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Gut-Brain Interaction Disorders and Anorexia Nervosa: Psychopathological Asset, Disgust, and Gastrointestinal Symptoms.
Carpinelli, Luna; Savarese, Giulia; Pascale, Biagio; Milano, Walter Donato; Iovino, Paola.
Afiliação
  • Carpinelli L; Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", Baronissi Campus, University of Salerno, 84081 Baronissi, Italy.
  • Savarese G; Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", Baronissi Campus, University of Salerno, 84081 Baronissi, Italy.
  • Pascale B; Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", Baronissi Campus, University of Salerno, 84081 Baronissi, Italy.
  • Milano WD; Asl Napoli2Nord, 80027 Naples, Italy.
  • Iovino P; Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", Baronissi Campus, University of Salerno, 84081 Baronissi, Italy.
Nutrients ; 15(11)2023 May 27.
Article em En | MEDLINE | ID: mdl-37299464
ABSTRACT

BACKGROUND:

Gastrointestinal (GI) symptoms are very common in subjects with eating disorders (EDs). This study aimed to (a) investigate the prevalence of gut-brain interaction disorders (DGBIs) in anorexia nervosa (AN) patients, according to ROME IV criteria; and (b) explore AN psychopathological assets and disgust that might impact GI symptoms.

METHODS:

Thirty-eight female patients consecutively diagnosed with untreated AN (age 19.32 ± 5.59) in an outpatient clinic devoted to EDs underwent Eating Disorder Inventory-3 (EDI-3), Hospital Anxiety and Depression Scale (HADS), Social Phobia Anxiety Scale (SPAS), Body Uneasiness Test (BUT), and Disgust Scale (DS) questionnaires. The presence of DGBIs was evaluated and GI symptoms were assessed using a standardized intensity-frequency questionnaire.

RESULTS:

A total of 94.7% of our sample met the diagnostic criteria for functional dyspepsia (FD), of which 88.8% presented the postprandial distress syndrome (PDS) subtype and 41.6% presented the epigastric pain syndrome (EPS) subtype. In addition, 52.6% of the sample met the diagnostic criteria for irritable bowel syndrome (IBS), while for functional constipation (FC), prevalence reached 7.9%. All participants presented a pathological score on the disgust scale. Significant correlations were found between several GI symptoms and psychopathological asset and disgust.

CONCLUSIONS:

AN is a multifactorial disorder. It is necessary to implement studies with an integrated approach, taking into account DGBIs, as well as to monitor the emotional-cognitive structure that acts as a factor in maintaining the disorder.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Etiology_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Etiology_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article