原创力文档relationship between affective symptoms and malnutrition severity in severe anorexia nervosa情感症状和营养不良的严重程度之间的关系严重的厌食症.pdfVIP
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relationship between affective symptoms and malnutrition severity in severe anorexia nervosa情感症状和营养不良的严重程度之间的关系严重的厌食症
Relationship between Affective Symptoms and
Malnutrition Severity in Severe Anorexia Nervosa
1,2,3,4 1,2,3,5 4
Lama Mattar *, Caroline Huas , EVHAN group , Nathalie Godart
´ ´
1 INSERM U669, Maison de Solenn, Paris, France, 2 Universite Paris-Sud, Paris, France, 3 Universite Paris Descartes, Paris, France, 4 Psychiatry Unit, Institut Mutualiste
´ ´ ´ ´ ´ ´
Montsouris 42, Paris, France, 5 Faculte de medecine Paris Descartes, Departement Universitaire de Medecine Generale, Tours, France
Abstract
Background: Very few studies have investigated the relationship between malnutrition and psychological symptoms in
Anorexia Nervosa (AN). They have used only body weight or body mass index (BMI) for the nutritional assessment and did
not always report on medication, or if they did, it was not included in the analysis of results, and they did not include
confounding factors such as duration of illness, AN subtype or age. The present study investigates this relationship using
indicators other than BMI/weight, among which body composition and biological markers, also considering potential
confounders related to depression and anxiety.
Methods: 155 AN patients, (DSM-IV) were included consecutively upon admission to inpatient treatment. Depression,
anxiety, obsessive behaviours and social functioning were measured using various scales. Nutritional status was measured
using BM
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