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Clinical evaluation of autistic symptoms in women with anorexia nervosa / H. WESTWOOD in Molecular Autism, 8 (2017)
[article]
Titre : Clinical evaluation of autistic symptoms in women with anorexia nervosa Type de document : Texte imprimé et/ou numérique Auteurs : H. WESTWOOD, Auteur ; W. MANDY, Auteur ; K. TCHANTURIA, Auteur Article en page(s) : 12p. Langues : Anglais (eng) Mots-clés : Adult Affective Symptoms/epidemiology Anorexia Nervosa/*complications/*psychology Autism Spectrum Disorder/*diagnosis Cross-Sectional Studies Female Humans Middle Aged Obsessive-Compulsive Disorder/epidemiology Psychiatric Status Rating Scales Self Report Young Adult *Ados-2 *Anorexia nervosa *Autism spectrum disorder *Eating disorder *Female autism Index. décimale : PER Périodiques Résumé : BACKGROUND: Despite a suggested link between anorexia nervosa (AN) and autism spectrum disorder (ASD), previous studies have used self-report or diagnostic criteria to assess for ASD in AN populations, rather than direct observation of symptom characteristic of ASD. The aim of this study was to use a standardised, clinical assessment of ASD, the Autism Diagnostic Observation Schedule, 2nd Edition (ADOS-2), to investigate the presence of autistic symptoms in a cross-sectional sample of women with AN. METHODS: Sixty women were recruited from inpatient or day-patient specialist eating disorder services. Each participant underwent the ADOS-2 assessment and completed a set of self-report questionnaires assessing eating disorder pathology and other psychiatric symptoms. IQ was also assessed. RESULTS: Fourteen women (23.3%) scored above clinical cutoff for ASD on the ADOS-2. Only eight of these women displayed repetitive or restrictive behaviours, while all 14 had difficulties with social affect. Elevated ASD symptoms were associated with increased alexithymia and obsessive-compulsive symptoms, but not specific eating disorder pathology. CONCLUSIONS: ASD symptoms are over-represented in women with severe AN and appear to be associated with other psychiatric symptoms, which warrant further investigation and consideration in treatment. En ligne : http://dx.doi.org/10.1186/s13229-017-0128-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=331
in Molecular Autism > 8 (2017) . - 12p.[article] Clinical evaluation of autistic symptoms in women with anorexia nervosa [Texte imprimé et/ou numérique] / H. WESTWOOD, Auteur ; W. MANDY, Auteur ; K. TCHANTURIA, Auteur . - 12p.
Langues : Anglais (eng)
in Molecular Autism > 8 (2017) . - 12p.
Mots-clés : Adult Affective Symptoms/epidemiology Anorexia Nervosa/*complications/*psychology Autism Spectrum Disorder/*diagnosis Cross-Sectional Studies Female Humans Middle Aged Obsessive-Compulsive Disorder/epidemiology Psychiatric Status Rating Scales Self Report Young Adult *Ados-2 *Anorexia nervosa *Autism spectrum disorder *Eating disorder *Female autism Index. décimale : PER Périodiques Résumé : BACKGROUND: Despite a suggested link between anorexia nervosa (AN) and autism spectrum disorder (ASD), previous studies have used self-report or diagnostic criteria to assess for ASD in AN populations, rather than direct observation of symptom characteristic of ASD. The aim of this study was to use a standardised, clinical assessment of ASD, the Autism Diagnostic Observation Schedule, 2nd Edition (ADOS-2), to investigate the presence of autistic symptoms in a cross-sectional sample of women with AN. METHODS: Sixty women were recruited from inpatient or day-patient specialist eating disorder services. Each participant underwent the ADOS-2 assessment and completed a set of self-report questionnaires assessing eating disorder pathology and other psychiatric symptoms. IQ was also assessed. RESULTS: Fourteen women (23.3%) scored above clinical cutoff for ASD on the ADOS-2. Only eight of these women displayed repetitive or restrictive behaviours, while all 14 had difficulties with social affect. Elevated ASD symptoms were associated with increased alexithymia and obsessive-compulsive symptoms, but not specific eating disorder pathology. CONCLUSIONS: ASD symptoms are over-represented in women with severe AN and appear to be associated with other psychiatric symptoms, which warrant further investigation and consideration in treatment. En ligne : http://dx.doi.org/10.1186/s13229-017-0128-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=331 Alexithymia in individuals maltreated as children and adolescents: a meta-analysis / Anika N. KHAN in Journal of Child Psychology and Psychiatry, 63-9 (September 2022)
