Impairments in personality functioning in adolescents with anorexia nervosa

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-10-28 DOI:10.1002/erv.3146

Andrea M. Schumacher, Armita Tschitsaz, Stefan Lerch, Andrea Wyssen, Franziska Schlensog-Schuster, Ines Mürner-Lavanchy, Julian Koenig, Marialuisa Cavelti, Michael Kaess

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引用次数: 0

Abstract

Objective

Impairments in personality functioning (PF) according to the Alternative Model of Personality Disorders (AMPD) may affect anorexia nervosa (AN) and its treatment. However, PF impairments in adolescents with AN have not been studied. This case-control study analysed PF impairments in adolescent inpatients suffering from AN compared to a clinical control group (CC) and investigated the relationship of PF with AN severity.

Method

Adolescent patients with AN (n = 43) and CC (n = 127) were matched by age, sex, and global functioning. Validated interviews were applied to assess impairments in PF (Semi-Structured Interview for Personality Functioning, STiP-5.1) and severity of AN (Eating Disorder Examination, EDE), as well as weight measures. Group comparisons of PF impairment and the relationship between PF impairment and AN severity were analysed using multiple linear regression.

Results

AN patients showed greater impairment in the facet ‘self-esteem’ (p = 0.033, Cohen's f² = 0.036) than CC. In AN patients, impairments in the domain ‘self-functioning’ (p = 0.003, Cohen's f² = 0.254) and its underlying element ‘identity’ (p = 0.016, Cohen's f² = 0.172) were associated with AN severity (EDE). Additionally, higher impairments in two facets of ‘empathy’ (p = 0.019, Cohen's f² = 0.223) and ‘intimacy’ (p = 0.026, Cohen's f² = 0.199) were associated with higher AN severity (lower BMI percentiles).

Conclusions

These results support theoretical frameworks of AN and highlight the importance of PF impairments in understanding and treating AN. Future research should investigate how impairments in PF affect AN development and treatment response through longitudinal studies.

Abstract Image

查看原文本刊更多论文

神经性厌食症青少年的人格功能受损。

目的：根据人格障碍替代模式（AMPD），人格功能（PF）受损可能会影响神经性厌食症（AN）及其治疗。然而，目前尚未对患有神经性厌食症的青少年的人格功能障碍进行研究。这项病例对照研究分析了患有厌食症的青少年住院患者与临床对照组（CC）的人格障碍，并调查了人格障碍与厌食症严重程度的关系：AN 青少年患者（43 人）与 CC 青少年患者（127 人）在年龄、性别和整体功能上进行配对。采用经过验证的访谈来评估PF损伤（人格功能半结构化访谈，STiP-5.1）和AN严重程度（进食障碍检查，EDE）以及体重测量。采用多元线性回归分析了PF损伤的组间比较以及PF损伤与AN严重程度之间的关系：AN患者在 "自尊 "方面的损伤（p = 0.033，Cohen's f2 = 0.036）大于CC患者。在自闭症患者中，"自我功能 "领域（p = 0.003，Cohen's f2 = 0.254）及其基本要素 "身份"（p = 0.016，Cohen's f2 = 0.172）的损伤与自闭症严重程度（EDE）相关。此外，"移情"（p = 0.019，Cohen's f2 = 0.223）和 "亲密"（p = 0.026，Cohen's f2 = 0.199）两个方面的较高损伤与较高的 AN 严重程度（较低的 BMI 百分位数）相关：这些结果支持自闭症的理论框架，并强调了PF损伤对理解和治疗自闭症的重要性。未来的研究应通过纵向研究探讨PF损伤如何影响AN的发展和治疗反应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.