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神经性厌食症患者的营养状况(体重指数和相位角)与精神病理学之间存在脱节。

A disconnection between nutritional status (in terms of body mass index and phase angle) and psychopathology in anorexia nervosa.

机构信息

Comunità Villa Miralago in Cuasso al Monte (VA), Italy.

Cattedra di Psichiatria, Dipartimento di Scienze della Salute, Universita` degli Studi di Milano, Italy.

出版信息

Psychiatry Res. 2017 Jun;252:196-200. doi: 10.1016/j.psychres.2017.02.043. Epub 2017 Feb 20.

Abstract

The aim of our study was to investigate the relationship between nutritional status (body mass index and phase angle) and psychological symptoms at admission and discharge in a residential population of anorexic patients. We also aimed to determine the evolution of the above psychological symptoms and nutrition rehabilitation from admission to discharge. Thirty-six consecutive patients were included. The evaluation was performed using the following measures at admission and discharge: body mass index, phase angle, Eating Disorders Inventory-3, Multiphasic Personality Inventory-2 and Body Uneasiness. Admission and discharge nutritional status were not correlated with psychometric scores respectively at admission and at discharge. In addition, neither the improvement in the scores on the psychometric scales between admission and discharge was correlated to body mass index, phase angle improvement. For the group as a whole there were significant improvements from admission to discharge in nutritional status, Multiphasic Personality Inventory-2-Depression, Body Uneasiness-Global Score Index and in all the composites of Eating Disorders Inventory-3. Our data showed a disconnection between nutritional status and eating disorders psychopathology and/or psychiatric comorbidities.

摘要

我们的研究目的是调查在住院的厌食症患者群体中,入院和出院时的营养状况(体重指数和相位角)与心理症状之间的关系。我们还旨在确定从入院到出院上述心理症状和营养康复的演变。连续纳入 36 名患者。使用以下措施在入院和出院时进行评估:体重指数、相位角、饮食障碍问卷-3、多相人格问卷-2 和身体不适。入院和出院时的营养状况与入院和出院时的心理计量学评分均无相关性。此外,入院和出院时心理量表评分的改善与体重指数、相位角的改善均无相关性。对于整个组,营养状况、多相人格问卷-2-抑郁、身体不适-总体得分指数以及饮食障碍问卷-3 的所有综合指标均从入院到出院有显著改善。我们的数据显示,营养状况与饮食障碍病理和/或精神共病之间存在脱节。

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