Advanced Search

Home > Journals > Minerva Pediatrica > Past Issues > Minerva Pediatrica 2014 August;66(4) > Minerva Pediatrica 2014 August;66(4):237-48

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUEMINERVA PEDIATRICA

A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,532

Frequency: Bi-Monthly

ISSN 0026-4946

Online ISSN 1827-1715

 

Minerva Pediatrica 2014 August;66(4):237-48

    ORIGINAL ARTICLES

Anorexia nervosa and hyperactivity in adolescence: psychiatric and internistic features

Maestro S. 1, Scardigli S. 1, Brunori E. 1, Calderoni S. 1, Curzio O. 2, Denoth F. 2, Lorenzoni V. 2, Molinaro S. 2, Morales Ma. 2, Muratori F. 1

1 Dipartimento Clinico di Neuroscienze dell’Età Evolutiva, IRCCS Stella Maris, Calambrone, Pisa, Italia;
2 Istituto di Fisiologia Clinica, Consiglio Nazionale delle Ricerche CNR, Pisa, Italia

AIM: The aim of the present study was to verify the influence of hyperactivity on internistic and psychiatric parameters in early onset anorexia nervosa restricting type (ANR).
METHODS: Seventy-three adolescent females (mean age 13.5 years, SD: 2.27) with a diagnosis of ANR (DSM-IV-TR) were consecutively enrolled in the Child and Adolescent Eating Disorders Unit of the IRCCS-Stella Maris and assessed by an extensive clinical protocol. All patients completed: psychiatric evaluation for description of the DCA and comorbidities; pediatric assessment including complete auxological data, blood pressure, heart rate and other electro/echo cardiographic and biohumoral parameters. The hyperactivity was estimated by the application of the “Structured Interview for Anorexic and Bulimic Disorder-Expert Form” (Item 40) in the context of clinical observation. Subjects were identified according to their level of hyperactive (ANR+H) and non-hyperactive (ANR-H) activity.
RESULTS: In the ANR+H group heart rate, leptin, sodium, potassium and gamma plasma proteins significantly differ compared to the group ANR-H. Patients with hyperactivity also have a complete form of ANR in 94% of cases compared with 66.7% of non-hyperactive; significant differences were found also in thought and attention CBCL and YSR subscales, combined with major internalizing problems.
CONCLUSION: This study provides preliminary data which can orient research towards the development of specific treatments for the hyperactivity, in order to improve the prognosis and thus avoid the chronicity of the disorder and the development of complications in adult life.

language: Italian


FULL TEXT  REPRINTS

top of page