Psychological Characteristics and DSM-III-R Diagnoses at 6-Year Follow-up of Adolescent Anorexia Nervosa

Smith, Christine; Feldman, S. Shirley; Nasserbakht, Afsaneh; Steiner, Hans

doi:10.1097/00004583-199311000-00018

Cited by 61 publications

(55 citation statements)

References 22 publications

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“…These results are consistent with the findings of a prevalence of affective and anxiety disorders in ED and the percentage of subjects with psychopathological problems associated with ED are parallel to those reported in literature [8,9,12,13]. The specificity of this internalizing symptomatology in anorexic adolescents is also evident by the comparison with the 'mood-anxiety' group.…”

Section: Discussionsupporting

confidence: 92%

“…When different types of ED are considered, one of the most consistent findings has been more externalizing symptoms and impulsive traits in binge/purging types. Some studies have specified comorbidity in anorexic samples: depressive symptoms were found in 62% by Smith et al [8], in 56% by Fosson et al [9] and in 46% by North and Gowers [10] and Saccomani et al [11]. Lilenfeld et al [12] found high multiple lifetime comorbidity with significant differences with a control group.…”

Section: Introductionmentioning

confidence: 99%

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Internalizing and Externalizing Conditions in Adolescent Anorexia

et al. 2004

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Objective: To identify the prevalence of internalizing and externalizing conditions in referred anorexic adolescents. Method: Child Behavior CheckList (CBCL) and Youth Self Report (YSR) were used to assess psychopathology: (a) in the global sample (43 adolescents); (b) in different subtypes of anorexia; (c) considering the timing of admission after the onset of the disease. Results: A high percentage of patients were found in the internalizing clinical range both at CBCL and YSR. Higher mean values were found in full syndromes both at CBCL and YSR, and in the binge-eating subtype only at the YSR. Subjects arrived within the first year of illness showed a less severe psychopathology. Conclusions: Adolescents with anorexia have high rates of internalizing psychopathology. The less severe psychopathology in adolescents arrived within the first year of illness shed light on discontinuity between anorexia and internalizing condition. On the basis of the psychopathological severity, three types of adolescent anorexia are proposed which could be of interest for therapeutic decisions.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Internalizing and Externalizing Conditions in Adolescent Anorexia

et al. 2004

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“…Our findings suggest that AN patients, specifically those manifesting significant body image disturbances and negative attitudes towards their body, may be at particular risk, not only of a worse overall outcome [6, 7], but also of self-destructive tendencies. A systematic and comprehensive assessment of suicidal potential among these patients is highly recommended.…”

Section: Discussionmentioning

confidence: 97%

“…Prospective longitudinal studies have shown that the severity of body image dysfunction is a powerful predictor for the development of eating-related disturbances in community adolescent [4]and adult [5]females, as well as for an overall poor prognosis in the course of AN [6, 7]. Furthermore, studies comparing long- term recovered AN patients with non-ED controls [8]have shown elevated body dissatisfaction among the former patients, further supporting its importance in the predisposition to an ED.…”

Section: Introductionmentioning

confidence: 99%

Suicidal Tendencies and Body Image and Experience in Anorexia nervosa and Suicidal Female Adolescent Inpatients

Stein

Orbach

Shani-Sela

et al. 2002

Psychother Psychosom

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Background: The aim of this study was to assess the relationship between body image and suicidal tendencies in anorexia nervosa (AN). Methods: Three groups of hospitalized female adolescents – nonsuicidal AN, suicidal psychiatric and nonsuicidal psychiatric patients, as well as a community control group with no psychiatric disturbances were compared with regard to suicidal tendencies (in the form of attitudes to life and death), body image and experience, depression and anxiety. Results: The AN and suicidal patients showed less attraction to but more repulsion by life, and more attraction to and less repulsion by death compared with the other two groups. The AN and suicidal patients were also different from either one or both control groups in showing more negative attitudes and feelings towards their bodies, lower sensitivity to body clues, less body control, and elevated depression and anxiety. These between-group differences in suicidal tendencies were retained after controlling for age, body mass index, the different body image dimensions, anxiety and depression. Conclusions: Our findings suggest that female AN inpatients with no evidence of overt suicidal behavior demonstrate elevated suicidal tendencies that are similar to those of suicidal psychiatric inpatients. These self-destructive tendencies are highly associated with a pervasive sense of disturbance of body image and experience.

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“…Between 8% and 62% of individuals with an initial diagnosis of AN develop bulimic symptoms at some point during the course of their illness, [29][30][31][32][33][34][35][36][37] with the majority of crossovers occurring within the first 5 years. 29,30,32,37 Understanding Risk Factors for Anorexia Nervosa AN afflicts fewer than 1% of the population.…”

Section: Pubertal Developmentmentioning

confidence: 99%