Laureline Carpine1, Isabelle Charvin1, David Da Fonseca1,2, Flora Bat-Pitault3,4. 1. Child and Adolescent Psychopathology Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, 249 Boulevard Sainte‑Marguerite, 13009, Marseille, France. 2. Institute of Neuroscience Timone, CNRS, Aix-Marseille University, Marseille, France. 3. Child and Adolescent Psychopathology Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, 249 Boulevard Sainte‑Marguerite, 13009, Marseille, France. flora.bat@ap-hm.fr. 4. Institute of Neuroscience Timone, CNRS, Aix-Marseille University, Marseille, France. flora.bat@ap-hm.fr.
Abstract
PURPOSE: Problematic physical activity (PPA) is a symptom commonly present in patients suffering from anorexia nervosa (AN). This study aims to refine the clinical description of children with early-onset AN and adolescents with standard-onset AN and associated PPA, in order to better understand their associated features, and to offer them adapted care and physical activity programs. METHODS: 107 participants treated at the Salvator University Hospital Centre of Marseille for AN were retrospectively evaluated by the Exercise Dependence Scale Revised concerning PPA. Other self-report questionnaires were used to evaluate eating disorder, anxiety and depressive symptoms, quality of life, emotions, sleep, and attention deficit disorder with or without hyperactivity. RESULTS: In the entire sample, the presence of PPA was associated with significantly higher levels of eating disorder (EDI-2: p = 0.001) and body image concerns (p = 0.002), anxiety (STAI-Y-trait: p = 0.013) and depression (p = 0.006), as well as significantly lower psychological well-being (p < 0.001) and quality of life (p < 0.001) and impaired sleep (PSQI: p = 0.008). The early-onset group showed a lower prevalence of PPA than the standard-onset group (p < 0.05) but their clinical symptomatology, when this symptom was present, was significantly more severe (EDI-2: p < 0.01; BSQ: p < 0.05; CDI: p < 0.05; STAI-Y-trait: p < 0.05). CONCLUSION: PPA appears to be associated with more severe features in patients with early-onset AN, which seems to differ from standard-onset. It seems necessary to refine our knowledge on the involvement of PPA in the severity of AN, especially in patients with early-onset AN who remain little studied so far. LEVEL OF EVIDENCE: Level V, descriptive study (evaluation data retrospectively studied).
PURPOSE: Problematic physical activity (PPA) is a symptom commonly present in patients suffering from anorexia nervosa (AN). This study aims to refine the clinical description of children with early-onset AN and adolescents with standard-onset AN and associated PPA, in order to better understand their associated features, and to offer them adapted care and physical activity programs. METHODS: 107 participants treated at the Salvator University Hospital Centre of Marseille for AN were retrospectively evaluated by the Exercise Dependence Scale Revised concerning PPA. Other self-report questionnaires were used to evaluate eating disorder, anxiety and depressive symptoms, quality of life, emotions, sleep, and attention deficit disorder with or without hyperactivity. RESULTS: In the entire sample, the presence of PPA was associated with significantly higher levels of eating disorder (EDI-2: p = 0.001) and body image concerns (p = 0.002), anxiety (STAI-Y-trait: p = 0.013) and depression (p = 0.006), as well as significantly lower psychological well-being (p < 0.001) and quality of life (p < 0.001) and impaired sleep (PSQI: p = 0.008). The early-onset group showed a lower prevalence of PPA than the standard-onset group (p < 0.05) but their clinical symptomatology, when this symptom was present, was significantly more severe (EDI-2: p < 0.01; BSQ: p < 0.05; CDI: p < 0.05; STAI-Y-trait: p < 0.05). CONCLUSION: PPA appears to be associated with more severe features in patients with early-onset AN, which seems to differ from standard-onset. It seems necessary to refine our knowledge on the involvement of PPA in the severity of AN, especially in patients with early-onset AN who remain little studied so far. LEVEL OF EVIDENCE: Level V, descriptive study (evaluation data retrospectively studied).
Authors: Hemal Shroff; Lauren Reba; Laura M Thornton; Federica Tozzi; Kelly L Klump; Wade H Berrettini; Harry Brandt; Steven Crawford; Scott Crow; Manfred M Fichter; David Goldman; Katherine A Halmi; Craig Johnson; Allan S Kaplan; Pamela Keel; Maria LaVia; James Mitchell; Alessandro Rotondo; Michael Strober; Janet Treasure; D Blake Woodside; Walter H Kaye; Cynthia M Bulik Journal: Int J Eat Disord Date: 2006-09 Impact factor: 4.861
Authors: C Davis; D K Katzman; S Kaptein; C Kirsh; H Brewer; K Kalmbach; M P Olmsted; D B Woodside; A S Kaplan Journal: Compr Psychiatry Date: 1997 Nov-Dec Impact factor: 3.735
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