: 99%

Family functioning of adolescents with restrictive eating disorders with or without nonsuicidal self‐injury

Riva,

Bizzi,

Borgatti

et al. 2024

Clin Psychology and Psychoth

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Family influence is a crucial factor in the onset and maintenance of eating disorders. Nonsuicidal self‐injury (NSSI) and restrictive eating disorders (REDs) co‐occur in a significant percentage of subjects but family functioning of these families remains underexplored. This study examines the family functioning perceptions of 80 families with adolescents experiencing RED, comparing those with and without NSSI, alongside a control group, utilising the FACES‐IV assessment. The study also aims to compare the triadic (adolescent–mother–father) perception of family functioning in the three groups. The results reveal distinct family dynamics in adolescents with both RED and NSSI, marked by problematic functioning perceptions from all family members and low parental agreement. A further understanding of the family functioning of adolescents with RED with NSSI can help clinicians in defining the treatment setting.

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Adolescents with anorexia nervosa with or without non-suicidal self-injury: clinical and psychopathological features

Cited by 6 publications

References 51 publications

Trajectories and predictive factors of weight recovery in patients with anorexia nervosa completing treatment. A latent class mixed model approach

Trajectories and predictive factors of weight recovery in patients with anorexia nervosa completing treatment. A latent class mixed model approach

Differences in Telomere Length between Adolescent Females with Anorexia Nervosa Restricting Type and Anorexia Nervosa Binge-Purge Type

Family functioning of adolescents with restrictive eating disorders with or without nonsuicidal self‐injury

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