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...

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Detalles Bibliográficos
Autores: Graell Berna, Montserrat, Anastasiadou, Dimitra, Parks, Melissa, Brugnera, Agostino, Sepúlveda García, Ana Rosa
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/679276
Acceso en línea:http://hdl.handle.net/10486/679276
https://dx.doi.org/10.1016/j.eatbeh.2016.12.005
Access Level:acceso abierto
Palabra clave:Adolescents
Caregivers
Comorbidity
Diagnostic interview
Eating disorders
Substance use disorders
Psicología
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spelling Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patientsGraell Berna, MontserratAnastasiadou, DimitraParks, MelissaBrugnera, AgostinoSepúlveda García, Ana RosaGraell Berna, MontserratAdolescentsCaregiversComorbidityDiagnostic interviewEating disordersSubstance use disordersPsicologíaHigh 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 prognosisDr. 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 PressDepartamento de Psicología Biológica y de la SaludFacultad de Psicología20162016-12-21research articlehttp://purl.org/coar/resource_type/c_2df8fbb1AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/679276https://dx.doi.org/10.1016/j.eatbeh.2016.12.005reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/6792762026-06-23T12:46:27Z
dc.title.none.fl_str_mv Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients
title Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients
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_short 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_sort Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patients
dc.creator.none.fl_str_mv Graell Berna, Montserrat
Anastasiadou, Dimitra
Parks, Melissa
Brugnera, Agostino
Sepúlveda García, Ana Rosa
Graell Berna, Montserrat
author Graell Berna, Montserrat
author_facet Graell Berna, Montserrat
Anastasiadou, Dimitra
Parks, Melissa
Brugnera, Agostino
Sepúlveda García, Ana Rosa
author_role author
author2 Anastasiadou, Dimitra
Parks, Melissa
Brugnera, Agostino
Sepúlveda García, Ana Rosa
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Departamento de Psicología Biológica y de la Salud
Facultad de Psicología
dc.subject.none.fl_str_mv Adolescents
Caregivers
Comorbidity
Diagnostic interview
Eating disorders
Substance use disorders
Psicología
topic Adolescents
Caregivers
Comorbidity
Diagnostic interview
Eating disorders
Substance use disorders
Psicología
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
publishDate 2016
dc.date.none.fl_str_mv 2016
2016-12-21
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10486/679276
https://dx.doi.org/10.1016/j.eatbeh.2016.12.005
url http://hdl.handle.net/10486/679276
https://dx.doi.org/10.1016/j.eatbeh.2016.12.005
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Pergamon Press
publisher.none.fl_str_mv Pergamon Press
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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