24 results on '"Clerici, Massimo"'
Search Results
2. Clinical Factors Associated with Binge-Eating Episodes or Purging Behaviors in Patients Affected by Eating Disorders: A Cross-Sectional Study.
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Caldiroli, Alice, Affaticati, Letizia Maria, Coloccini, Sara, Manzo, Francesca, Scalia, Alberto, Capuzzi, Enrico, La Tegola, Davide, Colmegna, Fabrizia, Dakanalis, Antonios, Signorelli, Maria Salvina, Buoli, Massimiliano, and Clerici, Massimo
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EATING disorders ,BINGE-eating disorder ,LOGISTIC regression analysis ,CROSS-sectional method ,DRUG therapy - Abstract
The aim of the present study was to investigate the potential associations between clinical/socio-demographic variables and the presence of purging/binge-eating episodes in eating disorders (EDs). Clinical/socio-demographic variables and psychometric scores were collected. Groups of patients were identified according to the presence or absence of purging or objective binge-eating episodes (OBEs) and compared through t-test and chi-square tests. Binary logistic regression analyses were run. A sample of 51 ED outpatients was recruited. Patients with purging behaviors had a longer duration of untreated illness (DUI) (t = 1.672; p = 0.019) and smoked a higher number of cigarettes/day (t = 1.061; p = 0.030) compared to their counterparts. A lower BMI was associated with purging (OR = 0.881; p = 0.035), and an older age at onset showed a trend towards statistical significance (OR = 1.153; p = 0.061). Patients with OBEs, compared to their counterparts, were older (t = 0.095; p < 0.001), more frequently presented a diagnosis of bulimia or binge-eating disorder (χ
2 = 26.693; p < 0.001), a longer duration of illness (t = 2.162; p = 0.019), a higher number of hospitalizations (t = 1.301; p = 0.012), and more often received a prescription for pharmacological treatment (χ2 = 7.864; OR = 6.000; p = 0.005). A longer duration of the last pharmacological treatment was associated with OBE (OR = 1.569; p = 0.046). In contrast to purging, OBE was associated with a more complicated and severe presentation of ED. A lower BMI and a later age at onset, as well as long-lasting previous pharmacological treatments, may predict the presence of purging/binging. Further research is needed to thoroughly characterize ED features and corroborate our preliminary findings. [ABSTRACT FROM AUTHOR]- Published
- 2024
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3. The Impact of Clinical Factors, Vitamin B12 and Total Cholesterol on Severity of Anorexia Nervosa: A Multicentric Cross-Sectional Study.
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Affaticati, Letizia Maria, Buoli, Massimiliano, Vaccaro, Nadia, Manzo, Francesca, Scalia, Alberto, Coloccini, Sara, Zuliani, Tommaso, La Tegola, Davide, Capuzzi, Enrico, Nicastro, Monica, Colmegna, Fabrizia, Clerici, Massimo, Dakanalis, Antonios, and Caldiroli, Alice
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Severe forms of Anorexia Nervosa (AN) are characterized by medical complications, psychiatric comorbidity, and high mortality. This study investigated potential associations between clinical/biological factors and the severity of AN, measured by the Body Mass Index (BMI). Red and white blood cells, hemoglobin, platelets, iron, vitamins D and B12, folate, and total cholesterol were measured in a mixed sample of 78 inpatients and outpatients. Linear regressions and one-way analyses of variance (ANOVAs) were carried out to evaluate the relationship between BMI and clinical/biochemical variables. BMI was significantly lower in hospitalized patients (F = 4.662; p = 0.034) and in those under pharmacological treatment (F = 5.733; p = 0.019) or poly-therapy (F = 5.635; p = 0.021). Higher vitamin B12 (β = −0.556, p < 0.001), total cholesterol (β = −0.320, p = 0.027), and later age at onset (with a trend towards significance) (β = −0.376, p = 0.058) were associated with a lower BMI. Increased total cholesterol and vitamin B12, later age at onset, current pharmacological treatment, and poly-therapy might be distinctive in patients with a lower BMI. In clinical practice, these findings may contribute to the early identification of AN patients at higher risk of developing complicated or chronic forms of the disorder. Further studies on larger samples are needed to identify potential predictive factors of AN severity in the framework of precision medicine. [ABSTRACT FROM AUTHOR]
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- 2023
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4. The Impact of the COVID-19 Pandemic on Binge Eating Disorder: A Systematic Review.
