Subclinical eating disorders and their comorbidity with mood and anxiety disorders in adolescent girls

Subclinical eating disorders and their comorbidity with mood and anxiety disorders in adolescent girls

Subclinical eating disorders and their comorbidity with mood and anxiety disorders in adolescent girls

Subclinical eating disorders and their comorbidity with mood and anxiety disorders in adolescent girlss

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Référence bibliographique [70]

Touchette, Évelyne, Henegar, Adina, Godart, Nathalie T., Pryor, Laura, Falissard, Bruno, Tremblay, Richard E. et Côté, Sylvana M. 2011. «Subclinical eating disorders and their comorbidity with mood and anxiety disorders in adolescent girls ». Psychiatry Research, vol. 185, no 1-2, p. 185-192.

Fiche synthèse

1. Objectifs


Intentions :
«The first objective of this paper was to evaluate the prevalence of subclinical forms of ED [eating disorder] (sED) among adolescent girls.» (p. 185)

Questions/Hypothèses :
«We expected a relatively high prevalence of sED in adolescent girls because more than 50% of adult outpatients with an eating disorder do not meet DSM [Diagnostic and Statistical Manual of Mental Disorders] criteria for either AN [anorexia nervosa] or BN [bulimia nervosa] and are given the eating disorder not otherwise specified diagnosis (EDNOS) (Button et al., 2005; Fairburn et al., 2007; Mitchell et al., 2007; Ricca et al., 2001; Turner and Bryant-Waugh, 2004).» (p. 185)

2. Méthode


Échantillon/Matériau :
«All participants were part of a prospective and longitudinal study entitled ’The Longitudinal Study of Kindergarten Children in Quebec’. […] The longitudinal study focuses on the 798 girls assessed at 16 years (15.7±0.5) in 1996–1997, for whom complete data regarding eating disorders was available.» (p. 186)

Instruments :
«A French version (Breton et al., 1998) of the “Diagnostic Interview Schedule for Children-version 2” (DISC-2) was administered to 833 girls by trained interviewers (Shaffer et al., 1996).» (p. 186)

Type de traitement des données :
Analyse statistique

3. Résumé


One of the key findings of the study is that «[…] suffering from separation anxiety [SA] disorder (onset usually in childhood) may represent a risk factor for the development of sAN-R [subclinical anorexia nervosa — restricting subtype] during adolescence. Strober and his team (2007) found that relatives of probands with AN had a 1.5 times greater risk of separation anxiety disorder compared with relatives without any lifetime psychiatric illness. Our results are in accordance with previous studies that found an association between a clinical AN diagnosis and lifetime SA (Godart et al., 2000). Anxiety symptoms of GA [generalized anxiety] occurred significantly more among girls suffering from sBN than the comparison group. This is in accordance with the fact that first-degree relatives of bulimia sufferers were noted to be prone to GA, suggesting that such tendencies have familial origins (Lilenfeld et al., 1998).» (p. 189 and 191)