Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients
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 adolesce...
| Authors: | ; ; ; ; |
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| Format: | Article |
| Publication date: | 2016 |
| Country: | España |
| Institution: | Universidad Autónoma de Madrid |
| Repository: | Biblos-e Archivo. Repositorio Institucional de la UAM |
| Language: | English |
| OAI Identifier: | oai:repositorio.uam.es:10486/679276 |
| Online Access: | http://hdl.handle.net/10486/679276 https://dx.doi.org/10.1016/j.eatbeh.2016.12.005 |
| Access Level: | Open access |
| Keyword: | Adolescents Caregivers Comorbidity Diagnostic interview Eating disorders Substance use disorders Psicología |
| _version_ | 1878740180707311616 |
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| author | Graell Berna, Montserrat |
| author2 | Anastasiadou, Dimitra Parks, Melissa Brugnera, Agostino Sepúlveda García, Ana Rosa |
| author2_role | author author author author |
| author_browse | Anastasiadou, Dimitra Brugnera, Agostino Graell Berna, Montserrat Parks, Melissa Sepúlveda García, Ana Rosa |
| author_facet | Graell Berna, Montserrat Anastasiadou, Dimitra Parks, Melissa Brugnera, Agostino Sepúlveda García, Ana Rosa |
| author_role | author |
| collection | Biblos-e Archivo. Repositorio Institucional de la UAM |
| description | 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 |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_ce9bf77b501d3f40db13f013da4e40fa |
| institution | Universidad Autónoma de Madrid |
| instname_str | Universidad Autónoma de Madrid |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:repositorio.uam.es:10486/679276 |
| publishDate | 2016 |
| publishDateSort | 2016 |
| publisher | Pergamon Press |
| publisherStr | Pergamon Press |
| reponame_str | Biblos-e Archivo. Repositorio Institucional de la UAM |
| spelling | Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients Graell Berna, Montserrat Anastasiadou, Dimitra Parks, Melissa Brugnera, Agostino Sepúlveda García, Ana Rosa Adolescents Caregivers Comorbidity Diagnostic interview Eating disorders Substance use disorders Psicología 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) Pergamon Press http://hdl.handle.net/10486/679276 https://dx.doi.org/10.1016/j.eatbeh.2016.12.005 |
| spellingShingle | Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients Graell Berna, Montserrat Adolescents Caregivers Comorbidity Diagnostic interview Eating disorders Substance use disorders Psicología |
| title | Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients |
| title_full | Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients |
| title_fullStr | Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients |
| title_full_unstemmed | Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients |
| title_short | Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients |
| title_sort | Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients |
| topic | Adolescents Caregivers Comorbidity Diagnostic interview Eating disorders Substance use disorders Psicología |
| topic_facet | Adolescents Caregivers Comorbidity Diagnostic interview Eating disorders Substance use disorders Psicología |
| url | http://hdl.handle.net/10486/679276 https://dx.doi.org/10.1016/j.eatbeh.2016.12.005 |