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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Autores: Anastasiadou, Dimitra, Parks, Melissa, Brugnera, Agostino, Sepúlveda, Ana R., Graell, Montserrat
Tipo de recurso: artículo
Estado:Versión enviada para evaluación y publicación
Fecha de publicación:2017
País:España
Institución:Universitat Oberta de Catalunya (UOC)
Repositorio:O2, repositorio institucional de la UOC
OAI Identifier:oai:openaccess.uoc.edu:10609/93053
Acceso en línea:https://hdl.handle.net/10609/93053
Access Level:acceso abierto
Palabra clave:eating disorders
substance use disorders
comorbidity
caregivers
diagnostic interview
adolescents
trastornos de la alimentación
trastornos por uso de sustancias
comorbilidad
cuidadores
entrevista diagnóstica
adolescentes
trastorns de l'alimentació
trastorns per ús de substàncies
comorbiditat
cuidadors
entrevista diagnòstica
Mental health -- Nutrional aspects
Salut mental -- Aspectes nutritius
Salud mental -- Aspectos nutritivos
id ES_f5694262bcd42e2de92b0d5549920056
oai_identifier_str oai:openaccess.uoc.edu:10609/93053
network_acronym_str ES
network_name_str España
repository_id_str
spelling Psychiatric comorbidity and maternal distress among adolescent eating disorder patients: a comparison with substance use disorder patientsAnastasiadou, DimitraParks, MelissaBrugnera, AgostinoSepúlveda, Ana R.Graell, Montserrateating disorderssubstance use disorderscomorbiditycaregiversdiagnostic interviewadolescentstrastornos de la alimentacióntrastornos por uso de sustanciascomorbilidadcuidadoresentrevista diagnósticaadolescentestrastorns de l'alimentaciótrastorns per ús de substànciescomorbiditatcuidadorsentrevista diagnòsticaadolescentsMental health -- Nutrional aspectsSalut mental -- Aspectes nutritiusSalud mental -- Aspectos nutritivosHigh 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.Eating BehaviorsUniversidad Autónoma de MadridUniversità degli Studi di BergamoHospital Infantil Universitario Niño JesúsUniversitat Oberta de Catalunya (UOC)201920192017info:eu-repo/semantics/articleinfo:eu-repo/semantics/submittedVersionapplication/pdfhttps://hdl.handle.net/10609/93053reponame:O2, repositorio institucional de la UOCinstname:Universitat Oberta de Catalunya (UOC)InglésEating Behaviors, 2017, 24()https://www.sciencedirect.com/science/article/pii/S1471015316302574CC BY-NC-NDhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:openaccess.uoc.edu:10609/930532026-05-28T12:42:01Z
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
Anastasiadou, Dimitra
eating disorders
substance use disorders
comorbidity
caregivers
diagnostic interview
adolescents
trastornos de la alimentación
trastornos por uso de sustancias
comorbilidad
cuidadores
entrevista diagnóstica
adolescentes
trastorns de l'alimentació
trastorns per ús de substàncies
comorbiditat
cuidadors
entrevista diagnòstica
adolescents
Mental health -- Nutrional aspects
Salut mental -- Aspectes nutritius
Salud mental -- Aspectos nutritivos
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 Anastasiadou, Dimitra
Parks, Melissa
Brugnera, Agostino
Sepúlveda, Ana R.
Graell, Montserrat
author Anastasiadou, Dimitra
author_facet Anastasiadou, Dimitra
Parks, Melissa
Brugnera, Agostino
Sepúlveda, Ana R.
Graell, Montserrat
author_role author
author2 Parks, Melissa
Brugnera, Agostino
Sepúlveda, Ana R.
Graell, Montserrat
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidad Autónoma de Madrid
Università degli Studi di Bergamo
Hospital Infantil Universitario Niño Jesús
Universitat Oberta de Catalunya (UOC)
dc.subject.none.fl_str_mv eating disorders
substance use disorders
comorbidity
caregivers
diagnostic interview
adolescents
trastornos de la alimentación
trastornos por uso de sustancias
comorbilidad
cuidadores
entrevista diagnóstica
adolescentes
trastorns de l'alimentació
trastorns per ús de substàncies
comorbiditat
cuidadors
entrevista diagnòstica
adolescents
Mental health -- Nutrional aspects
Salut mental -- Aspectes nutritius
Salud mental -- Aspectos nutritivos
topic eating disorders
substance use disorders
comorbidity
caregivers
diagnostic interview
adolescents
trastornos de la alimentación
trastornos por uso de sustancias
comorbilidad
cuidadores
entrevista diagnóstica
adolescentes
trastorns de l'alimentació
trastorns per ús de substàncies
comorbiditat
cuidadors
entrevista diagnòstica
adolescents
Mental health -- Nutrional aspects
Salut mental -- Aspectes nutritius
Salud mental -- Aspectos nutritivos
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 2017
dc.date.none.fl_str_mv 2017
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/submittedVersion
format article
status_str submittedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/10609/93053
url https://hdl.handle.net/10609/93053
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Eating Behaviors, 2017, 24()
https://www.sciencedirect.com/science/article/pii/S1471015316302574
dc.rights.none.fl_str_mv CC BY-NC-ND
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv CC BY-NC-ND
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Eating Behaviors
publisher.none.fl_str_mv Eating Behaviors
dc.source.none.fl_str_mv reponame:O2, repositorio institucional de la UOC
instname:Universitat Oberta de Catalunya (UOC)
instname_str Universitat Oberta de Catalunya (UOC)
reponame_str O2, repositorio institucional de la UOC
collection O2, repositorio institucional de la UOC
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869424587554422784
score 15,301629

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