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Caldiroli, Alice, La Tegola, Davide, Manzo, Francesca, Scalia, Alberto, Affaticati, Letizia Maria, Capuzzi, Enrico, Colmegna, Fabrizia, Argyrides, Marios, Giaginis, Constantinos, Mendolicchio, Leonardo, Buoli, Massimiliano, Clerici, Massimo, and Dakanalis, Antonios
- Abstract
The aim of this systematic review was to synthesise the impact of the COVID-19 pandemic on binge eating disorder (BED) the new onset and course. Inclusion criteria: original articles and BED diagnosis; and the main outcomes: relationships between the COVID-19 pandemic and the new onset/clinical changes in BED, and specific results for BED. Exclusion criteria: mixed/inaccurate diagnoses and articles not written in English. We searched four databases and one registry until 5 May 2023. The quality appraisal was conducted using the Effective Public Health Practice Project (EPHPP) tool. Twelve studies with 4326 participants were included. All studies were observational with nine cross-sectional and three longitudinal. Four of the included studies investigated new-onset BED, while eight examined the BED clinical course of patients with a previous diagnosis. With the exception of one study, the available literature indicates both an increase in BED diagnoses and a clinical worsening during COVID-19. Major limitations include study quality (weak-to-moderate) and high heterogeneity in terms of pandemic phase, population, geographical areas, and psychometric tools. Our findings indicate that BED patients are particularly vulnerable to events characterised by social distancing and over-worry, and should be, therefore, carefully monitored. Further studies are needed to corroborate our findings, implement preventive strategies, and promote personalised treatments. PROSPERO registration number: CRD42023434106 [ABSTRACT FROM AUTHOR]
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- 2023
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5. Risk and maintenance factors for young women’s DSM-5 eating disorders
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Dakanalis, Antonios, Clerici, Massimo, Bartoli, Francesco, Caslini, Manuela, Crocamo, Cristina, Riva, Giuseppe, and Carrà, Giuseppe
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- 2017
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6. The Social Appearance Anxiety Scale in Italian Adolescent Populations: Construct Validation and Group Discrimination in Community and Clinical Eating Disorders Samples
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Dakanalis, Antonios, Carrà, Giuseppe, Calogero, Rachel, Zanetti, M. Assunta, Volpato, Chiara, Riva, Giuseppe, Clerici, Massimo, and Cipresso, Pietro
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- 2016
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7. Clinical and Peripheral Biomarkers in Female Patients Affected by Anorexia: Does the Neutrophil/Lymphocyte Ratio (NLR) Affect Severity?
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Caldiroli, Alice, La Tegola, Davide, Affaticati, Letizia Maria, Manzo, Francesca, Cella, Francesca, Scalia, Alberto, Capuzzi, Enrico, Nicastro, Monica, Colmegna, Fabrizia, Buoli, Massimiliano, Clerici, Massimo, and Dakanalis, Antonios
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Anorexia Nervosa (AN) is a disabling disorder characterized by extreme weight loss and frequent chronicization, especially in its most severe forms. This condition is associated with a pro-inflammatory state; however, the role of immunity in symptom severity remains unclear. Total cholesterol, white blood cells, neutrophils, lymphocytes, platelets, iron, folate, vitamin D and B12 were dosed in 84 female AN outpatients. Mildly severe (Body Mass Index—BMI ≥ 17) versus severe (BMI < 17) patients were compared using one-way ANOVAs or χ
2 tests. A binary logistic regression model was run to investigate the potential association between demographic/clinical variables or biochemical markers and the severity of AN. Patients with severe anorexia (compared to mild forms) were older (F = 5.33; p = 0.02), engaged in more frequent substance misuse (χ2 = 3.75; OR = 3.86; p = 0.05) and had a lower NLR (F = 4.12; p = 0.05). Only a lower NLR was predictive of severe manifestations of AN (OR = 0.007; p = 0.031). Overall, our study suggests that immune alterations may be predictive of AN severity. In more severe forms of AN, the response of the adaptive immunity is preserved, while the activation of the innate immunity may be reduced. Further studies with larger samples and a wider panel of biochemical markers are needed to confirm the present results. [ABSTRACT FROM AUTHOR]- Published
