Kocsis-Bogar Krisztina, Ossege Michael, Aigner Martin, Wancata Johannes, Friedrich Fabian
Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.
Department of Psychiatry and Psychotherapy, Karl Landsteiner University of Health Sciences, Krems, Austria.
Int J Soc Psychiatry. 2025 Feb;71(1):199-202. doi: 10.1177/00207640241280159. Epub 2024 Sep 10.
Negative affectivity of caregivers has been linked to difficulties in the caregiver-patient relationship and it is assumed to contribute to the maintenance of eating disorder (ED) symptoms.
The present study investigated the relationship of patients' ED symptom severity to patients' and caregivers' depressive symptoms, and caregivers' involvement in a mixed sample of adult inpatients with anorexia (AN) and bulimia nervosa (BN), as well as their caregivers.
The Eating Disorder Examination and Beck Depression Inventory (BDI) were administered to 55 adult ED patients (26 AN and 29 BN), and the BDI as well as the Involvement Evaluation Questionnaire were filled in by one caregiver of each patient.
Our results showed caregivers' depressive symptoms to be significantly related to patients' ED symptom severity, however depressive symptoms and ED symptoms of patients were not related. No connection of involvement of caregivers and ED severity of patients was found. AN and BN patients did not significantly differ on ED severity or depressive symptoms. Caregivers of AN and BN patients did not differ significantly on depressive symptoms and involvement.
Our results support the importance of mental health support for caregivers of adults with AN and BN.
照料者的消极情感与照料者-患者关系中的困难有关,并且被认为会促使饮食失调(ED)症状持续存在。
本研究调查了成年住院厌食症(AN)和神经性贪食症(BN)患者及其照料者的混合样本中,患者的饮食失调症状严重程度与患者及照料者的抑郁症状之间的关系,以及照料者的参与情况。
对55名成年饮食失调患者(26名厌食症患者和29名神经性贪食症患者)进行饮食失调检查和贝克抑郁量表(BDI)测试,每位患者的一名照料者填写BDI以及参与度评估问卷。
我们的结果显示,照料者的抑郁症状与患者的饮食失调症状严重程度显著相关,然而患者的抑郁症状与饮食失调症状并无关联。未发现照料者的参与度与患者的饮食失调严重程度之间存在联系。厌食症和神经性贪食症患者在饮食失调严重程度或抑郁症状方面没有显著差异。厌食症和神经性贪食症患者的照料者在抑郁症状和参与度方面没有显著差异。
我们的结果支持了为成年厌食症和神经性贪食症患者的照料者提供心理健康支持的重要性。