Subthreshold autism spectrum disorder in patients with eating disorders

Dell’Osso, Liliana; Carpita, Barbara; Gesi, Camilla; Cremone, Ivan Mirko; Corsi, Martina; Massimetti, Enrico; Muti, Dario; Calderani, E.; Castellini, Giovanni; Luciano, Mario; Ricca, Valdo; Carmassi, Claudia; Maj, Mario

doi:10.1016/j.comppsych.2017.11.007

Cited by 98 publications

(119 citation statements)

References 77 publications

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“…We run a network analysis built up of ED-core measuring scales, general psychiatric symptom measure, personality variables, BMI, and duration of illness. Symptoms of EDs were measured with Eating Disorders Inventory-I (EDI-I; Dell'Osso et al, 2018;Garner, Olmstead, & Polivy, 1983), general psychiatric symptoms with Symptom Check-list 90 (SCL-90; Danielsen, Ro, Romild, & Bjornelv, 2016;Derogatis & Unger, 2010;Mander, Teufel, Keifenheim, Zipfel, & Giel, 2013), and personality traits with Tridimensional Personality Questionnaire (TPQ; Cloninger, Przybeck, & Svrakic, 1991;Fassino, Amianto, Gramaglia, Facchini, & Abbate Daga, 2004). All three questionnaires were completed-after the diagnostic/clinical interviews-in the context of the routine baseline assessment at the ED Unit.…”

Section: Participants and Measuresmentioning

confidence: 99%

“…Also, characterizing the relationship between ED‐specific symptoms and psychiatric symptoms in diagnostic subgroups within AN may provide a clinically useful picture on the pattern and strength of the network sustaining symptoms themselves. Restricting‐type AN and bulimic‐purgative‐type AN differ on neuropsychological (Steward et al, ) and psychopathological profile (Dell'Osso et al, ), and such differences have clinical impact (Kastner et al, ). Although recently ineffectiveness and interoceptive awareness as measured by EDI‐2 have been shown to be central nodes (Olatunji, Levinson, & Calebs, ), no study to the best of our knowledge has assessed a network including psychiatric symptoms in patients with EDs to date.…”

Section: Introductionmentioning

confidence: 99%

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Network analysis of specific psychopathology and psychiatric symptoms in patients with anorexia nervosa

Solmi

Collantoni

Meneguzzo

et al. 2018

Euro Eating Disorders Rev

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Section: Participants and Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Network analysis of specific psychopathology and psychiatric symptoms in patients with anorexia nervosa

Solmi

Collantoni

Meneguzzo

et al. 2018

Euro Eating Disorders Rev

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“…In addition, all eating disorders are associated with a significantly higher likelihood of self-harm, suicide, and death [41]. Other recent studies have emphasized a significant overlap in symptom patterns and associated personality traits between ED, including bulimia, obsessive-compulsive disorder and autism spectrum disorders [33,42], while other research has shown that bulimic-spectrum disorder has significantly elevated levels of impulsivity when compared with restrictive disorders [41].…”

Section: Introductionmentioning

confidence: 99%

Bulimia symptoms in Czech youth: prevalence and association with internalizing problems

et al. 2019

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Objective Although clinical studies suggest that bulimia symptoms are common in youth, research on the prevalence of such symptoms and of their association with comorbid internalizing problems in the general population has been limited. This study aimed to evaluate the gender-specific prevalence of bulimia symptoms in Czech youth and explored the association between a clinical level of self-reported bulimia symptoms (CLBS) and internalizing problems by gender, controlling for age, socioeconomic status and puberty status. Method The study was conducted on a representative national sample of Czech youth (N = 4430, 57.0% female) using selfreport scales. Multivariate analysis of covariance (MANCOVA) was used to examine the associations. Results The 3-month CLBS prevalence was higher in girls (11.4%) than in boys (3.8%) and in both genders a CLBS was associated with higher levels of comorbid internalizing problems. Discussion Timely recognition of bulimia symptoms and associated risk factors is important for early prevention and intervention strategies. Level of evidence V, cross-sectional descriptive study (according to Oxford (UK) CEBM Levels of Evidence, 2011).

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“…weight loss in AN or feeling healthy in the case of ON, similar social and psychological consequences may exist in both disorders [ 20 ]. Furthermore, some authors attempt to identify or clarify the existing relationship between some EDs and mental disorders [ 21 ]. Dell’Osso et al propose the hypothesis that people at risk of suffering ON, besides sharing some traits with people who suffer autism spectrum disorders (ASDs) such as for example ritual-like behaviors when preparing food, may also share consequences such as the risk for social isolation [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of orthorexia nervosa in university students and its relationship with psychopathological aspects of eating behaviour disorders

Parra-Fernández

Rodríguez-Cano²,

Onieva-Zafra

et al. 2018

BMC Psychiatry

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IntroductionOrthorexia nervosa (ON) is characterized by an obsession with healthy eating, which may lead to severe physical, psychological and social disorders. It is particularly important to research this problem in populations that do not receive clinical care in order to improve early detection and treatment.ObjectiveThe aim of this study was to research the prevalence of ON in a population of Spanish university students and to analyze the possible associations between ON and psychological traits and behaviors that are common to ED.MethodA cross-sectional study with 454 students from the University of Castilla La Mancha, Spain. In total, 295 women and 159 men participated, aged between 18 and 41 years. The ORTO-11-ES questionnaire and the Eating Disorder Inventory (EDI-2) were used for this study. The chi squared test was used to compare the homogeneity among the different groups.ResultsThe scores on the ORTO-11-ES suggested that 17% of students were at risk of ON. The scores on the EDI-2 for the group at risk of ON were significant, compared to the remaining individuals, regarding their drive for thinness (17.1% vs 2.1%), bulimia (2.6% vs 0%), body dissatisfaction (26.3% vs. 12.4%), perfectionism (14.5% vs 4.8%), interoceptive awareness (13.2% vs 1.3%), asceticism (15.8% vs 3.7%) and impulsiveness (9.2% vs 1.9%).Discussion and conclusionThese findings suggest that many of the psychological and behavioral aspects of ED are shared by people who are at risk of ON. Future research should use longitudinal data, examining the temporal relationship among these variables or other underlying variables that may contribute to the concurrence of ED and ON.

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Subthreshold autism spectrum disorder in patients with eating disorders

Cited by 98 publications

References 77 publications

Network analysis of specific psychopathology and psychiatric symptoms in patients with anorexia nervosa

Network analysis of specific psychopathology and psychiatric symptoms in patients with anorexia nervosa

Bulimia symptoms in Czech youth: prevalence and association with internalizing problems

Prevalence of orthorexia nervosa in university students and its relationship with psychopathological aspects of eating behaviour disorders

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