- 2023
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8. 'Eating disorders and related stigma': Analysis among a population of Italian nursing students
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Lupo, Roberto, Zaminga, Melania, Carriero, Maria Chiara, Santoro, Pietro, Artioli, Giovanna, Calabrò, Antonino, Ilari, Federica, Benedetto, Angelo, Caslini, Manuela, Clerici, Massimo, Conte, Luana, Carvello, Maicol, Lupo, R, Zaminga, M, Carriero, M, Santoro, P, Artioli, G, Calabro, A, Ilari, F, Benedetto, A, Caslini, M, Clerici, M, Conte, L, and Carvello, M
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Adult ,Male ,Original Article: Nursing Students' Population ,Social Stigma ,Eating disorder ,eating disorders ,Anorexia nervosa ,Feeding and Eating Disorders ,Young Adult ,Stigma ,Italy ,Bulimia nervosa ,Humans ,Female ,Students, Nursing ,Nursing student - Abstract
According to the World Health Organization, eating disorders are a constantly growing public health problem in industrialized countries with an important stigmatizing impact. The study investigates stigmatizing beliefs and attitudes towards Anorexia nervosa (AN) and Bulimia nervosa (BN). Materials and Methods: From October 2018 to November 2019, an online survey was conducted for students of the Degree Courses in Nursing of 2 Italian university centres, using the Italian version of the SAB-BN-ITA, adapted for AN. Results: The sample consists of 517 nursing students, aged between 20 and 23. Male subjects presented higher scores, relative to stigma, both for BN (F =17.5, p
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- 2020
9. Predictores de inicio y desarrollo de patología alimentaria en hombres
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Dakanalis, Antonios, Pla-Sanjuanelo, Joana, Caslini, Manuela, Volpato, Chiara, Riva, Giuseppe, Clerici, Massimo, and Carrà, Giuseppe
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DSM-5 ,Eating disorders ,Ex post facto study ,Maintenance ,Onset ,Clinical Psychology ,Settore M-PSI/01 - PSICOLOGIA GENERALE - Published
- 2016
10. Pathways to specialist care for eating disorders: An Italian multicentre study.
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Volpe, Umberto, Monteleone, Alessio M., Ricca, Valdo, Corsi, Elisa, Favaro, Angela, Santonastaso, Paolo, De Giorgi, Serafino, Renna, Caterina, Abbate Daga, Giovanni, Amianto, Federico, Balestrieri, Matteo, Luxardi, Gian Luigi, Clerici, Massimo, Alamia, Alberto, Segura‐Garcia, Cristina, Rania, Marianna, Monteleone, Palmiero, and Maj, Mario
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TREATMENT of eating disorders ,GENERAL practitioners ,HEALTH facilities ,DIETITIANS ,EMERGENCY medical services ,HEALTH care teams ,HEALTH services accessibility ,HOSPITAL admission & discharge ,MEDICAL appointments ,MEDICAL quality control ,MEDICAL cooperation ,MEDICAL protocols ,MENTAL health services ,PATIENTS ,RESEARCH ,DEPARTMENTS ,OCCUPATIONAL roles ,DESCRIPTIVE statistics ,EDUCATION - Abstract
Two hundred forty six patients with eating disorders (EDs) recruited from eight Italian specialized treatment centres were administered with the World Health Organization "Encounter Form," a standardized schedule that makes it possible to characterize the clinical pathways that patients follow to reach specialized care. The median time from symptoms onset to specialized care was 114 weeks. Primary "points of access to care" were general practitioners (25%), psychiatrists (18%), and clinical nutritionists (17%), followed by various other carers. All patients received specific psychotherapy, whereas only 11% of them were given psychotropic drugs. EDs are characterized by complex care pathways, with low rates of direct access to specialized care. Although the role of general practitioners remains crucial, they tend to follow different clinical routes to refer ED patients. Educational programmes on EDs should be addressed to general practitioners and clinical nutritionists, in order to ease the transition of ED patients to a mental health care setting. [ABSTRACT FROM AUTHOR]
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- 2019
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11. Validity and clinical utility of the DSM-5 severity specifier for bulimia nervosa: results from a multisite sample of patients who received evidence-based treatment.
