Pruccoli Jacopo, Guardi Giulia, La Tempa Angela, Valeriani Beatrice, Chiavarino Francesca, Parmeggiani Antonia
Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in età Evolutiva, IRCCS Istituto delle Scienze Neurologiche di Bologna, U.O. Neuropsichiatria dell'età Pediatrica, 40138 Bologna, Italy.
Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Università di Bologna, 40126 Bologna, Italy.
Behav Sci (Basel). 2023 Jun 13;13(6):499. doi: 10.3390/bs13060499.
The impact of psychiatric comorbidities in the diagnosis and treatment of feeding and eating disorders (FEDs) represents an emerging research topic. The current literature, nonetheless, lacks studies investigating the developmental paths of individuals with FEDs and comorbid neurodevelopmental disorders (NDDs). Here, we report 11 cases of children and adolescents with comorbid FEDs and NDDs, as assessed along the neuropsychological, psychopathological, and nutritional developmental pathways. The onset of FED-related psychopathology was preceded, sometimes undiagnosed, by altered neurodevelopmental features leading to specific NDD diagnoses (autism spectrum disorder-ASD; attention-deficit/hyperactivity disorder-ADHD; specific learning disorder-SLD). NDDs appeared to influence the diagnoses and treatments of FEDs, frequently with an impact on socio-relational and emotional premorbid features, and on the possibility to receive and attend FED-targeted treatments. Further studies should longitudinally contribute to assessing the experiences of care and neurodevelopmental pathways of children with FEDs and specific NDD comorbidities.
精神共病对进食障碍（FEDs）诊断和治疗的影响是一个新兴的研究课题。然而，目前的文献缺乏对患有进食障碍和共病神经发育障碍（NDDs）个体的发育路径的研究。在此，我们报告了11例患有共病进食障碍和神经发育障碍的儿童和青少年病例，这些病例是沿着神经心理学、精神病理学和营养发育路径进行评估的。在进食障碍相关精神病理学发作之前，有时未被诊断出来，就已经出现了导致特定神经发育障碍诊断（自闭症谱系障碍-ASD；注意力缺陷多动障碍-ADHD；特定学习障碍-SLD）的神经发育特征改变。神经发育障碍似乎会影响进食障碍的诊断和治疗，经常对病前的社会关系和情感特征产生影响，并影响接受和参与针对进食障碍治疗的可能性。进一步的研究应纵向评估患有进食障碍和特定神经发育障碍共病儿童的护理经历和神经发育路径。
