Restrictive eating disorders in children and adolescents: a comparison between clinical and psychopathological profiles.
Eat Weight Disord
; 26(5): 1491-1501, 2021 Jun.
Article
en En
| MEDLINE
| ID: mdl-32720247
ABSTRACT
PURPOSE:
DSM-5 describe three forms of restrictive and selective eating Anorexia Nervosa-Restrictive (AN-R), Anorexia Nervosa-Atypical (AN-A), and Avoidant/Restrictive Food Intake Disorder (ARFID). While AN is widely studied, the psychopathological differences among these three diseases are not clear. The aim of this study was to (i) compare the clinical features of AN-R, AN-A, and ARFID, in a clinical sample recruited from a specialized EDs program within a tertiary care children's Hospital; (ii) identifying three specific symptom profiles, to better understand if restrictive ED share a common psychopathological basis.METHODS:
Data were collected retrospectively. Psychometric assessment included the Children's Depression Inventory (CDI), the Multidimensional Anxiety Scale for Children (MASC), the Child Behavior Checklist (CBCL), and the Eating Disorder Inventory-3 (EDI-3).RESULTS:
A final sample of 346 children and adolescent patients were analyzed AN-R was the most frequent subtype (55.8%), followed by ARFID (27.2%) and AN-A (17%). Patients with ARFID presented different features from AN-R and AN-A, characterized by lower weight and medical impairment, younger age at onset, and a frequent association with separation anxiety and ADHD symptoms. EDI-3 profiles showed specific different impairment for both AN groups compared to ARFID. However, no differences was detected for items 'Interpersonal Insecurity', "Interoceptive Deficits", "Emotional Dysregulation", and "Maturity Fears".CONCLUSIONS:
Different ED profiles was found for the three groups, but they share the same general psychopathological vulnerability, which could be at the core of EDs in adolescence. LEVEL OF EVIDENCE III. Evidence obtained from case-control analytic studies.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Anorexia Nerviosa
/
Trastornos de Alimentación y de la Ingestión de Alimentos
/
Restrictiva
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Child
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Humans
Idioma:
En
Año:
2021
Tipo del documento:
Article