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Dakanalis, Antonios, Bartoli, Francesco, Caslini, Manuela, Crocamo, Cristina, Zanetti, Maria, Riva, Giuseppe, Clerici, Massimo, and Carrà, Giuseppe
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BULIMIA ,COGNITIVE therapy ,PATHOLOGICAL psychology ,EATING disorders ,TREATMENT effectiveness - Abstract
A new 'severity specifier' for bulimia nervosa (BN), based on the frequency of inappropriate weight compensatory behaviours (IWCBs), was added to the DSM-5 as a means of documenting heterogeneity and variability in the severity of the disorder. Yet, evidence for its validity in clinical populations, including prognostic significance for treatment outcome, is currently lacking. Existing data from 281 treatment-seeking patients with DSM-5 BN, who received the best available treatment for their disorder (manual-based cognitive behavioural therapy; CBT) in an outpatient setting, were re-analysed to examine whether these patients subgrouped based on the DSM-5 severity levels would show meaningful and consistent differences on (a) a range of clinical variables assessed at pre-treatment and (b) post-treatment abstinence from IWCBs. Results highlight that the mild, moderate, severe, and extreme severity groups were statistically distinguishable on 22 variables assessed at pre-treatment regarding eating disorder pathological features, maintenance factors of BN, associated (current) and lifetime psychopathology, social maladjustment and illness-specific functional impairment, and abstinence outcome. Mood intolerance, a maintenance factor of BN but external to eating disorder pathological features (typically addressed within CBT), emerged as the primary clinical variable distinguishing the severity groups showing a differential treatment response. Overall, the findings speak to the concurrent and predictive validity of the new DSM-5 severity criterion for BN and are important because a common benchmark informing patients, clinicians, and researchers about severity of the disorder and allowing severity fluctuation and patient's progress to be tracked does not exist so far. Implications for future research are outlined. [ABSTRACT FROM AUTHOR]
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- 2017
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12. A Randomised Controlled Comparison of Second-Level Treatment Approaches for Treatment-Resistant Adults with Bulimia Nervosa and Binge Eating Disorder: Assessing the Benefits of Virtual Reality Cue Exposure Therapy.
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Ferrer‐García, Marta, Gutiérrez‐Maldonado, José, Pla‐Sanjuanelo, Joana, Vilalta‐Abella, Ferran, Riva, Giuseppe, Clerici, Massimo, Ribas‐Sabaté, Joan, Andreu‐Gracia, Alexis, Fernandez‐Aranda, Fernando, Forcano, Laura, Riesco, Nadine, Sánchez, Isabel, Escandón‐Nagel, Neli, Gomez‐Tricio, Osane, Tena, Virginia, and Dakanalis, Antonios
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BULIMIA treatment ,COGNITIVE therapy ,EATING disorders ,VIRTUAL reality therapy ,RANDOMIZED controlled trials ,TREATMENT effectiveness ,PROMPTS (Psychology) ,EXPOSURE therapy - Abstract
A question that arises from the literature on therapy is whether second-level treatment is effective for patients with recurrent binge eating who fail first-level treatment. It has been shown that subjects who do not stop binge eating after an initial structured cognitive-behavioural treatment (CBT) programme benefit from additional CBT (A-CBT) sessions; however, it has been suggested that these resistant patients would benefit even more from cue exposure therapy (CET) targeting features associated with poor response (e.g . urge to binge in response to a cue and anxiety experienced in the presence of binge-related cues). We assessed the effectiveness of virtual reality-CET as a second-level treatment strategy for 64 patients with bulimia nervosa and binge eating disorder who had been treated with limited results after using a structured CBT programme, in comparison with A-CBT. The significant differences observed between the two groups at post-treatment in dimensional (behavioural and attitudinal features, anxiety, food craving) and categorical (abstinence rates) outcomes highlighted the superiority of virtual reality-CET over A-CBT. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association. [ABSTRACT FROM AUTHOR]
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- 2017
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13. Validity and utility of the DSM-5 severity specifier for binge-eating disorder.
