Psychological and weight-related characteristics of patients with anorexia nervosa-restricting type who later develop bulimia nervosa View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2008-12

AUTHORS

Hiroki Nishimura, Gen Komaki, Tetsuya Ando, Toshihiro Nakahara, Takakazu Oka, Keisuke Kawai, Toshihiko Nagata, Aya Nishizono, Yuri Okamoto, Kenjiro Okabe, Masanori Koide, Chikara Yamaguchi, Satoshi Saito, Kazuyoshi Ohkuma, Katsutaro Nagata, Tetsuro Naruo, Masato Takii, Nobuo Kiriike, Toshio Ishikawa, Japanese Genetic Research Group for Eating Disorders

ABSTRACT

BACKGROUND: Patients with anorexia nervosa-restricting type (AN-R) sometimes develop accompanying bulimic symptoms or the full syndrome of bulimia nervosa (BN). If clinicians could predict who might change into the bulimic sub-type or BN, preventative steps could be taken. Therefore, we investigated anthropometric and psychological factors possibly associated with such changes. METHOD: All participants were from a study by the Japanese Genetic Research Group for Eating Disorders. Of 80 patients initially diagnosed with AN-R, 22 changed to the AN-Binge Eating/Purging Type (AN-BP) and 14 to BN for some period of time. The remaining 44 patients remained AN-R only from the onset to the investigation period. Variables compared by ANOVA included anthropometric measures, personality traits such as Multiple Perfectionism Scale scores and Temperament and Character Inventory scores, and Beck Depression Inventory-II scores. RESULTS: In comparison with AN-R only patients, those who developed BN had significantly higher current BMI (p < 0.05) and maximum BMI in the past (p < 0.05). They also scored significantly higher for the psychological characteristic of parental criticism (p < 0.05) and lower in self-directedness (p < 0.05), which confirms previous reports, but these differences disappeared when the depression score was used as a co-variant. No significant differences were obtained for personality traits or depression among the AN-R only patients irrespective of their duration of illness. CONCLUSION: The present findings suggest a tendency toward obesity among patients who cross over from AN-R to BN. Low self-directedness and high parental criticism may be associated with the development of BN by patients with AN-R, although the differences may also be associated with depression. More... »

PAGES

5

References to SciGraph publications

  • 2005-08. Psychopathological distress predicts suicidal ideation and self-harm in Adolescent Eating Disorder outpatients in EUROPEAN CHILD & ADOLESCENT PSYCHIATRY
  • 1990-10. The dimensions of perfectionism in COGNITIVE THERAPY AND RESEARCH
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/1751-0759-2-5

    DOI

    http://dx.doi.org/10.1186/1751-0759-2-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1015747011

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/18267038


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