Non-eating disorders psychopathology in children and adolescents with eating disorders: implications for malnutrition and symptom severity

McDermott, Brett, Forbes, David, Harris, Chris, McCormack, Julie, and Gibbon, Peter (2006) Non-eating disorders psychopathology in children and adolescents with eating disorders: implications for malnutrition and symptom severity. Journal of Psychosomatic Research, 60 (3). pp. 257-261.

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Abstract

Objectives: To compare the general psychopathology in an eating disorders (ED) and a child mental health outpatient sample and investigate the implications of comorbidity on psychological and physical measures of ED severity.

Methods: One hundred thirty-six children and adolescents with a DSM-IV ED diagnosis were compared with age- and gender-matched controls. Measures included the Eating Disorders Examination and the Child Behavior Checklist.

Results: The ED group had lower general and externalizing psychopathology scores and no difference in internalizing (anxiety–depression) symptoms. Of the anorexia nervosa group, 49% experienced comorbid psychopathology. This group had significantly higher ED psychopathology, longer duration of illness, and more gastrointestinal symptoms, but no difference in malnutrition status. Eating disorders not otherwise specified (EDNos) group measures were less influenced by comorbidity status.

Conclusions: Anxiety–depressive symptoms are very common in children and adolescents with EDs. Comorbidity status influences illness severity, especially in the anorexia nervosa group. The management implications of these findings are discussed.

Item ID: 44593
Item Type: Article (Research - C1)
ISSN: 1879-1360
Keywords: anorexia nervosa; comorbidity; children; adolescents
Date Deposited: 20 Jul 2016 03:01
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920111 Nervous System and Disorders @ 100%
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