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Late Onset Eating Disorders in Spain: Clinical Characteristics and Therapeutic Implications

Bueno, B. ; Krug, I. ; Bulik, C.M. ; Jiménez-Murcia, S. ; Granero, R. ; Thornton, L. ; Penelo, E. ; Menchón, J.M. ; Sánchez, I. ; Tinahones, F.J. ; Fernández-Aranda, F.

Journal of clinical psychology, 2014-01, Vol.70 (1), p.1-17 [Periódico revisado por pares]

United States: Blackwell Publishing Ltd

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  • Título:
    Late Onset Eating Disorders in Spain: Clinical Characteristics and Therapeutic Implications
  • Autor: Bueno, B. ; Krug, I. ; Bulik, C.M. ; Jiménez-Murcia, S. ; Granero, R. ; Thornton, L. ; Penelo, E. ; Menchón, J.M. ; Sánchez, I. ; Tinahones, F.J. ; Fernández-Aranda, F.
  • Assuntos: Adult ; Age ; Age Factors ; Age of Onset ; anorexia nervosa ; bulimia nervosa ; Comorbidity ; Comparative studies ; Eating disorders ; EDNOS ; Feeding and Eating Disorders - classification ; Feeding and Eating Disorders - epidemiology ; Feeding and Eating Disorders - physiopathology ; Female ; Humans ; Medicin och hälsovetenskap ; Middle Aged ; obesity ; Obesity - epidemiology ; personality ; Personality - physiology ; Personality Inventory ; Personality traits ; Psychiatric Status Rating Scales ; psychopathology ; Severity of Illness Index ; Spain - epidemiology ; Women ; Young Adult
  • É parte de: Journal of clinical psychology, 2014-01, Vol.70 (1), p.1-17
  • Notas: AGAUR - No. 2009SGR1554
    European Commission under the Seventh Framework Programme - No. FP7-ICT-215839-2007- Playmancer project
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn)
    ArticleID:JCLP22006
    Fondo de Investigación Sanitaria -FIS - No. PI11/210
    ark:/67375/WNG-HS4JV09B-0
    CIBER Salud Mental (CIBERsam)
    istex:796B8F64AD19CBF46535795C210E37685F32A334
    Financial support was received from Fondo de Investigación Sanitaria ‐FIS (PI11/210) and AGAUR (2009SGR1554). It was also partially supported by the European Commission under the Seventh Framework Programme (FP7‐ICT‐215839‐2007‐ Playmancer project). CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) and CIBER Salud Mental (CIBERsam), are an initiative of ISCIII. Dr. Krug was supported by a Marie‐Curie Intra European Fellowship within the 7th European Community Framework Programme, as N° 254774 (call reference: FP7‐PEOPLE‐2009‐IEF).
    indicates shared first authorship
    ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Objective The literature on later age of onset (LAO) in women with eating disorders is scarce. We compared the severity of eating disorders, eating disorder subtype, and personality profiles in a clinical sample of consecutively assessed women with eating disorders with later age of onset (LAO, > = 25 years) to women with typical age of onset (TAO, <25 years). Method All eating disorder patients met the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM‐IV) criteria and were admitted to the Eating Disorder Unit of the University Hospital of Bellvitge in Barcelona, Spain. Ninety‐six patients were classified as LAO and 759 as TAO. Assessment Measures included the Eating Attitude Test‐40 (EAT‐40), Eating Disorders Inventory‐2 (EDI‐2), Bulimic Investigatory Test Edinburgh (BITE), Symptom Checklist Revised (SCL‐90‐R), and the Temperament and Character Inventory‐Revised (TCI‐R), as well as other clinical and psychopathological indices. Results LAO individuals reported significantly fewer weekly vomiting episodes, fewer self‐harming behaviours, less drug abuse, and lower scores on the BITE symptoms, the EDI‐2 drive for thinness, and the TCI‐R harm avoidance scales than TAO individuals. Conversely, the LAO group reported more current and premorbid obesity than the TAO group. Conclusion LAO eating disorder patients in this sample presented with milder symptomatology and less extreme personality traits. Premorbid obesity may be more relevant to LAO than TAO eating disorders and should be routinely assessed and considered when planning treatment.
  • Editor: United States: Blackwell Publishing Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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