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Dakanalis, Antonios, Colmegna, Fabrizia, Riva, Giuseppe, and Clerici, Massimo
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EATING disorders ,CLASSIFICATION of mental disorders ,SEVERITY of illness index ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Objective: To test both the concurrent and predictive significance of the new DSM-5 severity specifier for binge-eating disorder (BED) in adult outpatients. Method: Existing data from 195 adults with DSM-5 BED who received evidence-based treatment (manual-based cognitive-behavioral therapy) in an outpatient setting were re-analysed to examine whether these patients sub-grouped according to the DSM-5 severity levels, defined by the frequency of binge-eating (BE) episodes, would show meaningful differences in a range of variables of clinical interest assessed at pre-treatment and end-of treatment abstinence from BE. Results: Participants categorized with mild (33.3% of the sample), moderate (35.4%), severe (15.9%), and extreme (15.4%) severity of BED, based on their pre-treatment clinician-rated frequency of BE episodes, differed significantly from each other in physical characteristics (body mass index) and another sixteen variables of clinical interest assessed at pre-treatment regarding eating disorder psychopathology and putative maintenance factors, lifetime and current psychiatric disorder comorbidity, general psychiatric distress, and psychosocial impairment. The four DSM-5 severity groups were statistically indistinguishable in demographics or age-of-BED onset. However, significant between-group differences were observed in the treatment outcome, i.e., abstinence from BE, achieved by 98.5%, 66.7%, 38.7% and 6.7% of participants categorized with mild, moderate, severe, and extreme severity respectively. The outcome analyses repeated in the completer sample (n = 187) yielded the same pattern of the aforementioned intent-to-treat (N = 195) results. Discussion: The findings provide support for the severity specifier for BED introduced in the DSM-5 as a means of addressing within-group variability in severity. [ABSTRACT FROM AUTHOR]
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- 2017
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14. Classifying Adults with Binge Eating Disorder Based on Severity Levels.
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Dakanalis, Antonios, Riva, Giuseppe, Serino, Silvia, Colmegna, Fabrizia, and Clerici, Massimo
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AFFECTIVE disorders ,EATING disorders ,CLASSIFICATION of mental disorders ,PATHOLOGICAL psychology ,PSYCHOLOGICAL stress ,COMORBIDITY ,EFFECT sizes (Statistics) ,METABOLIC syndrome ,ANXIETY disorders ,BODY mass index ,SEVERITY of illness index ,EVALUATION - Abstract
The clinical utility of the severity criterion for binge eating disorder (BED), introduced in the DSM-5 as a means of addressing heterogeneity and variability in the severity of this disorder, was evaluated in 189 treatment-seeking adults with (DSM-5) BED. Participants classified with mild, moderate, severe and extreme severity of BED, based on their weekly frequency of binge eating episodes, differed significantly from each other in body mass index (BMI), eating disorder features, putative factors involved in the maintenance process of the disorder, comorbid mood, anxiety and personality disorders, psychological distress, social maladjustment and illness-specific functional impairment (medium-to-large effect sizes). They were also statistically distinguishable in metabolic syndrome prevalence, even after adjusting for BMI (large effect size), suggesting the possibility of non-BMI-mediated mechanisms. The implications of the findings, providing support for the utility of the binge frequency as a severity criterion for BED, and directions for future research are outlined. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association [ABSTRACT FROM AUTHOR]
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- 2017
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15. Objectified Body Consciousness (OBC) in Eating Psychopathology: Construct Validity, Reliability, and Measurement Invariance of the 24-Item OBC Scale in Clinical and Nonclinical Adolescent Samples.
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Dakanalis, Antonios, Timko, Alix C., Clerici, Massimo, Riva, Giuseppe, and Carrà, Giuseppe
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BODY image ,EATING disorders ,FACTOR analysis ,PSYCHOMETRICS ,RELIABILITY (Personality trait) ,MULTITRAIT multimethod techniques ,RESEARCH methodology evaluation ,ADOLESCENCE - Abstract
Objectified body consciousness (OBC) appears to play a crucial role in eating and body-related disturbances, which typically emerge during adolescence. The 24-item OBC Scale (OBCS) has been employed in eating disorder (ED) research and school-based adolescent samples, but evidence for its psychometric proprieties exists only in adult (nonclinical) populations. We evaluated (a) the construct validity and reliability of the 24-item OBCS with data collected from 1,259 adolescent girls and boys from the community (Study 1) and 643 adolescents of both genders with an ED (Study 2) and (b) whether the instrument functions similarly and equivalently measures the underlying construct(s) across gender and samples (i.e., test of measurement equivalence/invariance; Study 3). Results upheld the three-factor structure and measurement equivalence/invariance of the 24-item OBCS across gender and samples. OBCS subscale scores were internally consistent and stable over a 4-week period. OBCS subscales discriminated community participants with high and low ED symptom levels with fair accuracy, as well as community participants from those with an ED. They were also associated with five constructs closely related to both OBC and ED psychopathology. Latent mean comparisons across samples and gender were performed and discussed. Implications and directions for future research are also outlined. [ABSTRACT FROM AUTHOR]
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- 2017
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16. Prospective Psychosocial Predictors of Onset and Cessation of Eating Pathology amongst College Women.
