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The Relationship of Body Image With Symptoms of Depression and Anxiety in Patients With Anorexia Nervosa During Outpatient Psychotherapy: Results of the ANTOP Study

机译:门诊心理疗法中神经性厌食症患者的身体影像与抑郁和焦虑症状的关系:ANTOP研究结果

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Body image disturbance represents a central characteristic of anorexia nervosa (AN). Depression and anxiety are the most common mental comorbidities in patients with AN. This study aims to investigate the relationship of body image with symptoms of depression and anxiety during outpatient psychotherapy in AN. Analyses were conducted using the data set of the Anorexia Nervosa Treatment Outpatient Study (ANTOP) randomized controlled trial. The ANTOP study included N = 242 females with AN between 18 and 56 years of age. The trial was designed to compare enhanced cognitive behavioral therapy (CBT-E) and focal psychodynamic therapy (FPT) with optimized treatment as usual (TAU-O) for patients with AN. The analyses on body image dimensions were conducted using measures of correlations and multiple linear regression analyses to assess the relationship and longitudinal prediction of symptoms of depression and anxiety by body image dimensions. Results showed that body image perceptions were significantly associated with symptoms of depression and anxiety in patients with AN at all treatment stages. In addition, body image dimensions at early treatment stages predict depression and anxiety in follow-up measurements. The correlation of symptoms of depression and anxiety by body image perceptions increased along treatment course. The persistence of body image disturbance, while body mass index increases under treatment (persistency effect), may constitute a relevant factor contributing to the course of the most common affective comorbidities of depression and anxiety in patients with AN. Body image disturbances in patients with AN should therefore be explicitly targeted within the specialized psychotherapy of affected patients.
机译:身体图像障碍代表神经性厌食症(AN)的主要特征。抑郁和焦虑症是AN患者最常见的精神合并症。这项研究的目的是调查在门诊患者进行心理治疗期间,身体图像与抑郁和焦虑症状之间的关系。使用神经性厌食症治疗门诊研究(ANTOP)随机对照试验的数据集进行分析。 ANTOP研究纳入了N = 242名女性,其AN在18至56岁之间。该试验旨在对AN患者的增强认知行为疗法(CBT-E)和局灶性心理动力疗法(FPT)与常规优化治疗(TAU-O)进行比较。使用相关性度量和多元线性回归分析对人体图像尺寸进行分析,以评估人体图像尺寸对抑郁和焦虑症状的关系和纵向预测。结果表明,在所有治疗阶段,AN患者的身体图像知觉与抑郁和焦虑症状显着相关。此外,早期治疗阶段的人体图像尺寸可预测后续测量中的抑郁和焦虑。抑郁症状和焦虑症状之间的相关性随身体图像感知而增加,随着治疗过程的进行而增加。身体影像障碍的持续存在,而在治疗过程中体重指数增加(持续作用),则可能是导致AN患者最常见的抑郁症和焦虑症情感合并症病程的相关因素。因此,应在受影响患者的专门心理治疗中明确针对AN患者的身体图像障碍。

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