American Journal of Psychiatry and Neuroscience
Volume 5, Issue 4, July 2017, Pages: 40-44
Received: Jun. 18, 2017;
Accepted: Jul. 19, 2017;
Published: Aug. 14, 2017
Views 1852 Downloads 90
Seyyed Mohammad Moosavi, Department of Psychiatry, Mazandaran University of Medical Sciences, Sari, Iran
Fatemeh Amini, Department of Psychology, Islamic Azad University of Sari, Sari, Iran
Aim of current study was to offer structural model regarding role of anxiety, depression and anger in eating disorder. Noting morbidity and mushrooming trend of eating disorder in clinical settings and its antagonistic features among afflicted individuals, with respect to clinical implication and, theoretical dimensions, conducting current study seemed vital. Materials and Methods: This study was descriptive-correlational study. Statistical society of current study, consisted of 750 individuals with BMI ≥ 25, who were admitted to nutrition clinic at Sari General Hospital (Sari, Iran). Sample size was specified as 226 according to Krejcie and Morgan Table. We used DASS-20 with respect to depression, anxiety and stress assessment; Spielberger’s State-Trait Anger Expression Inventory in clinical patients with respect to anger assessment, EDDS (Eating disorder diagnostic scale) regarding assessment of eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder). With respect to data analyze, SPSS-22 and structural equation modeling and regression model via Lisrel test were used. Results: According to results of current study, anxiety, depression and aggression maintain positive and influential roles with respect to anorexia nervosa, bulimia nervosa and binge eating disorder.
Seyyed Mohammad Moosavi,
Role of Anxiety, Depression and Anger in Eating Disorders-Structural Model, American Journal of Psychiatry and Neuroscience.
Vol. 5, No. 4,
2017, pp. 40-44.
Leslie A. Sim, PhD, Donald E. Mc Alpine, MD, Karen B. Grothe, PhD, Susan M. Himes, PhD, Richard G. Cockerill, BA, and Matthew M. Clark, PhD. (2010). Identification and Treatment of Eating Disorders in the Primary Care Setting. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912736/. Last accessed Feb 2017.
Mond JM, Hay PJ, Rodgers B, Owen C. Health service utilization for eating disorders: findings from a community-based study. Int J Eat Disord. 2007; 40 (4):399-408 [PubMed].
Hudson JI, Hiripi E, Pope HG, Jr, Kessler RC. The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biol Psychiatry 2007; 61 (3):348-358 [PMC free article] [PubMed].
Walsh JM, Wheat ME, Freund K. Detection, evaluation and treatment of eating disorders: the role of the primary care physician. J Gen Intern Med. 2000; 15 (8): 577-590 [PMC free article] [PubMed].
Currin L, Schmidt U, Waller G. Variables that influence diagnosis and treatment of the eating disorders within primary care settings: a vignette study. Int J Eat Disord. 2007; 40 (4): 257-262 [PubMed].
Lancet. 2003 Feb 1; 361(9355):407-16. (2003). Eating disorders. Available: https://www.ncbi.nlm.nih.gov/pubmed/12573387. Last accessed Jan 2017.
American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) Washington, DC: American Psychiatric Association; 2000.
Attia E, Roberto C. Should amenorrhea be a criterion for AN. Int J Eat Disord. 2009; 42 (7):581-589 [PubMed].
Perry L, Morgan J, Reid F, et al. Screening. for symptoms of eating disorders: reliability of the SCOFF screening tool with written compared to oral delivery. Int J Eat Disord. 2002; 32 (4):466-472 [PubMed].
Stice E, Telch C, Rizvi S. Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge eating disorder. Psychol Assess 2000; 12 (2): 123-131 [PubMed].
Garner DM, Olmstead MP, Polivy J. Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord. 1983; 2 (2): 15-34.
Spitzer RL, Yanovski SZ, Marcus MD. Questionnaire on Eating and Weight Patterns-Revised (QEWP-R) New York, NY: New York State Psychiatric Institute; 1993.
Eddy KT, Dorer DJ, Franko DL, Tahilani K, Thompson-Brenner H, Herzog DB. Diagnostic crossover in anorexia nervosa and bulimia nervosa: implications for DSM-V. Am J Psychiatry 2008; 165 (2):245-250 [PMC free article] [PubMed].
Strober M, Freeman R, Morrell W. The long-term course of severe anorexia nervosa in adolescents: survival analysis of recovery, relapse, and outcome predictors over 10-15 years in a prospective study. Int J Eat Disord. 1997; 22 (3):339-360 [PubMed].
Katzman DK. Medical complications in adolescents with anorexia nervosa: a review of the literature. Int J Eat Disord. 2005; 37 (suppl): S52-S59 [PubMed].
Sullivan PF. Mortality in anorexia nervosa. Am J Psychiatry 1995; 152 (7):1073-1074 [PubMed].
Herzog DB, Keller MB, Sacks NR, Yeh CJ, Lavori PW. Psychiatric comorbidity in treatment-seeking anorexics and bulimics. J Am Acad Child Adolesc Psychiatry 1992; 31 (5):810-818 [PubMed].
Fairburn CG, Harrison PJ. Eating disorders. Lancet 2003; 361 (9355):407-416 [PubMed].
Godart N, Berthoz S, Rein Z, et al. Does the frequency of anxiety and depressive disorders differ between diagnostic subtypes of anorexia nervosa and bulimia? Int J Eat Disord. 2006; 39 (8):772-778 [PubMed].
Lovibond, S. H; Lovibond, P. F. (1995). "Manual for the Depression Anxiety Stress Scales (2nd ed). Sydney: Psychology Foundation. (Available from The Psychology Foundation, Room 1005 Mathews Building, University of New South Wales, NSW 2052, Australia)
Charles Spielberger. (1999). State-Trait Anger Expression Inventory-2 (STAXI-2). Available: http://www.statisticssolutions.com/psychological-personality-state-trait-anger-expression-inventory-2-staxi-2/. Last accessed Jan 2017.
Matilda E Nowakowski, corresponding author 1 Traci Mc Farlane, 1, 2 and Stephanie Cassin 1. (2013). Alexithymia and eating disorders: a critical review of the literature. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081716/. Last accessed May-2017.
Casper RC. (1998). Depression and eating disorders. Available: https://www.ncbi.nlm.nih.gov/pubmed/9809221. Last accessed May-2017.
Hughes EK, Goldschmidt AB, Labuschagne Z, Loeb KL, Sawyer SM, Le Grange D. (2013). Eating disorders with and without comorbid depression and anxiety: similarities and differences in a clinical sample of children and adolescents. Available: https://www.ncbi.nlm.nih.gov/pubmed/23681932. Last accessed May-2017.