自闭特征与对身体的体验和态度：对意大利女性饮食失调患者样本的调查

IF 3.2 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-05-27 DOI:10.1016/j.jpsychires.2025.05.042

Fiammetta Iannuzzo , Cristina Sala Fernandez , Rossana Mangiapane , Laura Profilio , Fabrizio Turiaco , Clara Lombardo , Maria Catena Silvestri , Carmela Mento , Barbara Carpita , Liliana Dell’Osso , Maria Rosaria Anna Muscatello , Antonio Bruno

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引用次数: 0

摘要

目的探讨进食障碍女性患者的自闭特征与对身体的体验和态度之间的关系。方法于2023年1月至6月招募DSM-5TR定义的诊断为ed的参与者。采用成人自闭症亚阈值（ADAS）谱和身体态度测试（BAT）探讨自闭症特征的存在和身体态度的改变。结果共纳入44例女性患者。最具代表性的ADAS频谱域是“共情”和“对感官输入的高反应性和低反应性”。正逐步回归分析表明，BAT“负向欣赏体型”因子具有预测作用(R2 = 0.311；调整后的r平方= .277；f = 9.241；p & lt;.0001)通过ADAS频谱“缺乏灵活性”（p = 0.006）和“言语交流”（p = 0.038）域，预测BAT“对自己身体缺乏熟悉”因素(R2 = .587；调整后的r平方= .566；f = 29.092；p & lt;.0001)由ADAS频谱“非语言交流”(p <；.0001)和“感觉输入高反应性和低反应性”（p = .001）域，预测BAT“一般身体不满意”因子(R2 = .290；调整后的r平方= 0.273；f = 17.181；p & lt;.0001)由ADAS频谱“非语言交流”(p <；。)的领域。结论：目前的工作强调，通过ADAS谱评估的几个核心自闭症特征可能预示着身体形象、知识和满意度的改变。阈下自闭症和饮食失调之间的关联支持了EDs可能是自闭症谱系中神经发育障碍的一种可能的精神病理轨迹的假设。

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Autistic traits and experience and attitude toward the body: an investigation in a sample of Italian female patients with eating disorders

Objectives

the present study aims to explore possible associations between autistic traits and the experience and attitude toward the body in female patients affected by eating disorders.

Methods

Participants with diagnosis of EDs as defined by the DSM-5TR were recruited between January and June 2023. Adult Autism Subthreshold (ADAS) Spectrum and Body Attitudes Test (BAT) were used to explore the presence of autistic traits and the alteration in body attitude.

Results

44 female patients have been included in the study. The most represented ADAS Spectrum domains were “Empathy” and “Hyper–and hyporeactivity to sensory input”. Forward stepwise regression analysis indicated that BAT “Negative appreciation of body size” factor was predicted (R² = .311; R-squared adjusted = .277; F = 9.241; p < .0001) by ADAS Spectrum “Inflexibility” (p = .006) and “Verbal communication” (p = .038) domains, BAT “Lack of familiarity with one's own body” factor was predicted (R² = .587; R-squared adjusted = .566; F = 29.092; p < .0001) by ADAS Spectrum “Non-Verbal communication” (p < .0001) and “Hyper– and hyporeactivity to sensory input” (p = .001) domains, and BAT “General body dissatisfaction” factor was predicted (R² = .290; R-squared adjusted = .273; F = 17.181; p < .0001) by ADAS Spectrum “Non-Verbal communication” (p < .0001) domain.

Conclusions

the current work highlights that several core autistic traits, as assessed by the ADAS Spectrum, may be predictive of alterations in body image, knowledge, and satisfaction. The observed association between subthreshold autism and eating disorders supports the hypothesis that EDs could be one of the possible psychopathological trajectories of a neurodevelopmental disorder rooted in autism spectrum.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;