Izlaganje sa skupa
DYSPHORIA DIMENSIONAL MODEL FOR FEEDING AND EATING DISORDERS: A PRELIMINARY STUDY
Roberta Lanzi
; Division of Psychiatry, Department of Medicine, University of Perugia, Perugia, Italy
Massimo C. Bachetti
; Division of Psychiatry, Department of Medicine, University of Perugia, Perugia, Italy
Cecilia Giulietti
; Division of Psychiatry, Department of Medicine, University of Perugia, Perugia, Italy
Margherita Rosi Rosi
; School of Medicine, University of Perugia, Perugia Italy
Patrizia Moretti
; Division of Psychiatry, Department of Medicine, University of Perugia, Perugia, Italy
Alfonso Tortorella
; Division of Psychiatry, Department of Medicine, University of Perugia, Perugia, Italy
Sažetak
Background: Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED) are severe psychiatric illnesses
which represent the main expression of Feeding and Eating Disorders (FED). Clinicians agree that emotional and behavioural
dysregulation play a crucial role in FED. Dysphoria could help us to better understand these components. Indeed, we define
dysphoria as a generic state of dissatisfaction and emotional instability, without any specific features. Among the multitude of
symptoms, we find that irritability, discontent, interpersonal resentment and surrender prevail. These dimensions correspond to the
four subscales of Neapean Dysphoria Scale - Italian version (NDS-I). Dysphoria role in FED has not yet been investigated. Using
this test, we can characterize dysphoria both in quantitative and qualitative terms. Accordingly, domain evaluation could
discriminate these disorders allowing us to assess possible differential phenomenological expressions.
Aims: The aim of this paper is to understand in which way the dimensional spectrum that composes dysphoria differs between
Anorexia Nervosa, Bulimia Nervosa and Binge Eating Disorders through an observational comparative study.
Subjects and methods: The enrolled sample (30 patients) is represented by patients with a history of FED (AN, BN or BED).
Patients were males and females between the ages of 13 and 45 with a good knowledge of Italian language. Patients with severe
cognitive impairment (MMSE <19) and civil incapacitation were excluded. Patients were recruited from the Psychiatric Service of
the Santa Maria della Misericordia Hospital in Perugia (PG), and other residential and semi residential structures specialized in
FED treatment (FED specialized center at Palazzo Francisci in Todi (PG), Nido delle Rondini in Todi (PG), BED (Binge Eating
Disorders) center in Città della Pieve (PG) and ambulatory services for FED in Umbertide (PG)). We administered them the Neapen
Dysphoria Scale – Italian Version (NDS-I), a specific dimensional test for dysphoria. Starting from the dataset, with the aid of the
statistical program SPSS 20, we have carried out a comparison between disorders groups selected and NDS-I total score and
subscales (irritability, discontent, interpersonal resentment, surrender). For this we have used the Mann-Whitney U test, a
nonparametric test with 2 independent samples, by setting a significance level p<0.05.
Conclusions: This study allowed us to better understand and characterize the most common Eating Disorders. Beyond that,
despite the small sample size, we found in our analysis statistically significant difference in the expression of various dysphoria
dimension spectrum inside our 3 groups.
Ključne riječi
dysphoria; anorexia nervosa; bulimia nervosa; binge eating disorder; NDS-I
Hrčak ID:
264157
URI
Datum izdavanja:
4.9.2019.
Posjeta: 487 *