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See detailPsychiatric disorders and personality styles in mothers of female adolescent patients with eating disorders
Rost, Silke UL; Kappel, Viola; Salbach, Harriet et al

in Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie (2016)

Objective: To provide further insight into the presently poorly understood role of familial psychopathology in the development of eating disorders (ED). Method: The present study assesses psychiatric and ... [more ▼]

Objective: To provide further insight into the presently poorly understood role of familial psychopathology in the development of eating disorders (ED). Method: The present study assesses psychiatric and personality disorders listed on Axis I and II of the DSM-IV in 27 mothers of adolescent patients with anorexia (AN mothers) and 14 bulimia nervosa (BN mothers) as well as 22 mentally healthy girls (CG mothers) on a categorical level. Furthermore, we conducted a dimensional diagnostic regarding personality styles and personality traits. Results: AN and BN mothers showed increased rates of Axis I disorders, especially affective, substance use, and anxiety disorders. Differences on Axis II did not reach statistical significance. However, BN mothers showed higher occurrences of paranoid, negativistic, and schizotypal personality styles compared to the other groups. BN mothers further showed higher occurrences than CG mothers of the personality traits excitability, aggressiveness, physical complaints, openness, and emotionality. AN mothers differed significantly from CG mothers on the scale demands. Conclusions: Increased occurrence of psychopathology on both categorical and dimensional levels in mothers of patients with AN and BN supports the assumption of a familial accumulation of psychopathology in ED. Longitudinal studies and genetic analyses should clarify a possible cause-effect relationship and interactions between familial dynamics and adolescent ED Objective: To provide further insight into the presently poorly understood role of familial psychopathology in the development of eating disorders (ED). Method: The present study assesses psychiatric and personality disorders listed on Axis I and II of the DSM-IV in 27 mothers of adolescent patients with anorexia (AN mothers) and 14 bulimia nervosa (BN mothers) as well as 22 mentally healthy girls (CG mothers) on a categorical level. Furthermore, we conducted a dimensional diagnostic regarding personality styles and personality traits. Results: AN and BN mothers showed increased rates of Axis I disorders, especially affective, substance use, and anxiety disorders. Differences on Axis II did not reach statistical significance. However, BN mothers showed higher occurrences of paranoid, negativistic, and schizotypal personality styles compared to the other groups. BN mothers further showed higher occurrences than CG mothers of the personality traits excitability, aggressiveness, physical complaints, openness, and emotionality. AN mothers differed significantly from CG mothers on the scale demands. Conclusions: Increased occurrence of psychopathology on both categorical and dimensional levels in mothers of patients with AN and BN supports the assumption of a familial accumulation of psychopathology in ED. Longitudinal studies and genetic analyses should clarify a possible cause-effect relationship and interactions between familial dynamics and adolescent ED. [less ▲]

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See detailEine Pilotstudie zur Spezifität der Körperbildstörung für Anorexia nervosa
Rost, Silke UL; Sarrar, Lea; Schneider, Nora et al

in Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie (2014), 43(1), 57-67

Objective: Body image disturbance (BID) is a central feature of anorexia nervosa (AN), but evidence for bodily-related disorders also exists for patients with cystic fibrosis (CF), who are frequently ... [more ▼]

Objective: Body image disturbance (BID) is a central feature of anorexia nervosa (AN), but evidence for bodily-related disorders also exists for patients with cystic fibrosis (CF), who are frequently underweight. A comparison of BID in patients with AN, CF and controls serves to clarify the specificity of BID for AN. Method: 22 patients with AN, 10 patients with CF, and 23 controls were tested with regard to perceptual and cognitive-affective components of BID. Further data concerning eating-disorder-related psychopathology were assessed. Results: BID occurred in all patients with AN. Patients with CF perceived themselves as thinner than the controls did, and three of them exhibited BID. Patients with AN and CF did not differ regarding body satisfaction, and only controls showed higher satisfaction than patients with CF. Patients with AN and CF differed on desire for thinness, dissatisfaction with their body, and interoceptive awareness, with higher scores occurring in patients with AN. Conclusions: Our pilot study reveals no severe psychopathology concerning body image in patients with CF. However, we did observe a general body dissatisfaction among these patients, probably associated with their being underweight. BID still seems to be a central diagnostic criterion for AN and should be carefully considered during therapeutic interventions. [less ▲]

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See detailMental disorders and personality characteristics in parents of patients with eating disorders
Rost, Silke UL; Kappel, Viola; Schneider, Nora et al

Poster (2013, May 25)

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See detailPsychische Auffälligkeiten bei Müttern von Patientinnen mit Essstörungen im Vergleich zu Müttern gesunder Mädchen
Rost, Silke UL; Sarrar, Lea; Kappel, Viola et al

Scientific Conference (2013, March 09)

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See detailSpezifität der Körperbildstörung für Anorexia nervosa
Rost, Silke UL; Jaite, Charlotte; Sarrar, Lea et al

Scientific Conference (2013, March 09)

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See detailPsychische Auffälligkeiten bei Müttern von Patientinnen mit Essstörungen im Vergleich zu Müttern gesunder Mädchen
Rost, Silke UL; Woldt, Lea; Jucksch, Viola et al

Scientific Conference (2010, November)

Einleitung: In den letzten Jahrzehnten wurde die Familienpsychopathologie als Risikofaktor zur Genese von Anorexia nervosa (AN) und Bulimia nervosa (BN) vor allem in US-amerikanischen Studien untersucht ... [more ▼]

Einleitung: In den letzten Jahrzehnten wurde die Familienpsychopathologie als Risikofaktor zur Genese von Anorexia nervosa (AN) und Bulimia nervosa (BN) vor allem in US-amerikanischen Studien untersucht. Aufgrund der mangelnden Datenlage im deutschsprachigen Raum, soll die vorliegende Arbeit, als Fortführung der Studie von Woldt et al. (2010), psychische Auffälligkeiten bei Müttern jugendlicher Patientinnen mit AN und BN mit denen bei Müttern einer gesunden Kontrollgruppe vergleichen. Methode: Zur Erfassung von Achse-I-Störungen wurde das diagnostische Expertensystem für psychische Störungen (CIDI-DIA-X; Wittchen & Pfister, 1997) und zur Erfassung von Achse-II-Störungen das Strukturierte Klinische Interview für DSM-IV Persönlichkeitsstörungen (SKID-II; Wittchen, Zaudig & Fydrich, 1997) eingesetzt. Der diesbezügliche Vergleich zwischen ersten Pilotdaten von acht Müttern gesunder Mädchen zwischen 12 und 17 Jahren (MAlter = 15,1 ; SD = 2,2) und zwei Zufallsstichproben von jeweils 8 Müttern jugendlicher Patientinnen mit AN und BN wurde mittels ?2-Test berechnet. Diskussion/Ergebnisse: Die vorliegenden Pilotdaten zeigen keine signifikanten Unterschiede in der Auftrittshäufigkeit von Achse-I- und Achse-II-Störungen zwischen den Müttern gesunder Mädchen (50 % & 0 %) und Müttern von Patientinnen mit AN (87,5 % & 25 %) und BN (75 % & 12,5 %) auf. Angestrebt ist die Erhebung weiterer Daten um hinreichende Aussagen bezüglich der Familienpsychopathologie essgestörter Mädchen in Deutschland treffen zu können. [less ▲]

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