Cross-sectional and longitudinal changes in body composition, anxiety, and depression in a clinical sample of adolescents with anorexia nervosa.

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2024-05-16 DOI:10.1093/jpepsy/jsae012
Alexis Dosal, Brenna Denhardt, Rebekah Diaz, Katrina Obleada, Marissa Feldman, Jasmine Reese, Sarah Sobalvarro
{"title":"Cross-sectional and longitudinal changes in body composition, anxiety, and depression in a clinical sample of adolescents with anorexia nervosa.","authors":"Alexis Dosal, Brenna Denhardt, Rebekah Diaz, Katrina Obleada, Marissa Feldman, Jasmine Reese, Sarah Sobalvarro","doi":"10.1093/jpepsy/jsae012","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Eating disorders among children and adolescents have increased in prevalence, and mortality rates for anorexia nervosa are among the highest for any psychiatric disorder. Our current study aimed to (a) examine the cross-sectional relationship between body composition and anxiety/depressive symptoms among 97 adolescents and young adults who have been diagnosed with anorexia nervosa, (b) examine the longitudinal changes in body composition and anxiety/depressive symptoms over three months (from baseline to follow-up visit), and (c) examine the longitudinal relationship between change in body composition and change in anxiety/depression over three months.</p><p><strong>Method: </strong>A retrospective chart review was conducted within an interdisciplinary eating disorder clinic between August 2019 and December 2021. In total, 97 adolescents aged 11-20 years old with diagnoses of anorexia nervosa were included in the analyses. Body composition data were collected at each visit along with parent- and youth-report measures of symptoms of anxiety/depression symptoms.</p><p><strong>Results: </strong>Findings indicated adolescents demonstrated some improvement in body composition, as well as parent-reported reductions in anxiety/depression symptoms. Based on parent reports, increased BMI percentile was associated with improvements in anxiety/depression symptoms. On the other hand, youth did not report significant changes in anxiety/depressive symptoms. Additionally, there were no associated improvements with body composition measures, which may be associated with continued body dissatisfaction or symptoms of anxiety and depression predating the eating disorder.</p><p><strong>Conclusions: </strong>These results suggest the importance of including interventions addressing depression, anxiety, and body image as part of treatment.</p>","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1093/jpepsy/jsae012","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: Eating disorders among children and adolescents have increased in prevalence, and mortality rates for anorexia nervosa are among the highest for any psychiatric disorder. Our current study aimed to (a) examine the cross-sectional relationship between body composition and anxiety/depressive symptoms among 97 adolescents and young adults who have been diagnosed with anorexia nervosa, (b) examine the longitudinal changes in body composition and anxiety/depressive symptoms over three months (from baseline to follow-up visit), and (c) examine the longitudinal relationship between change in body composition and change in anxiety/depression over three months.

Method: A retrospective chart review was conducted within an interdisciplinary eating disorder clinic between August 2019 and December 2021. In total, 97 adolescents aged 11-20 years old with diagnoses of anorexia nervosa were included in the analyses. Body composition data were collected at each visit along with parent- and youth-report measures of symptoms of anxiety/depression symptoms.

Results: Findings indicated adolescents demonstrated some improvement in body composition, as well as parent-reported reductions in anxiety/depression symptoms. Based on parent reports, increased BMI percentile was associated with improvements in anxiety/depression symptoms. On the other hand, youth did not report significant changes in anxiety/depressive symptoms. Additionally, there were no associated improvements with body composition measures, which may be associated with continued body dissatisfaction or symptoms of anxiety and depression predating the eating disorder.

Conclusions: These results suggest the importance of including interventions addressing depression, anxiety, and body image as part of treatment.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
神经性厌食症青少年临床样本中身体成分、焦虑和抑郁的横向和纵向变化。
目的:儿童和青少年饮食失调症的发病率越来越高,神经性厌食症的死亡率是所有精神疾病中最高的。我们目前的研究旨在:(a)研究97名被诊断为神经性厌食症的青少年中身体成分与焦虑/抑郁症状之间的横向关系;(b)研究三个月内(从基线到随访)身体成分与焦虑/抑郁症状的纵向变化;以及(c)研究三个月内身体成分变化与焦虑/抑郁变化之间的纵向关系:方法:2019 年 8 月至 2021 年 12 月期间,在一家跨学科进食障碍诊所内进行了一次回顾性病历审查。共有 97 名被诊断为神经性厌食症的 11-20 岁青少年参与了分析。每次就诊时都收集了身体成分数据,同时还收集了家长和青少年报告的焦虑/抑郁症状:研究结果表明,青少年的身体成分有所改善,家长报告的焦虑/抑郁症状也有所减轻。根据家长的报告,BMI 百分位数的增加与焦虑/抑郁症状的改善有关。另一方面,青少年并没有报告焦虑/抑郁症状的显著变化。此外,身体成分测量也没有相关的改善,这可能与持续的身体不满意或饮食失调前的焦虑和抑郁症状有关:这些结果表明,将针对抑郁、焦虑和身体形象的干预措施作为治疗的一部分非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
期刊最新文献
Supporting healthy sleep: a qualitative assessment of adolescents with type 1 diabetes and their parents. Differential item functioning of the revised Multigroup Ethnic Identity Measure (MEIM-R) in racially and income diverse youth with type 1 diabetes. Inclusive measure development: amplifying the voices of adolescents and young adults with spina bifida in a new measure of benefit-finding and growth. Posttraumatic stress symptoms in parents of children with newly diagnosed cancer: 1-year trajectories and relationship variables as predictors. Latent profiles and predictors of barriers to care in Swiss children and adolescents with rare diseases.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1