Late onset eating disorders in Spain: clinical characteristics and therapeutic implications

OBJECTIVE: The literature on later age of onset (LAO) in women with eating disorders is scarce. We compared the severity of eating disorders, eating disorder subtype, and personality profiles in a clinical sample of consecutively assessed women with eating disorders with later age of onset (LAO, >...

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Autores: Bueno, B., Krug, Isabel, Bulik, Cynthia M., Jiménez-Murcia, Susana, Granero, Roser, Thornton, Laura M., Penelo Werner, Eva, Menchón Magriñá, José Manuel, Sánchez Zaplana, Isabel, Tinahones, Francisco J., Fernández Aranda, Fernando
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2013
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/65783
Acceso en línea:https://hdl.handle.net/2445/65783
Access Level:acceso abierto
Palabra clave:Trastorns de la gana
Obesitat
Personalitat
Appetite disorders
Obesity
Personality
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network_acronym_str ES
network_name_str España
repository_id_str
spelling Late onset eating disorders in Spain: clinical characteristics and therapeutic implicationsBueno, B.Krug, IsabelBulik, Cynthia M.Jiménez-Murcia, SusanaGranero, RoserThornton, Laura M.Penelo Werner, EvaMenchón Magriñá, José ManuelSánchez Zaplana, IsabelTinahones, Francisco J.Fernández Aranda, FernandoTrastorns de la ganaObesitatPersonalitatAppetite disordersObesityPersonalityOBJECTIVE: The literature on later age of onset (LAO) in women with eating disorders is scarce. We compared the severity of eating disorders, eating disorder subtype, and personality profiles in a clinical sample of consecutively assessed women with eating disorders with later age of onset (LAO, > = 25 years) to women with typical age of onset (TAO, <25 years). METHOD: All eating disorder patients met the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) criteria and were admitted to the Eating Disorder Unit of the University Hospital of Bellvitge in Barcelona, Spain. Ninety-six patients were classified as LAO and 759 as TAO. ASSESSMENT: Measures included the Eating Attitude Test-40 (EAT-40), Eating Disorders Inventory-2 (EDI-2), Bulimic Investigatory Test Edinburgh (BITE), Symptom Checklist Revised (SCL-90-R), and the Temperament and Character Inventory-Revised (TCI-R), as well as other clinical and psychopathological indices. RESULTS: LAO individuals reported significantly fewer weekly vomiting episodes, fewer self-harming behaviours, less drug abuse, and lower scores on the BITE symptoms, the EDI-2 drive for thinness, and the TCI-R harm avoidance scales than TAO individuals. Conversely, the LAO group reported more current and premorbid obesity than the TAO group. CONCLUSION: LAO eating disorder patients in this sample presented with milder symptomatology and less extreme personality traits. Premorbid obesity may be more relevant to LAO than TAO eating disorders and should be routinely assessed and considered when planning treatment.John Wiley & Sons2015201520132015info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion17 p.application/pdfhttps://hdl.handle.net/2445/65783Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: http://dx.doi.org/10.1002/jclp.22006Journal of Clinical Psychology, 2013, vol. 70, num. 1, p. 1-17http://dx.doi.org/10.1002/jclp.22006(c) John Wiley & Sons, 2013info:eu-repo/semantics/openAccessoai:recercat.cat:2445/657832026-05-29T05:05:01Z
dc.title.none.fl_str_mv Late onset eating disorders in Spain: clinical characteristics and therapeutic implications
title Late onset eating disorders in Spain: clinical characteristics and therapeutic implications
spellingShingle Late onset eating disorders in Spain: clinical characteristics and therapeutic implications
Bueno, B.
Trastorns de la gana
Obesitat
Personalitat
Appetite disorders
Obesity
Personality
title_short Late onset eating disorders in Spain: clinical characteristics and therapeutic implications
title_full Late onset eating disorders in Spain: clinical characteristics and therapeutic implications
title_fullStr Late onset eating disorders in Spain: clinical characteristics and therapeutic implications
title_full_unstemmed Late onset eating disorders in Spain: clinical characteristics and therapeutic implications
title_sort Late onset eating disorders in Spain: clinical characteristics and therapeutic implications
dc.creator.none.fl_str_mv Bueno, B.
Krug, Isabel
Bulik, Cynthia M.
Jiménez-Murcia, Susana
Granero, Roser
Thornton, Laura M.
Penelo Werner, Eva
Menchón Magriñá, José Manuel
Sánchez Zaplana, Isabel
Tinahones, Francisco J.
Fernández Aranda, Fernando
author Bueno, B.
author_facet Bueno, B.
Krug, Isabel
Bulik, Cynthia M.
Jiménez-Murcia, Susana
Granero, Roser
Thornton, Laura M.
Penelo Werner, Eva
Menchón Magriñá, José Manuel
Sánchez Zaplana, Isabel
Tinahones, Francisco J.
Fernández Aranda, Fernando
author_role author
author2 Krug, Isabel
Bulik, Cynthia M.
Jiménez-Murcia, Susana
Granero, Roser
Thornton, Laura M.
Penelo Werner, Eva
Menchón Magriñá, José Manuel
Sánchez Zaplana, Isabel
Tinahones, Francisco J.
Fernández Aranda, Fernando
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Trastorns de la gana
Obesitat
Personalitat
Appetite disorders
Obesity
Personality
topic Trastorns de la gana
Obesitat
Personalitat
Appetite disorders
Obesity
Personality
description OBJECTIVE: The literature on later age of onset (LAO) in women with eating disorders is scarce. We compared the severity of eating disorders, eating disorder subtype, and personality profiles in a clinical sample of consecutively assessed women with eating disorders with later age of onset (LAO, > = 25 years) to women with typical age of onset (TAO, <25 years). METHOD: All eating disorder patients met the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) criteria and were admitted to the Eating Disorder Unit of the University Hospital of Bellvitge in Barcelona, Spain. Ninety-six patients were classified as LAO and 759 as TAO. ASSESSMENT: Measures included the Eating Attitude Test-40 (EAT-40), Eating Disorders Inventory-2 (EDI-2), Bulimic Investigatory Test Edinburgh (BITE), Symptom Checklist Revised (SCL-90-R), and the Temperament and Character Inventory-Revised (TCI-R), as well as other clinical and psychopathological indices. RESULTS: LAO individuals reported significantly fewer weekly vomiting episodes, fewer self-harming behaviours, less drug abuse, and lower scores on the BITE symptoms, the EDI-2 drive for thinness, and the TCI-R harm avoidance scales than TAO individuals. Conversely, the LAO group reported more current and premorbid obesity than the TAO group. CONCLUSION: LAO eating disorder patients in this sample presented with milder symptomatology and less extreme personality traits. Premorbid obesity may be more relevant to LAO than TAO eating disorders and should be routinely assessed and considered when planning treatment.
publishDate 2013
dc.date.none.fl_str_mv 2013
2015
2015
2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/65783
url https://hdl.handle.net/2445/65783
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: http://dx.doi.org/10.1002/jclp.22006
Journal of Clinical Psychology, 2013, vol. 70, num. 1, p. 1-17
http://dx.doi.org/10.1002/jclp.22006
dc.rights.none.fl_str_mv (c) John Wiley & Sons, 2013
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) John Wiley & Sons, 2013
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 17 p.
application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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