Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients
| Autor: | Graell, Montserrat, Anastasiadou, Dimitra, Parks, Melissa, Brugnera, Agostino, Sepúlveda García, Ana Rosa |
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| Přispěvatelé: | UAM. Departamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Università degli Studi di Bergamo, Hospital Infantil Universitario Niño Jesús, Universitat Oberta de Catalunya (UOC) |
| Rok vydání: | 2016 |
| Předmět: |
Male
050103 clinical psychology entrevista diagnòstica Comorbidity Anxiety Adolescents 0302 clinical medicine Diagnostic interview entrevista diagnóstica Diagnostic interview: Adolescents Medical diagnosis Depression (differential diagnoses) trastorns per ús de substàncies Depression cuidadores 05 social sciences trastornos por uso de sustancias trastornos de la alimentación Substance abuse comorbilidad Psychiatry and Mental health Clinical Psychology Eating disorders Distress Caregivers Female medicine.symptom medicine.medical_specialty Adolescent Substance-Related Disorders Mental health -- Nutrional aspects Mothers Salud mental -- Aspectos nutritivos Affect (psychology) Salut mental -- Aspectes nutritius Feeding and Eating Disorders 03 medical and health sciences Settore M-PSI/08 - Psicologia Clinica mental disorders medicine Humans 0501 psychology and cognitive sciences Psychiatry Substance use disorders business.industry adolescentes comorbiditat trastorns de l'alimentació medicine.disease Psicología 030227 psychiatry Cross-Sectional Studies Spain Caregivers Diagnostic interview: Adolescents cuidadors business Stress Psychological |
| Zdroj: | Biblos-e Archivo: Repositorio Institucional de la UAM Universidad Autónoma de Madrid O2, repositorio institucional de la UOC Universitat Oberta de Catalunya (UOC) Biblos-e Archivo. Repositorio Institucional de la UAM instname |
| Popis: | High rates of comorbidity are found among eating disorder (ED) patients, which may negatively affect treatment outcome and prognosis. However, there is a shortage of studies in Spain using clinician administered interviews to assess rates of comorbidity among these patients, particularly in adolescents. This study aimed to evaluate Axis I psychiatric diagnoses in adolescent patients with an ED and to compare them with patients with a distinct disorder with adolescent onset, substance use disorder (SUD) patients. Considering that maternal psychological distress is another factor involved in ED prognosis, a secondary aim was to examine the relationship between patient's psychological variables and maternal distress (depression and anxiety). The cross-sectional study included 50 ED patients, 48 SUD patients, and their mothers. More than half of the patients received a diagnosis for a comorbid disorder. Internalizing problems were more common among EDs and externalizing disorders were the most common comorbidities among SUDs, similar to findings from other countries. Maternal distress was associated with higher levels of depression and symptom severity in patients. No differences in distress were found between mothers of patients with a comorbid diagnosis and those without. Elevated anxiety or depression in mothers did not increase the likelihood of patients having a particular primary diagnosis. In short, while both ED and SUD patients presented high rates of comorbidity, the types of comorbid diagnoses were specific to each group. Assessing for the presence of comorbid disorders and targeting maternal psychological distress may guide treatment interventions and improve patient prognosis Dr. Sepulveda has a postdoctoral Ramon and Cajal scholarship from the Spanish Ministry of Science and Innovation (RYC-2009-05092) as well as a project funded from the same Ministry (PSI2011-23127). Dr. Anastasiadou was awarded with a Research Fellowship for students of PhD Programmes distinguished with Mention of Excellence. Dr. Graell is a member of the Spanish Psychiatric Research Network (CIBERSAM) |
| Databáze: | OpenAIRE |
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