Non-eating disorders psychopathology in children and adolescents with eating disorders: implications for malnutrition and symptom severity

Journal of Psychosomatic Research
Brett McDermottPeter Gibbon

Abstract

To compare the general psychopathology in an eating disorders (ED) and a child mental health outpatient sample and investigate the implications of comorbidity on psychological and physical measures of ED severity. One hundred thirty-six children and adolescents with a DSM-IV ED diagnosis were compared with age- and gender-matched controls. Measures included the Eating Disorders Examination and the Child Behavior Checklist. The ED group had lower general and externalizing psychopathology scores and no difference in internalizing (anxiety-depression) symptoms. Of the anorexia nervosa group, 49% experienced comorbid psychopathology. This group had significantly higher ED psychopathology, longer duration of illness, and more gastrointestinal symptoms, but no difference in malnutrition status. Eating disorders not otherwise specified (EDNos) group measures were less influenced by comorbidity status. Anxiety-depressive symptoms are very common in children and adolescents with EDs. Comorbidity status influences illness severity, especially in the anorexia nervosa group. The management implications of these findings are discussed.

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Citations

Nov 8, 2007·Child Psychiatry and Human Development·Harriet Salbach-AndraeErnst Pfeiffer
Dec 3, 2013·European Child & Adolescent Psychiatry·Carmen Gamero-VillarroelGuillermo Gervasini
Jan 21, 2009·Progress in Neuro-psychopharmacology & Biological Psychiatry·Satoshi SaitoToshikazu Saito
Aug 10, 2011·European Eating Disorders Review : the Journal of the Eating Disorders Association·Mandana AdambeganAndreas Karwautz
Sep 13, 2013·European Eating Disorders Review : the Journal of the Eating Disorders Association·K BührenB Herpertz-Dahlmann
Aug 12, 2009·The International Journal of Eating Disorders·Jennifer E WildesMarsha D Marcus
Dec 1, 2017·Eating and Weight Disorders : EWD·Flora BacopoulouEleni Vousoura
Sep 30, 2014·The Journal of Nervous and Mental Disease·Ayelet Brand-GothelfSilvana Fennig

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Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.