Denial of Symptoms and Psychopathology in Adolescent Anorexia Nervosa

Viglione, Valentina; Muratori, Filippo; Maestro, Sandra; Brunori, Elena; Picchi, Lara

doi:10.1159/000094723

Cited by 35 publications

(41 citation statements)

References 49 publications

(17 reference statements)

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“…Possible underlying reasons for the observed discrepancies could be denial or the lack of insight. Denial and minimization of psychological problems appear to be common in adolescents with ANR, which has been confirmed by various reports [39][40][41] . According to Viglione et al [40] , a brief duration of illness prior to hospital admission is significantly associated with a higher degree of denial.…”

Section: Discussionsupporting

confidence: 62%

“…Denial and minimization of psychological problems appear to be common in adolescents with ANR, which has been confirmed by various reports [39][40][41] . According to Viglione et al [40] , a brief duration of illness prior to hospital admission is significantly associated with a higher degree of denial. In concordance with that finding, the average duration of illness in our study was 10 months (SD 0.89) for ANR and 16 months (SD Furthermore, our results show that ANR patients reported significantly lower externalizing problems, especially delinquent behaviour, compared with BN patients.…”

Section: Discussionsupporting

confidence: 62%

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Correspondence between Self-Reported and Parent-Reported Psychopathology in Adolescents with Eating Disorders

et al. 2008

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Background: This study examined parent/youth self-report agreement on emotional and behavioral symptoms among adolescents with eating disorders (ED). Sampling and Methods: Eighty-three parent-adolescent pairs participated. All adolescents (age 11–18 years) were females and met diagnostic criteria according to the DSM-IV for anorexia nervosa restricting type (n = 53) or bulimia nervosa (n = 30). Diagnoses were confirmed using the Structured Inventory for Anorectic and Bulimic Syndromes. Parents completed the Child Behaviour Checklist, and the adolescents completed the corresponding Youth Self-Report. Results: Results of the interclass correlation provide very poor coefficients between parents and adolescents, especially for the internalizing subscale. Analyses of variance of repeated measures revealed significant differences in the total problem score and the internalizing subscore between parents and adolescents. Parents reported significantly more internalizing problems than adolescents. Conclusions: Agreement between parents and adolescents regarding the presence and severity of psychiatric symptoms in adolescents with ED is low. In contrast to previous studies in non-ED samples, adolescents with ED reported lower levels of internalizing problems than their parents. Denial and minimization may be underlying reasons for our findings and represent obstacles in the psychological assessment of adolescents with ED.

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Section: Discussionsupporting

confidence: 62%

Section: Discussionsupporting

confidence: 62%

Correspondence between Self-Reported and Parent-Reported Psychopathology in Adolescents with Eating Disorders

et al. 2008

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“…Purging behaviors may help to compensate negative emotional effects of the traumatic experiences [8,24]. Moreover, denial and minimization of psychological problems appear to be common in adolescents with AN-R in contrast to AN-BP patients, as confirmed by various reports [25,26,27]. Therefore, it could be possible that patients with AN-R reported significantly lower scores on all CTQ subscales because they deny traumatic experiences in childhood more often than patients with AN-BP.…”

Section: Discussionmentioning

confidence: 93%

Etiological Role of Childhood Emotional Trauma and Neglect in Adolescent Anorexia Nervosa: A Cross-Sectional Questionnaire Analysis

et al. 2011

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Background: Most studies on the relationship between childhood trauma and anorexia nervosa (AN) have focused on the role of childhood sexual and physical trauma in adult patients. Little is known about the role of emotional trauma and eating disorders. The aim of the present study was to examine childhood sexual, physical, and emotional traumatization in adolescents with anorexia nervosa restricting type (AN-R) in comparison to those with anorexia nervosa binge-eating/purging type (AN-BP) and a healthy control group. Sampling and Methods: The sample included 50 patients with AN-R (mean age = 15.8 ± 1.6 years), 27 with AN-BP (mean age = 16.1 ± 1.1 years), and 44 healthy female control participants (mean age = 15.7 ± 1.3 years). AN diagnosis was confirmed by the Structured Inventory for Anorexic and Bulimic Syndromes (SIAB-EX). Childhood sexual, physical, and emotional traumatization was assessed by a self-report questionnaire (Childhood Trauma Questionnaire; CTQ). Results: The results indicated higher rates of sexual, physical, and emotional abuse and physical and emotional neglect in patients with AN-BP than in patients with AN-R and healthy control participants. No significant differences in childhood traumatization were found between patients with AN-R and control participants. Conclusions: Our results underline the importance of detecting the full range of possible childhood traumatic experiences in adolescents with AN, rather than focusing simply on childhood sexual traumatization. Sexual, physical, and emotional childhood traumatization are particularly important in the history of adolescent patients with AN-BP, in contrast to patients with AN-R, and should be screened for in the diagnosis and therapy of eating disorders.

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“…In conclusion, the German version of the ABOS could be particularly useful in the early stages of an ED, when patients show a tendency to deny or minimize their problems [20]. The parents' viewpoint seems to be a valuable source of information for both the assessment and treatment of ED in children and adolescents.…”

Section: Discussionmentioning

confidence: 96%

“…Bulimia Nervosa (BN) becomes more common in young adulthood [14]. Within these age-groups, gathering data from the patients' parents and including them in the treatment is very important, because patients suffering from ED often deny or minimize their own disorder [4,15,16,18,20].…”

Section: Introductionmentioning

confidence: 99%

The German version of the Anorectic Behavior Observation Scale (ABOS)

Salbach‐Andrae¹,

Klinkowski²,

Holzhausen³

et al. 2009

Eur Child Adolesc Psychiatry

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Objective: To assess the performance of the German version of the Anorectic Behavior Observation Scale (ABOS) as a parent-report screening instrument for eating disorders (ED) in their children. Methods: Parents of 101 ED female patients (80 with Anorexia Nervosa; 21 with Bulimia Nervosa) and of 121 age- and socioeconomic status (SES)-matched female controls completed the ABOS. Results: Confirmatory factor analysis supported the original three-factor structure model of the ABOS. Cronbach’s alpha coefficients indicated good internal consistency for the three factors and the total score in the total sample. The best cut-off point (100% sensitivity and specificity) in the German version was ≥23. Conclusion: The ABOS may be a useful additional instrument for assessing ED

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Denial of Symptoms and Psychopathology in Adolescent Anorexia Nervosa

Cited by 35 publications

References 49 publications

Correspondence between Self-Reported and Parent-Reported Psychopathology in Adolescents with Eating Disorders

Correspondence between Self-Reported and Parent-Reported Psychopathology in Adolescents with Eating Disorders

Etiological Role of Childhood Emotional Trauma and Neglect in Adolescent Anorexia Nervosa: A Cross-Sectional Questionnaire Analysis

The German version of the Anorectic Behavior Observation Scale (ABOS)

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