An exploration of the association between premorbid weight status on patient and caregiver factors at pre and post-treatment among youth with anorexia nervosa/atypical anorexia nervosa.
Anorexia nervosa
Atypical anorexia nervosa
Caregivers
Premorbid weight status
Treatment outcome
Journal
Eating behaviors
ISSN: 1873-7358
Titre abrégé: Eat Behav
Pays: United States
ID NLM: 101090048
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
received:
30
11
2022
revised:
03
04
2023
accepted:
21
07
2023
pmc-release:
01
08
2024
medline:
4
9
2023
pubmed:
6
8
2023
entrez:
5
8
2023
Statut:
ppublish
Résumé
Patients with atypical anorexia nervosa (AAN) or anorexia nervosa (AN) with premorbid history of higher weight (PHW; median BMI ≥ 85th %ile) may report greater eating disorder (ED) pathology, anxiety, and depression, than patients with premorbid history of lower weight (PLW; mBMI <85th %ile). Less is known about caregiver attitudes or treatment outcome related to premorbid weight history. The current study examined associations between premorbid weight history and patient/caregiver factors at presentation, during treatment, and end of treatment among adolescents (N = 138) diagnosed with AN/AAN and their caregivers who received interdisciplinary ED treatment. The sample comprised adolescents with PHW (n = 58, 40.6 %) or PLW (n = 82, 59.4 %). Adolescents with PHW did not differ with regard to patient- or caregiver-reported ED symptoms, comorbid psychopathology, rates of treatment completion, and attainment of estimated body weight compared to PLW (ps > .05). Adolescents with PHW (vs. PLW) were more likely to be diagnosed with AAN (67.9 %, p < .001), identify as cisgender male (p < .001) and to have lost more weight prior to presentation (p < .001). Perceived caregiver burden was lower among adolescents with PHW vs. PLW (p < .001). Further research should expand on this preliminary study exploring associations between premorbid weight history on patient and caregiver factors at treatment presentation and conclusion to enhance the efficacy of evidence-based treatment across the weight-spectrum.
Identifiants
pubmed: 37542754
pii: S1471-0153(23)00086-7
doi: 10.1016/j.eatbeh.2023.101786
pmc: PMC10481430
mid: NIHMS1926934
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
101786Subventions
Organisme : NIMH NIH HHS
ID : K23 MH126201
Pays : United States
Organisme : NCCIH NIH HHS
ID : K23 AT011048
Pays : United States
Organisme : NIMH NIH HHS
ID : K23 MH131871
Pays : United States
Organisme : NIMH NIH HHS
ID : K23 MH120347
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD082166
Pays : United States
Informations de copyright
Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest Dr. Sarah Forsberg receives royalties from Routledge Press. Dr. Le Grange receives royalties from Guilford Press and Routledge, is co-director of the Training Institute for Child and Adolescent Eating Disorders, LLC., and a member of Equip Health Clinical Advisory Board. There are no other conflicts of interest to report.
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