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Dakanalis, Antonios, Timko, Alix, Serino, Silvia, Riva, Giuseppe, Clerici, Massimo, and Carrà, Giuseppe
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ANALYSIS of variance ,COLLEGE students ,EATING disorders ,LONGITUDINAL method ,MULTIVARIATE analysis ,QUESTIONNAIRES ,RESEARCH funding ,SELF-esteem testing ,STATISTICS ,LOGISTIC regression analysis ,DATA analysis ,BODY mass index ,DATA analysis software ,DISEASE risk factors - Abstract
The course of college women's eating pathology is variable. Little is known about psychosocial factors prospectively predicting maintenance/cessation or the new onset of clinically significant disordered eating symptoms. This study aimed to address these research gaps. College women ( N = 2202) completed an assessment of eating pathology and potential risk/maintenance factors at two time points, 9 months apart. Logistic regression models indicated that elevated body dissatisfaction, thin-ideal internalization, self-objectification, negative affectivity and lower self-esteem at baseline predicted 'onset' of clinically significant disordered eating symptomatology at follow-up. Greater self-esteem and lower initial levels on the remaining risk factors predicted subsequent 'cessation' of clinically significant disordered eating symptoms. Self-objectification had greater explanatory value with regard to 'cessation' and 'onset' relative to the remaining traditionally accepted factors that demonstrated half as much predictive power or less. Practical implications are discussed. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association. [ABSTRACT FROM AUTHOR]
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- 2016
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17. Narcissistic Vulnerability and Grandiosity as Mediators Between Insecure Attachment and Future Eating Disordered Behaviors: A Prospective Analysis of Over 2,000 Freshmen.
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Dakanalis, Antonios, Clerici, Massimo, and Carrà, Giuseppe
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PSYCHOLOGICAL vulnerability , *MEGALOMANIA , *ATTACHMENT theory (Psychology) , *EATING disorders , *PERSONALITY , *GENDER - Abstract
Objective This study aimed to build on existing literature by examining the potential mediating role of two variants of narcissism (grandiosity and vulnerability) in explaining part of the underlying mechanism by which insecure (avoidant and anxiety) attachment affects behavioral elements of eating pathology (dieting and bulimic behaviors). Method Longitudinal data collected from 2,055 freshman college students (52.2% women; mean age 18.34 years) were analysed using a latent variable structural equation modelling approach, controlling for initial levels of the endogenous (i.e., dependent) latent variables and holding body mass index, anxiety, stress, depression, and self-esteem levels as time-varying covariates. Results The effect of attachment anxiety on future bulimic behaviors was fully mediated through vulnerable narcissism (i.e., no significant direct link between attachment anxiety and bulimic behaviors), whereas grandiose narcissism fully mediated the association between attachment avoidance and future dieting behaviors. Dieting also predicted future bulimic behaviors and served as an additional (full) mediator between grandiose narcissism and bulimic behaviors. Differences in the strength of these associations across gender were not observed, and all indirect effects were statistically significant. Conclusion Overall, the findings (a) seem to support the theoretical postulations linking different insecure attachment experiences to different narcissistic tendencies, (b) imply that specific insecure attachment patterns may pass through different mediating pathways (narcissistic grandiosity and vulnerability) to specific behavioral elements of eating pathology (dieting and bulimic behaviors) regardless of gender, and (c) suggest that individuals with high grandiose narcissistic levels may not be protected from bulimic behaviors as previously indicated. [ABSTRACT FROM AUTHOR]
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- 2016
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18. Male body dissatisfaction and eating disorder symptomatology: Moderating variables among men.
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Dakanalis, Antonios, Zanetti, Assunta M, Riva, Giuseppe, Colmegna, Fabrizia, Volpato, Chiara, Madeddu, Fabio, and Clerici, Massimo
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BODY image ,COLLEGE students ,EATING disorders ,PSYCHOLOGY of men ,STRUCTURAL equation modeling ,DESCRIPTIVE statistics - Published
- 2015
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19. Why Do Only a Minority of Men Report Severe Levels of Eating Disorder Symptomatology, When so Many Report Substantial Body Dissatisfaction? Examination of Exacerbating Factors.
