IMM Département de Psychiatrie de l'Adolescent et du jeune adulte, 42, Boulevard Jourdan, 75014, Paris, France.
Université Descartes Paris, Paris, France.
Eat Weight Disord. 2020 Feb;25(1):1-8. doi: 10.1007/s40519-018-0482-5. Epub 2018 Feb 16.
Socio-emotional difficulties have been observed on adult patients suffering from anorexia nervosa (AN). But researches with adolescents are scarce and non-congruent. The aim of this paper is to identify the socio-emotional difficulties that are encountered by AN during adolescence, and to isolate them from those encountered by control adolescents.
41 AN and 38 control adolescents were assessed using the emotional quotient inventory by Bar-On, youth version (EQ-i: YV), the Toronto Alexithymia Questionnaire (TAS-20), the Interpersonal Reactivity Index (IRI), and anxiety and depression were controlled using the Hospital Anxiety and Depression Scale (HADS).
Personal distress remains the main difference between the two groups, even when depression and anxiety are controlled. Intrapersonal difficulties are observed in the AN group, as well as alexithymic traits.
Research on AN has to focus on the socio-emotional difficulties during adolescence, to properly identify which difficulties are linked to that life period, and which are a trait of AN.
Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one center or research group.
已观察到患有神经性厌食症(AN)的成年患者存在社会情感障碍。但针对青少年的研究很少且不一致。本文旨在确定青少年 AN 所经历的社会情感障碍,并将其与对照组青少年所经历的障碍区分开来。
使用 Bar-On 的情感商数量表青年版(EQ-i:YV)、多伦多述情障碍量表(TAS-20)、人际反应指数(IRI)对 41 名 AN 患者和 38 名对照组青少年进行评估,并使用医院焦虑和抑郁量表(HADS)控制焦虑和抑郁。
即使控制了抑郁和焦虑,个人困扰仍然是两组之间的主要区别。AN 组存在人际困难和述情障碍特征。
针对 AN 的研究必须关注青少年时期的社会情感障碍,以正确识别哪些障碍与该年龄段有关,哪些是 AN 的特征。
级别 III:来自精心设计的队列或病例对照分析研究的证据,最好来自多个中心或研究小组。