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Nutritional status and anxious and depressive symptoms in anorexia nervosa: a prospective study
- Source :
- Scientific Reports, Scientific Reports, Nature Publishing Group, 2021, Scientific Reports, 2021, Scientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
Abstract
- The interweaving of malnutrition and symptoms of anxiety and depression in anorexia Nervosa (AN) is mentioned without any consensus regarding the course of anxious-depressive symptoms in relation to nutritional status in the course of treatment of patients with AN. The objectives of the current study in a large sample of AN inpatients were to assess the relationships between anxiety and depression symptoms and nutritional status both over the course of inpatient treatment and at discharge. 222 consecutive inpatients with AN (DSM-IV TR) were assessed (entrance and discharge) for duration of illness, psychiatric treatments, sociodemographic data and with psychometric scales for different psychopathological symptoms [depressive (BDI), anxiety and depressive (HAD scale), obsessive–compulsive (MOCI) and social phobia (LSAS fear score)]. Nutritional status was assessed with Body Mass Index (BMI) and body composition by bioelectrical impedance. The Fat free mass index [FFMI = FFM (kg)/height (m2)] was considered for the analysis. Two models were developed where the dependent variables were each psychopathological score at discharge (BDI, HAD anxiety, MOCI, and LSAS fear) in the cross-sectional model, and their variation in the longitudinal model (where a positive score reflected symptom decrease at discharge). A fixed set of predictors, defined on presumed clinical and statistical relevance (FFMI in the cross-sectional model and Variation of FFMI in the longitudinal model), were considered in each model, without any model selection procedure. This is the first study to confirm a positive relationship between the course of eating disorder symptoms and that of anxious-depressive symptoms during inpatient treatment of AN even after adjustment on a vast array of possibly confounding factors.
- Subjects :
- Adult
050103 clinical psychology
Anorexia Nervosa
Adolescent
Cross-sectional study
Science
Nutritional Status
Anxiety
Anorexia nervosa
Article
Body Mass Index
Young Adult
03 medical and health sciences
[SCCO]Cognitive science
0302 clinical medicine
Surveys and Questionnaires
medicine
Humans
Nutrition disorders
0501 psychology and cognitive sciences
Prospective Studies
Prospective cohort study
Nutrition
Multidisciplinary
Depression
business.industry
05 social sciences
Confounding
[SCCO] Cognitive science
Middle Aged
medicine.disease
030227 psychiatry
Cross-Sectional Studies
Medicine
medicine.symptom
Psychiatric disorders
business
Body mass index
Bioelectrical impedance analysis
Clinical psychology
Psychopathology
Subjects
Details
- Language :
- English
- ISSN :
- 20452322
- Database :
- OpenAIRE
- Journal :
- Scientific Reports, Scientific Reports, Nature Publishing Group, 2021, Scientific Reports, 2021, Scientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
- Accession number :
- edsair.doi.dedup.....3675aa1659ddc4d0972b61f0e1a8ec92