A Comparison of Psychiatric Comorbid Symptomology Between Adolescents With Restrictive/Avoidant Food Intake Disorder, Anorexia Nervosa and Atypical Anorexia Nervosa.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-07-19 DOI:10.1002/erv.70014

Daniel Wilson, Govind Krishnamorthy, Renata A Mendes, Tania Withington, Melanie Dalton, Natalie J Loxton

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引用次数: 0

Abstract

Objective: Psychiatric comorbid conditions are common among individuals with Eating Disorders (EDs), and these symptoms may exacerbate and/or interact with ED symptoms and impact treatment effectiveness. Whilst comorbid symptomology in Anorexia Nervosa (AN) has been well described, less is known about how the 'newer' ED diagnoses of Atypical Anorexia Nervosa (AAN) and Avoidant/Restrictive Food Intake Disorder (ARFID) differ relative to AN. The current study aimed to extend the literature by examining similarities and differences in comorbid symptomology AN, AAN, and ARFID groups.

Method: In this cross-sectional study, young people (n = 311, female = 87.8%, mean age = 14.32: SD = 2.05, range 5-17) with AN, AAN, and ARFID completed self-report measures capturing comorbid symptomology prior to engaging in treatment at a specialist ED outpatient clinic.

Results: There was no difference between AN and AAN on any measure of comorbid symptoms. Both showed severe levels of comorbidity with over half exceeding the cut-point for four or more comorbid diagnoses, with Obsessive Compulsive Disorder, depression and Social Anxiety particularly common. ARFID, on the other hand, had comparatively less severe comorbid symptoms compared to AN and AAN.

Conclusions: Findings provide a better understanding of the nature of comorbid symptomology among these disorders and encourages future research to investigate the role that they play in the treatment outcome.

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青少年限制性/回避性食物摄入障碍、神经性厌食症和非典型神经性厌食症的精神共病症状比较

目的：精神合并症在饮食失调（ED）患者中很常见，这些症状可能加剧和/或与ED症状相互作用，影响治疗效果。虽然神经性厌食症（AN）的共病症状已被很好地描述，但对于非典型神经性厌食症（AAN）和回避/限制性食物摄入障碍（ARFID）的“新”ED诊断与AN的差异知之甚少。目前的研究旨在通过检查AN、AAN和ARFID组共病症状的异同来扩展文献。方法：在这项横断面研究中，患有AN、AAN和ARFID的年轻人（n = 311，女性= 87.8%，平均年龄= 14.32:SD = 2.05，范围5-17）在接受专科ED门诊治疗前完成了自我报告，记录了共病症状。结果：AN和AAN在合并症的任何测量上都没有差异。两者都显示出严重的共病水平，超过一半的人超过了四种或更多共病诊断的临界值，强迫症、抑郁症和社交焦虑症尤其常见。另一方面，与AN和AAN相比，ARFID的合并症相对较轻。结论：研究结果提供了对这些疾病共病症状的本质的更好理解，并鼓励未来的研究调查它们在治疗结果中所起的作用。

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.