Body weight and eating attitudes influence improvement of depressive symptoms in children and pre-adolescents with eating disorders: a prospective multicenter cohort study

Autor: Yuichi Suzuki, Shinichiro Nagamitsu, Nobuoki Eshima, Takeshi Inoue, Ryoko Otani, Ryoichi Sakuta, Toshiyuki Iguchi, Ryuta Ishii, Soh Uchida, Ayumi Okada, Shinji Kitayama, Kenshi Koyanagi, Yuki Suzuki, Yoshino Sumi, Shizuo Takamiya, Chikako Fujii, Yoshimitsu Fukai
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Pediatrics, Vol 24, Iss 1, Pp 1-9 (2024)
Druh dokumentu: article
ISSN: 1471-2431
DOI: 10.1186/s12887-024-05024-2
Popis: Abstract Background Pediatric patients with eating disorders in a multicenter joint study on 11 facilities were enrolled and prospectively investigated to determine whether improvement in body weight, eating attitudes, and psychosocial factors in children with eating disorders would also improve depressive symptoms. Methods In this study, 91 patients were enrolled between April 2014 and March 2016. The severity of underweight was assessed using the body mass index-standard deviation score (BMI-SDS), eating behavior was assessed using the children's eating attitude test (ChEAT26), the outcome of childhood eating disorders was assessed using the childhood eating disorder outcome scale, and depressive symptoms were assessed using the Children's Depression Inventory (CDI) score. Results After 12 months of treatment, depressive symptoms were evaluated in 62 of the 91 cases where it was evaluated at the initial phase. There was no difference in background characteristics between the included patients and the 29 patients who dropped out. A paired-sample t-test revealed a significant decrease in CDI scores after 12 months of treatment (p
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