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Dakanalis, Antonios, Timko, C. Alix, Favagrossa, Laura, Riva, Giuseppe, Zanetti, M. Assunta, and Clerici, Massimo
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EATING disorders ,BODY dysmorphic disorder ,BODY image ,PSYCHOLOGY of college students ,PSYCHOLOGY of men ,QUESTIONNAIRES ,REGRESSION analysis ,STATISTICS ,DATA analysis ,SOCIAL anxiety ,DESCRIPTIVE statistics ,DISEASE risk factors - Abstract
In recent years research employing female samples has indicated that although body dissatisfaction may be necessary for the onset of an eating disorder, it is not sufficient. This study examined body surveillance and difficulties in interpersonal domains (attachment anxiety and social anxiety) as potential moderators of the body dissatisfaction-eating disorder symptomatology relationship amongst Italian college men (N= 359). As expected, all examined variables were found to intensify this relationship such that body dissatisfaction was strongly related to men’s eating disorder symptomatology when each moderator was at its highest level (i.e., 1SDabove the mean). Practical implications are discussed. [ABSTRACT FROM PUBLISHER]
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- 2014
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20. Tackling excess body weight in people with binge eating disorder.
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Dakanalis, Antonios and Clerici, Massimo
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PREVENTION of eating disorders , *TREATMENT of eating disorders , *PREVENTION of obesity , *OBESITY treatment , *OBESITY risk factors , *REGULATION of body weight , *CARDIOVASCULAR diseases risk factors , *COGNITIVE therapy , *EATING disorders , *PSYCHOTHERAPY , *COMORBIDITY - Published
- 2019
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21. Comprehensive examination of the trans-diagnostic cognitive behavioral model of eating disorders in males.
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Dakanalis, Antonios, Timko, C. Alix, Clerici, Massimo, Zanetti, M. Assunta, and Riva, Giuseppe
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COGNITIVE therapy , *EATING disorders , *PERFECTIONISM (Personality trait) , *PATHOLOGICAL psychology , *STRUCTURAL equation modeling , *AFFECTIVE disorders , *DISEASES in men - Abstract
Abstract: The Trans-diagnostic Model (TM) of eating pathology describes how one or more of four hypothesized mechanisms (i.e., mood intolerance, core low self-esteem, clinical perfectionism and interpersonal difficulties) may interrelate with each other and with the core psychopathology of eating disorders (i.e., over-evaluation of weight and shape) to maintain the disordered behaviors. Although a cognitive behavioral treatment based on the TM has shown to be effective in treating eating disorders, the model itself has undergone only limited testing. This is the first study to both elaborate and test the validity of the TM in a large sample (N =605) of undergraduate men. Body mass index was controlled within structural equation modeling analyses. Although not all expected associations for the maintenance variables were significant, overall the validity of the model was supported. Concern about shape and weight directly led to exercise behaviors. There was a direct path from binge eating to exercise and other forms of compensatory behaviors (i.e., purging); but no significant path from restriction to binge eating. Of the maintaining factors, mood intolerance was the only maintaining variable directly linked to men's eating disorder symptoms. The other three maintaining factors of the TM indirectly impacted restriction through concerns about shape and weight, whereas only interpersonal difficulties predicted low self-esteem and binge eating. Potential implications for understanding and targeting eating disturbances in men are discussed. [Copyright &y& Elsevier]
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- 2014
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22. Attachment insecurities, maladaptive perfectionism, and eating disorder symptoms: A latent mediated and moderated structural equation modeling analysis across diagnostic groups.
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Dakanalis, Antonios, Timko, C. Alix, Zanetti, M. Assunta, Rinaldi, Lucio, Prunas, Antonio, Carrà, Giuseppe, Riva, Giuseppe, and Clerici, Massimo
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EATING disorders , *SECURITY (Psychology) , *PERFECTIONISM (Personality trait) , *ANXIETY , *AVOIDANCE (Psychology) , *SYMPTOMS - Abstract
Abstract: Although 96–100% of individuals with eating disorders (EDs) report insecure attachment, the specific mechanisms by which adult insecure attachment dimensions affect ED symptomatology remain to date largely unknown. This study examined maladaptive perfectionism as both a mediator and a moderator of the relationship between insecure attachment (anxiety and avoidance) and ED symptomatology in a clinical, treatment seeking, sample. Insecure anxious and avoidant attachment, maladaptive perfectionism, and ED symptomatology were assessed in 403 participants from three medium size specialized care centres for EDs in Italy. Structural equation modeling indicated that maladaptive perfectionism served as mediator between both insecure attachment patterns and ED symptomatology. It also interacted with insecure attachment to predict higher levels of ED symptoms – highlighting the importance of both insecure attachment patterns and maladaptive aspects of perfectionism as treatment targets. Multiple-group comparison analysis did not reveal differences across diagnostic groups (AN, BN, EDNOS) in mediating, main and interaction effects of perfectionism. These findings are consistent with recent discussions on the classification and treatment of EDs that have highlighted similarities between ED diagnostic groups and could be viewed through the lens of the Trans-theoretical Model of EDs. Implications for future research and intervention are discussed. [Copyright &y& Elsevier]
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- 2014
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23. Out of body, out of space: Impaired reference frame processing in eating disorders.
