Mental Pain in Eating Disorders: An Exploratory Controlled Study

Autor: Elena Lo Dato, Valentina Gardini, Elena Tomba, Lucia Tecuta
Přispěvatelé: Tomba E., Tecuta L., Gardini V., Lo Dato E.
Rok vydání: 2021
Předmět:
Zdroj: Journal of Clinical Medicine
Journal of Clinical Medicine, Vol 10, Iss 3584, p 3584 (2021)
Journal of Clinical Medicine; Volume 10; Issue 16; Pages: 3584
ISSN: 2077-0383
DOI: 10.3390/jcm10163584
Popis: Mental pain (MP) is a transdiagnostic feature characterized by depression, suicidal ideation, emotion dysregulation, and associated with worse levels of distress. The study explores the presence and the discriminating role of MP in EDs in detecting patients with higher depressive and ED-related symptoms. Seventy-one ED patients and 90 matched controls completed a Clinical Assessment Scale for MP (CASMP) and the Mental Pain Questionnaire (MPQ). ED patients also completed the Beck Depression Inventory-II (BDI-II), Clinical Interview for Depression (CID-20), and Eating Attitudes Test (EAT-40). ED patients exhibited significantly greater severity and higher number of cases of MP than controls. Moreover, MP resulted the most important cluster predictor followed by BDI-II, CID-20, and EAT-40 in discriminating between patients with different ED and depression severity in a two-step cluster analysis encompassing 87.3% (n = 62) of the total ED sample. Significant positive associations have been found between MP and bulimic symptoms, cognitive and somatic-affective depressive symptoms, suicidal tendencies, and anxiety-related symptoms. In particular, those presenting MP reported significantly higher levels of depressive and anxiety-related symptoms than those without. MP represents a clinical aspect that can help to detect more severe cases of EDs and to better understand the complex interplay between ED and mood symptomatology.
Databáze: OpenAIRE