Influence of overanxious disorder of childhood on the expression of anorexia nervosa

International Journal of Eating Disorders - Tập 41 Số 4 - Trang 326-332 - 2008
Thomas J. Raney1, Laura M. Thornton2, Jonathan R. I. Coleman3, Harry Brandt4, Steven Crawford4, Manfred M. Fichter5, Katherine A. Halmi6, Craig Johnson7, Allan S. Kaplan8, Maria LaVia1, James E. Mitchell9, Alessandro Rotondo10, Michael Strober11, D. Blake Woodside7, Walter H. Kaye2, Cynthia M. Bulik1
1Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
2Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
3Center for Neurobiology and Behavior, University ofPennsylvania School of Medicine, Philadelphia, Pennsylvania
4Sheppard Pratt Hospital, Baltimore, Maryland
5Department of Psychiatry, University of Munich (LMU), Munich, Germany
6New York Presbyterian Hospital, Weill Medical College ofCornell University, White Plains, New York
7Laureate Psychiatric Clinic and Hospital, Tulsa, Oklahoma
8Program for Eating Disorders, Toronto General Hospital,Toronto, Toronto, Ontario, Canada
9Neuropsychiatric Research Institute, Fargo, North Dakota
10Department of Psychiatry, University of Pisa, Pisa, Italy
11Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Behavioral Science, University of California at Los Angeles, Los Angeles, California

Tóm tắt

AbstractObjective:Childhood anxiety often precedes the onset of anorexia nervosa (AN) and may mark a liability to the emergence of an eating disorder for some women. This study investigates the prevalence of overanxious disorder (OAD) among women with AN and explores how OAD impacts AN symptoms and personality traits.Method:Participants were 637 women with AN who completed an eating disorders history, the Structured Clinical Interview for DSM‐IV Axis I Disorders, and assessments for childhood anxiety, eating disorder attitudes, and associated personality traits.Results:Of 249 women (39.1%) reporting a history of OAD, 235 (94.4%) met criteria for OAD before meeting criteria for AN. In comparison to those without OAD, women with AN and OAD self‐reported more extreme personality traits and attitudes and they engaged in more compensatory behaviors.Conclusion:Among individuals with AN, those entering AN on a pathway via OAD present with more severe eating disorder pathology. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008

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International Journal of Eating Disorders

Tập 41 Số 4

326-332

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