The Psychological, Cognitive, and Behavioural Effects of Starvation in Humans: A Scoping Review

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-01-29 DOI:10.1002/erv.3174

Wendy Spettigue, Stéphanie Drouin, Leanna Isserlin, Sasha Palmert, Clare Roscoe, Megan Harrison, Nuray Kanbur, Jacquie Bishop, Mark L. Norris

{"title":"The Psychological, Cognitive, and Behavioural Effects of Starvation in Humans: A Scoping Review","authors":"Wendy Spettigue, Stéphanie Drouin, Leanna Isserlin, Sasha Palmert, Clare Roscoe, Megan Harrison, Nuray Kanbur, Jacquie Bishop, Mark L. Norris","doi":"10.1002/erv.3174","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Research has highlighted the physical complications of starvation, but there is less research examining the psychological effects of starvation in humans.</p>\n </section>\n \n <section>\n \n <h3> Aims</h3>\n \n <p>This scoping review synthesises literature on the non-physical effects of starvation in humans.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Following PRISMA-ScR guidelines, we searched MEDLINE, PsycINFO, and Global Health for studies published between 1946 and 2023 examining the non-physical effects of starvation in individuals aged 2–79 years, including those who were starved, malnourished, stunted, wasted, underweight, had a restrictive eating disorder, or were raised in famine conditions.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>From 16,555 abstracts, 851 articles on the effects of malnutrition were reviewed, and 318 were included. Among these, 35% focused on children and adolescents, 25.5% on adults with comorbid illnesses, 17% on older adults, 13% on those with eating disorders, 6% on adults without comorbidities, and 3.5% on famine survivors. Cognitive impairments were the most frequently reported effects in children. In adults and older adults, depression and anxiety were common, along with reduced cognitive functioning, reduced quality of life, social withdrawal, impaired sleep and impaired sexual functioning. Individuals with eating disorders experienced depression, anxiety, obsessive-compulsive symptoms, emotion regulation difficulties, and cognitive impairment.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>There is extensive evidence showing the detrimental non-physical consequences of starvation in children and adults. These findings should inform research, clinical interventions, and educational materials addressing the effects of insufficient nutrition, including in those with restrictive eating disorders.</p>\n </section>\n </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 4","pages":"666-690"},"PeriodicalIF":3.4000,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Eating Disorders Review","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/erv.3174","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Research has highlighted the physical complications of starvation, but there is less research examining the psychological effects of starvation in humans.

Aims

This scoping review synthesises literature on the non-physical effects of starvation in humans.

Method

Following PRISMA-ScR guidelines, we searched MEDLINE, PsycINFO, and Global Health for studies published between 1946 and 2023 examining the non-physical effects of starvation in individuals aged 2–79 years, including those who were starved, malnourished, stunted, wasted, underweight, had a restrictive eating disorder, or were raised in famine conditions.

Results

From 16,555 abstracts, 851 articles on the effects of malnutrition were reviewed, and 318 were included. Among these, 35% focused on children and adolescents, 25.5% on adults with comorbid illnesses, 17% on older adults, 13% on those with eating disorders, 6% on adults without comorbidities, and 3.5% on famine survivors. Cognitive impairments were the most frequently reported effects in children. In adults and older adults, depression and anxiety were common, along with reduced cognitive functioning, reduced quality of life, social withdrawal, impaired sleep and impaired sexual functioning. Individuals with eating disorders experienced depression, anxiety, obsessive-compulsive symptoms, emotion regulation difficulties, and cognitive impairment.

Conclusions

There is extensive evidence showing the detrimental non-physical consequences of starvation in children and adults. These findings should inform research, clinical interventions, and educational materials addressing the effects of insufficient nutrition, including in those with restrictive eating disorders.

查看原文本刊更多论文

饥饿对人类心理、认知和行为的影响：范围综述。

背景：研究强调了饥饿的生理并发症，但很少有研究检查饥饿对人类的心理影响。目的：本综述综合了关于饥饿对人类非物理影响的文献。方法：根据PRISMA-ScR指南，我们检索了MEDLINE、PsycINFO和Global Health在1946年至2023年间发表的研究，这些研究检查了2-79岁个体中饥饿的非身体影响，包括那些饥饿、营养不良、发育不良、消瘦、体重不足、有限制性饮食失调或在饥荒条件下长大的人。结果：从16555篇摘要中，回顾了851篇关于营养不良影响的文章，其中318篇被纳入。其中，35%针对儿童和青少年，25.5%针对患有合并症的成年人，17%针对老年人，13%针对饮食失调患者，6%针对无合并症的成年人，3.5%针对饥荒幸存者。认知障碍是儿童中最常见的影响。在成年人和老年人中，抑郁和焦虑很常见，同时还伴有认知功能下降、生活质量下降、社交退缩、睡眠受损和性功能受损。饮食失调患者会经历抑郁、焦虑、强迫症状、情绪调节困难和认知障碍。结论：有大量证据表明，饥饿对儿童和成人造成有害的非身体后果。这些发现应该为研究、临床干预和教育材料提供信息，以解决营养不足的影响，包括那些患有限制性饮食失调症的人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.