Martínez-Sánchez Sofía M, Martínez-García Tomás E, Munguía-Izquierdo Diego
Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, Universidad Pablo de Olavide, Seville, Spain.
Department of Internal Medicine, Juan Ramón Jiménez Hospital, Huelva, Spain.
Psychiatry Investig. 2020 Apr;17(4):366-373. doi: 10.30773/pi.2020.0016. Epub 2020 Apr 8.
To analyze the clinical, psychopathological, physical, and sleep-related evolution of adolescents with restricting-type of anorexia nervosa (AN-R) after 10 weeks of a daytime hospital program.
Body composition, physical activity and sleep were measured objectively before and after 10 weeks of treatment. In addition, psychopathology and body image disturbances were measured with a self-report questionnaire.
Fourteen female adolescents with AN-R (14.3±1.6 years old) participated in the study. A significant increase was found in eight of the ten variables for body composition (p<0.05). There were no significant changes in psychopathology, body image disturbances or physical activity. Concerning sleep, a significant, moderately standardized and substantial increase in night latency was found (p=0.002), and there was a significant, small standardized and substantial decrease in night efficiency (p=0.035).
After 10 weeks of follow-up with adolescent patients with AN-R who attended a day hospital program, there was a positive evolution of body composition. However, with regard to sleep patterns, there was a worsening of latency and night efficiency. Therefore, sleep care should be addressed in acute treatment programs for adolescents with AN-R.
分析接受日间医院项目治疗10周后，限制型神经性厌食症（AN-R）青少年患者的临床、心理病理、身体及睡眠相关方面的变化情况。
在治疗10周前后客观测量身体成分、身体活动及睡眠情况。此外，通过自填问卷测量心理病理及身体意象障碍情况。
14名患有AN-R的女性青少年（14.3±1.6岁）参与了本研究。身体成分的10项变量中有8项显著增加（p<0.05）。心理病理、身体意象障碍或身体活动方面无显著变化。关于睡眠，发现夜间入睡潜伏期显著、中度标准化且大幅增加（p=0.002），夜间睡眠效率显著、小幅标准化且大幅降低（p=0.035）。
对参加日间医院项目的AN-R青少年患者进行10周随访后，身体成分有积极变化。然而，就睡眠模式而言，入睡潜伏期和夜间睡眠效率变差。因此，在针对AN-R青少年的急性治疗项目中应关注睡眠护理。
