Childhood Anxiety Associated with Low BMI in Women with Anorexia Nervosa
| Autor: | Michael Strober, Craig L. Johnson, Wade H. Berrettini, Steve Crawford, James E. Mitchell, Jocilyn E. Dellava, Katherine Plotnicov, D. Blake Woodside, Robert M. Hamer, Cynthia M. Bulik, Laura M. Thornton, Katherine A. Halmi, Manfred M. Fichter, Janet Treasure, Allan S. Kaplan, Ian Jones, Harry Brandt, Kelly L. Klump, Alessandro Rotondo, Maria LaVia, Walter H. Kaye |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Anorexia Nervosa media_common.quotation_subject Experimental and Cognitive Psychology Anxiety Article Developmental psychology Body Mass Index Interviews as Topic mental disorders medicine Personality Humans Early childhood Child Exercise media_common Age Factors Caloric theory Fear Psychiatry and Mental health Clinical Psychology El Niño Structured interview Temperament Female medicine.symptom Psychology Energy Intake Body mass index Clinical psychology |
| Popis: | Objective: Extremely low body mass index (BMI) values are associated with increased risk for death and poor long-term prognosis in individuals with anorexia nervosa (AN). The present study explores childhood personality characteristics that could be associated with the ability to attain an extremely low BMI. Methods: Participants were 326 women from the Genetics of Anorexia Nervosa (GAN) Study who completed the Structured Interview for Anorexia Nervosa and Bulimic Syndromes and whose mother completed the Child Behavioral Checklist and/or Revised Dimensions of Temperament Survey. Results: Children who were described as having greater fear or anxiety by their mothers attained lower BMIs during AN (p < 0.02). Path analysis in the GAN and a validation sample, Price Foundation Anorexia Nervosa Trios Study, confirmed the relation between early childhood anxiety, caloric restriction, qualitative food item restriction, excessive exercise, and low BMI. Path analysis also confirmed a relation between childhood anxiety and caloric restriction, which mediated the relation between childhood anxiety and low BMI in the GAN sample only. Conclusion: Fearful or anxious behavior as a child was associated with the attainment of low BMI in AN and childhood anxiety was associated with caloric restriction. Measures of anxiety and factors associated with anxiety-proneness in childhood may index children at risk for restrictive behaviors and extremely low BMIs in AN. |
| Databáze: | OpenAIRE |
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