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Affective temperaments and eating psychopathology in anorexia nervosa: Which role for anxious and depressive traits?
J Affect Disord. 2020 04 01; 266:374-380.JA

Abstract

BACKGROUND

Anorexia nervosa (AN) is a severe mental illness. Personality traits and comorbidity with affective and anxiety disorders are key-aspects of its pathogenesis but little attention has been paid so far to affective temperaments in AN. Also, childhood anxiety is proposed to impact on AN clinical severity. Therefore, we aimed to investigate if affective temperaments could be related to AN eating psychopathology also clarifying if those with low versus high scores on depressive and anxious temperaments could differ in AN clinical current and lifetime severity.

METHODS

One-hundred and forty-seven inpatients with AN were consecutively recruited. All participants completed: Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Autoquestionnaire, Eating Disorder Examination Questionnaire, State Trait Anxiety Inventory, Beck Depression Inventory. Clinical data were collected upon admission.

RESULTS

Regression models showed that all affective temperaments were associated with eating psychopathology (eating restraint and eating, shape, and weight concerns); however, when controlling for confounders, only the anxious temperament remained significant. Also, those patients with higher scores on depressive and anxious temperaments reported higher current and lowest lifetime body mass index (BMI).

LIMITATIONS

Only inpatients were recruited; self-report assessments were used and follow-up data are lacking.

CONCLUSIONS

Results from this study support the association between affective (anxious in particular) temperament traits and the presence of altered eating psychopathology in AN. Also, higher traits of depressive and anxious temperaments reported higher current and lowest lifetime BMI. Should these findings be confirmed, the assessment of the anxious temperament could fruitfully inform prevention and treatment interventions for AN.

Authors+Show Affiliations

Eating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy. Electronic address: enrica.marzola@unito.it.Eating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy. Electronic address: alain.porliod@unito.it.Eating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy. Electronic address: matteo.panero@unito.it.Eating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy. Electronic address: carlotta.debacco@unito.it.Eating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy. Electronic address: giovanni.abbatedaga@unito.it.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32056902

Citation

Marzola, Enrica, et al. "Affective Temperaments and Eating Psychopathology in Anorexia Nervosa: Which Role for Anxious and Depressive Traits?" Journal of Affective Disorders, vol. 266, 2020, pp. 374-380.
Marzola E, Porliod A, Panero M, et al. Affective temperaments and eating psychopathology in anorexia nervosa: Which role for anxious and depressive traits? J Affect Disord. 2020;266:374-380.
Marzola, E., Porliod, A., Panero, M., De-Bacco, C., & Abbate-Daga, G. (2020). Affective temperaments and eating psychopathology in anorexia nervosa: Which role for anxious and depressive traits? Journal of Affective Disorders, 266, 374-380. https://doi.org/10.1016/j.jad.2020.01.142
Marzola E, et al. Affective Temperaments and Eating Psychopathology in Anorexia Nervosa: Which Role for Anxious and Depressive Traits. J Affect Disord. 2020 04 1;266:374-380. PubMed PMID: 32056902.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Affective temperaments and eating psychopathology in anorexia nervosa: Which role for anxious and depressive traits? AU - Marzola,Enrica, AU - Porliod,Alain, AU - Panero,Matteo, AU - De-Bacco,Carlotta, AU - Abbate-Daga,Giovanni, Y1 - 2020/01/27/ PY - 2019/10/28/received PY - 2019/12/09/revised PY - 2020/01/25/accepted PY - 2020/2/15/pubmed PY - 2021/2/16/medline PY - 2020/2/15/entrez KW - Anorexia nervosa KW - Anxious traits KW - Childhood traits KW - Comorbidity SP - 374 EP - 380 JF - Journal of affective disorders JO - J Affect Disord VL - 266 N2 - BACKGROUND: Anorexia nervosa (AN) is a severe mental illness. Personality traits and comorbidity with affective and anxiety disorders are key-aspects of its pathogenesis but little attention has been paid so far to affective temperaments in AN. Also, childhood anxiety is proposed to impact on AN clinical severity. Therefore, we aimed to investigate if affective temperaments could be related to AN eating psychopathology also clarifying if those with low versus high scores on depressive and anxious temperaments could differ in AN clinical current and lifetime severity. METHODS: One-hundred and forty-seven inpatients with AN were consecutively recruited. All participants completed: Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Autoquestionnaire, Eating Disorder Examination Questionnaire, State Trait Anxiety Inventory, Beck Depression Inventory. Clinical data were collected upon admission. RESULTS: Regression models showed that all affective temperaments were associated with eating psychopathology (eating restraint and eating, shape, and weight concerns); however, when controlling for confounders, only the anxious temperament remained significant. Also, those patients with higher scores on depressive and anxious temperaments reported higher current and lowest lifetime body mass index (BMI). LIMITATIONS: Only inpatients were recruited; self-report assessments were used and follow-up data are lacking. CONCLUSIONS: Results from this study support the association between affective (anxious in particular) temperament traits and the presence of altered eating psychopathology in AN. Also, higher traits of depressive and anxious temperaments reported higher current and lowest lifetime BMI. Should these findings be confirmed, the assessment of the anxious temperament could fruitfully inform prevention and treatment interventions for AN. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/32056902/Affective_temperaments_and_eating_psychopathology_in_anorexia_nervosa:_Which_role_for_anxious_and_depressive_traits DB - PRIME DP - Unbound Medicine ER -