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Minerva Pediatrica 2019 Feb 13

DOI: 10.23736/S0026-4946.19.05202-2


lingua: Inglese

To glance on psychiatric comorbidity in adolescent with anorexia nervosa

Gennaro CATONE 1, 2 , Simone PISANO 1, 3, Giulia MUZZO 1, Giuseppina CORRADO 1, Katia RUSSO 2, Assunta MAIORANO 3, Filomena SALERNO 1, Antonella GRITTI 2

1 Department of Mental and Physical Health and Preventive Medicine, Campania University “Luigi Vanvitelli” Naples, Naples, Italy; 2 Faculty of Educational Science, Suor Orsola Benicasa University, Naples, Italy; 3 Department of Medicine and Surgery, Clinic of Child and Adolescent Neuropsychiatry, S. Giovanni di Dio and Ruggi d'Aragona Hospital, University of Salerno, Salerno, Italy


BACKGROUND: Eating disorders display several psychiatric comorbidities. The aim of this study was to describe these comorbidities in a group of adolescent patients with Anorexia Nervosa or ED- NOS (Eating Disorder not otherwise specified); in detail, we have evaluated the comorbidity both with a clinical interview (categorical comorbidities) and with a self-report interview (dimensional comorbidities) in order to compare the two profiles.
METHODS: The study was carried out at the child and adolescent psychiatry division (eating disorder service for developmental age) of the University of Campania “Luigi Vanvitelli” (ex Second University of Naples). Data were collected retrospectively from chart review, routinely gathered during the clinical assessment.
RESULTS: 72 subjects constituted the sample, 62 (86,1%) were female and 10 (13,9%) male. The most frequent categorical comorbidities were Social Anxiety disorder (38 SS; 52,8%), Depression disorder (30 SS; 41,7%) and generalized anxiety disorder (14 SS; 19,4%). The mean scores at dimensional questionnaires were 15,5 (SD 10,7) for the depression (Children Depression Inventory) and 34,8 (SD 28,3) for social anxiety (Liebowitz Social Anxiety Scale).
CONCLUSIONS: The analysis of the data showed that social anxiety and depression were the most common categorical comorbidities in young patients with Eating Disorders. However, comparing the data from the clinical interview with those of the self-interviews revealed that patients well recognize social anxiety symptoms, but tended to deny depressive ones.

KEY WORDS: Anorexia - Comorbidity - Depression - Adolescence - Eating disorders

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