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Serino, Silvia, Dakanalis, Antonios, Gaudio, Santino, Carrà, Giuseppe, Cipresso, Pietro, Clerici, Massimo, and Riva, Giuseppe
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EATING disorders , *SYMPTOMS , *CONTROL groups , *EGOISM , *SENSORY perception - Abstract
A distorted body representation is a core symptom in eating disorders (EDs), though its mechanism is unclear. Allocentric lock theory, emphasising the role of reference frame processing in body image, suggests that ED patients may be (b)locked to an (allocentric) representation of their own body stored in long-term memory (e.g., my body is fat) that is not updated (modified) by the (real-time egocentric) perception-driven experience of the physical body. Employing a well-validated virtual reality-based procedure, relative to healthy controls, ED patients showed deficits in the ability to refer to and update a long-term stored (allocentric) representation with (egocentric) perceptual-driven inputs. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
24. Pathways to specialist care for eating disorders: An Italian multicentre study
- Author
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Cristina Segura-Garcia, Mario Maj, Marianna Rania, Alessio Maria Monteleone, Umberto Volpe, Gian Luigi Luxardi, Matteo Balestrieri, Massimo Clerici, Giovanni Abbate Daga, Serafino De Giorgi, Angela Favaro, Elisa Corsi, A. Alamia, Caterina Renna, Valdo Ricca, Paolo Santonastaso, Palmiero Monteleone, Federico Amianto, Volpe, Umberto, Monteleone, Alessio M., Ricca, Valdo, Corsi, Elisa, Favaro, Angela, Santonastaso, Paolo, De Giorgi, Serafino, Renna, Caterina, Abbate Daga, Giovanni, Amianto, Federico, Balestrieri, Matteo, Luxardi, Gian Luigi, Clerici, Massimo, Alamia, Alberto, Segura-Garcia, Cristina, Rania, Marianna, Monteleone, Palmiero, Maj, Mario, Volpe, U, Monteleone, A, Ricca, V, Corsi, E, Favaro, A, Santonastaso, P, De Giorgi, S, Renna, C, Abbate Daga, G, Amianto, F, Balestrieri, M, Luxardi, G, Clerici, M, Alamia, A, Segura-Garcia, C, Rania, M, Monteleone, P, and Maj, M
- Subjects
pathways to care ,Adult ,Male ,050103 clinical psychology ,medicine.medical_specialty ,duration of untreated illne ,bulimia nervosa ,eating disorders ,Anorexia nervosa ,World health ,anorexia nervosa ,binge eating disorder ,duration of untreated illness ,health care policy ,Clinical Psychology ,Psychiatry and Mental Health ,Feeding and Eating Disorders ,03 medical and health sciences ,0302 clinical medicine ,Binge-eating disorder ,medicine ,Feeding and Eating Disorder ,Humans ,0501 psychology and cognitive sciences ,Referral and Consultation ,Specialist care ,business.industry ,Bulimia nervosa ,05 social sciences ,Female ,Italy ,Specialization ,medicine.disease ,030227 psychiatry ,Eating disorders ,Median time ,eating disorder ,Family medicine ,Mental health care ,business ,Human - Abstract
Two hundred forty six patients with eating disorders (EDs) recruited from eight Italian specialized treatment centres were administered with the World Health Organization “Encounter Form,” a standardized schedule that makes it possible to characterize the clinical pathways that patients follow to reach specialized care. The median time from symptoms onset to specialized care was 114weeks. Primary “points of access to care” were general practitioners (25%), psychiatrists (18%), and clinical nutritionists (17%), followed by various other carers. All patients received specific psychotherapy, whereas only 11% of them were given psychotropic drugs. EDs are characterized by complex care pathways, with low rates of direct access to specialized care. Although the role of general practitioners remains crucial, they tend to follow different clinical routes to refer ED patients. Educational programmes on EDs should be addressed to general practitioners and clinical nutritionists, in order to ease the transition of ED patients to a mental health care setting.
- Published
- 2019
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