[article]
Titre : Alexithymia in individuals maltreated as children and adolescents: a meta-analysis Type de document : Texte imprimé et/ou numérique Auteurs : Anika N. KHAN, Auteur ; Sara R. JAFFEE, Auteur Article en page(s) : p.963-972 Langues : Anglais (eng) Mots-clés : Adolescent Adult Affective Symptoms/epidemiology Child Child Abuse/psychology Emotions Female Humans Mental Disorders Psychopathology Childhood maltreatment abuse alexithymia meta-analysis neglect Index. décimale : PER Périodiques Résumé : BACKGROUND: Children who are maltreated show deficits in emotion recognition, expression, and understanding. The goal of the current meta-analysis was to determine the degree to which maltreatment is associated with deficits in the ability to recognize one's own emotions - a phenomenon known as alexithymia. Alexithymia may be a mechanism explaining the association between childhood maltreatment and various psychological disorders. METHODS: This meta-analytic review (88 studies, n=43,076) examined the association between the experience of childhood maltreatment and alexithymia, mainly in adulthood. Additional meta-analyses were run to examine if the strength of the association between maltreatment as a child and alexithymia varied as a function of the type of maltreatment individuals reported and other moderators. RESULTS: We found significant small effect sizes for all models, indicating higher levels of maltreatment in childhood or adolescence were associated with higher levels of alexithymia. Alexithymia was more strongly associated with forms of neglect than with physical or sexual abuse. The effect sizes also increased as the percentages of females in the sample increased. CONCLUSIONS: Results suggest that researchers should examine whether alexithymia is a transdiagnostic mechanism in the association between childhood maltreatment and psychopathology and whether targeting alexithymia in treatment could reduce a wide range of symptoms. En ligne : http://dx.doi.org/10.1111/jcpp.13616 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486
in Journal of Child Psychology and Psychiatry > 63-9 (September 2022) . - p.963-972[article] Alexithymia in individuals maltreated as children and adolescents: a meta-analysis [Texte imprimé et/ou numérique] / Anika N. KHAN, Auteur ; Sara R. JAFFEE, Auteur . - p.963-972.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 63-9 (September 2022) . - p.963-972
Mots-clés : Adolescent Adult Affective Symptoms/epidemiology Child Child Abuse/psychology Emotions Female Humans Mental Disorders Psychopathology Childhood maltreatment abuse alexithymia meta-analysis neglect Index. décimale : PER Périodiques Résumé : BACKGROUND: Children who are maltreated show deficits in emotion recognition, expression, and understanding. The goal of the current meta-analysis was to determine the degree to which maltreatment is associated with deficits in the ability to recognize one's own emotions - a phenomenon known as alexithymia. Alexithymia may be a mechanism explaining the association between childhood maltreatment and various psychological disorders. METHODS: This meta-analytic review (88 studies, n=43,076) examined the association between the experience of childhood maltreatment and alexithymia, mainly in adulthood. Additional meta-analyses were run to examine if the strength of the association between maltreatment as a child and alexithymia varied as a function of the type of maltreatment individuals reported and other moderators. RESULTS: We found significant small effect sizes for all models, indicating higher levels of maltreatment in childhood or adolescence were associated with higher levels of alexithymia. Alexithymia was more strongly associated with forms of neglect than with physical or sexual abuse. The effect sizes also increased as the percentages of females in the sample increased. CONCLUSIONS: Results suggest that researchers should examine whether alexithymia is a transdiagnostic mechanism in the association between childhood maltreatment and psychopathology and whether targeting alexithymia in treatment could reduce a wide range of symptoms. En ligne : http://dx.doi.org/10.1111/jcpp.13616 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486