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Psychosomatic syndromes and anorexia nervosa 英文参考文献
Abbate-Dagaetal.BMCPsychiatry2013,13:14
/1471-244X/13/14
RESEARCH ARTICLE
OpenAccess
Psychosomaticsyndromesandanorexianervosa
GiovanniAbbate-Daga*,NadiaDelsedime,BarbaraNicotra,CristinaGiovannone,EnricaMarzola,
FedericoAmiantoandSecondoFassino
Abstract
Background:Inspiteoftheroleofsomepsychosomaticfactorsasalexithymia,moodintolerance,and
somatizationinbothpathogenesisandmaintenanceofanorexianervosa(AN),fewstudieshaveinvestigatedthe
prevalenceofpsychosomaticsyndromesinAN.TheaimofthisstudywastousetheDiagnosticCriteriafor
PsychosomaticResearch(DCPR)toassesspsychosomaticsyndromesinANandtoevaluateifpsychosomatic
syndromescouldidentifysubgroupsofANpatients.
Methods:108ANinpatients(76ANrestrictingsubtype,AN-R,and32ANbinge-purgingsubtype,AN-BP)were
consecutivelyrecruitedandpsychosomaticsyndromeswerediagnosedwiththeStructuredInterviewforDCPR.
Participantswereaskedtocompletepsychometrictests:BodyShapeQuestionnaire,BeckDepressionInventory,
EatingDisorderInventory–2,andTemperamentandCharacterInventory.Dataweresubmittedtoclusteranalysis.
Results:Illnessdenial(63%)andalexithymia(54.6%)resultedtobethemostcommonsyndromesinoursample.
Clusteranalysisidentifiedthreegroups:moderatepsychosomaticgroup(49%),somatizationgroup(26%),and
severepsychosomaticgroup(25%).ThefirstgroupwasmainlyrepresentedbyAN-Rpatientsreportingoftenonly
illnessdenialandalexithymiaasDCPRsyndromes.Thesecondgroupshowedmoresevereeatinganddepressive
symptomatologyandfrequentlyDCPRsyndromesofthesomatizationcluster.ThanatophobiaDCPRsyndromewas
alsorepresentedinthisgroup.ThethirdgroupreportedlongerdurationofillnessandDCPRsyndromeswere
highlyrepresented;inparticular,allpatientswerefoundtoshowthealexithymiaDCPRsyndrome.
Conclusions:TheseresultshighlighttheneedofadeepassessmentofpsychosomaticsyndromesinAN.
Psychosomaticsyndromescorrelateddifferentlywithbothseverityofeatingsymptomatologyanddurationof
illness:therefore,DCPRcouldbeeffectivetoachievetailoredtreatments.
Keywords:Anorexianervosa,Eatingdisorders,Psychosomaticsyn
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