Psychopathological features of patients with prolonged anorexia nervosa as assessed by the Minnesota Multiphasic Personality Inventory

Nozaki, Tomoyoshi; Takao, Masaharu; Takakura, Satoshi; Koreeda-Arimura, C.; Ishido, K.; Yamada, Yuichi; Kawai, Keisuke; Takii, Michiaki; Kubo, Chiharu

doi:10.1007/bf03327752

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…From a clinical standpoint, it could be difficult to diagnose as organic or functional a gastrointestinal disease referred by ED patients; anyway it is well-known that ED patients’ body sensations – often inappropriately experienced – can influence the disease and its course [11]. Moreover, in this subgroup were also clearly represented some conversion symptoms, only sporadically discussed in AN patients [76,77]. Hence, it should be considered that for some AN patients – as in this cluster - body language can be a further sign of their clinical severity, requiring a clinical approach specifically tailored to these conversion aspects, often a neglected issue in AN treatment.…”

Section: Discussionmentioning

confidence: 99%

Psychosomatic syndromes and anorexia nervosa

et al. 2013

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BackgroundIn spite of the role of some psychosomatic factors as alexithymia, mood intolerance, and somatization in both pathogenesis and maintenance of anorexia nervosa (AN), few studies have investigated the prevalence of psychosomatic syndromes in AN. The aim of this study was to use the Diagnostic Criteria for Psychosomatic Research (DCPR) to assess psychosomatic syndromes in AN and to evaluate if psychosomatic syndromes could identify subgroups of AN patients.Methods108 AN inpatients (76 AN restricting subtype, AN-R, and 32 AN binge-purging subtype, AN-BP) were consecutively recruited and psychosomatic syndromes were diagnosed with the Structured Interview for DCPR. Participants were asked to complete psychometric tests: Body Shape Questionnaire, Beck Depression Inventory, Eating Disorder Inventory–2, and Temperament and Character Inventory. Data were submitted to cluster analysis.ResultsIllness denial (63%) and alexithymia (54.6%) resulted to be the most common syndromes in our sample. Cluster analysis identified three groups: moderate psychosomatic group (49%), somatization group (26%), and severe psychosomatic group (25%). The first group was mainly represented by AN-R patients reporting often only illness denial and alexithymia as DCPR syndromes. The second group showed more severe eating and depressive symptomatology and frequently DCPR syndromes of the somatization cluster. Thanatophobia DCPR syndrome was also represented in this group. The third group reported longer duration of illness and DCPR syndromes were highly represented; in particular, all patients were found to show the alexithymia DCPR syndrome.ConclusionsThese results highlight the need of a deep assessment of psychosomatic syndromes in AN. Psychosomatic syndromes correlated differently with both severity of eating symptomatology and duration of illness: therefore, DCPR could be effective to achieve tailored treatments.

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Section: Discussionmentioning

confidence: 99%

Psychosomatic syndromes and anorexia nervosa

et al. 2013

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“…They can be applied in a group or in an individual manner. Among these possible techniques, postural exercises are recommended to be included in the treatment because a relationship exists between the duration and severity of the eating disorder and the possibility of reporting lower back pain [234]. In this way, patients with prolonged anorexia present postural disorders mainly due to the low muscle tone and weakness that promote posture compensations (e.g., scoliosis) and lower back pain [235].…”

Section: Physical Therapy Interventionsmentioning

confidence: 99%

The Impact of Anorexia Nervosa and the Basis for Non-Pharmacological Interventions

Clemente-Suárez,

Ramírez-Goerke,

Redondo-Flórez

et al. 2023

Nutrients

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Anorexia nervosa is a psychiatric disorder with an unknown etiology that is characterized by an individual’s preoccupation with their weight and body structure while denying the severity of their low body weight. Due to the fact that anorexia nervosa is multifaceted and may indicate the coexistence of genetic, social, hormonal, and psychiatric disorders, a description of non-pharmacological interventions can be used to ameliorate or reduce the symptoms of this condition. Consequently, the purpose of the present narrative review is to describe the profile’s context in the anorexic person as well as the support they would require from their family and environment. In addition, it is aimed at examining preventative and non-pharmacological interventions, such as nutritional interventions, physical activity interventions, psychological interventions, psychosocial interventions, and physical therapy interventions. To reach the narrative review aims, a critical review was conducted utilizing both primary sources, such as scientific publications, and secondary sources, such as bibliographic indexes, web pages, and databases. Nutritional interventions include nutritional education and an individualized treatment for each patient, physical activity interventions include allowing patients to perform controlled physical activity, psychological interventions include family therapy and evaluation of the existence of other psychological disorders, psychosocial interventions include management of the relationship between the patient and social media and physical therapy interventions include relaxation massages and exercises to relieve pain. All these non-pharmacological interventions need to be individualized based on each patient’s needs.

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“…Additionally, family therapy was less effective than individual therapy among patients with early-onset AN that lasted over 3 years [9]. Nozaki et al reported that inpatients with a longer duration of AN manifested higher levels of hysteria and low back pain according to responses from the Minnesota Multiphasic Personality Inventory [10]. Furthermore, it has been reported that patients with a longer duration of AN show more deterioration of cardiac sympathovagal balance and renal function [11, 12].…”

Section: Introductionmentioning

confidence: 99%

Physical and psychological aspects of anorexia nervosa based on duration of illness: a cross-sectional study

Takakura

Aso

Toda

et al. 2019

BioPsychoSocial Med

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BackgroundWe evaluated physical and psychological features of patients with anorexia nervosa (AN) who differed by duration of illness.MethodsData were obtained from 204 female patients with AN, divided into two groups based on illness duration: short-term illness duration (less than 5 years; n = 118); and long-term duration (5 years or more; n = 86). Physical parameters were measured using blood serum testing and psychological aspects were assessed using various instruments.ResultsA significantly higher proportion of restricting type AN was observed in the short-term group while the proportion of binge eating/purging type AN was higher in the long-term group. There was no difference in body mass index (BMI) between the groups. Serum total protein, albumin, potassium, chloride, and calcium in the long-term group were significantly lower than in the short-term group. Overall scores on the Eating Disorder Inventory as well as most of the subscales, except maturity fears, were higher in the long-term group than in the short-term group. The care subscale of the Parental Bonding Instrument (PBI) was lower in the long-term group than in the short-term group, while the overprotection subscale of the PBI was higher in the long-term group than in the short-term group. Results of a multiple regression analysis indicated that the overprotection subscale of the PBI was the only significant predictor of duration of illness.ConclusionsDuration of illness may be associated with physical and psychological features of AN; thus, adapting therapeutic approaches to illness duration might be necessary.

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Psychopathological features of patients with prolonged anorexia nervosa as assessed by the Minnesota Multiphasic Personality Inventory

Abstract: AN patients whose illness duration was prolonged characteristically had more hysteria with family conflict. This should be considered in their treatment.

Cited by 6 publications

References 24 publications

Psychosomatic syndromes and anorexia nervosa

Psychosomatic syndromes and anorexia nervosa

The Impact of Anorexia Nervosa and the Basis for Non-Pharmacological Interventions

Physical and psychological aspects of anorexia nervosa based on duration of illness: a cross-sectional study

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