Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury.

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Tytuł:: Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury.
Autorzy:: Smith KE; Neuropsychiatric Research Institute, 120 South 8th St., Fargo, ND 58103 USA; University of North Dakota School of Medicine and Health Sciences, Department of Psychiatry and Behavioral Science, ND 58103 USA. Electronic address: .
Hayes NA; Northwestern University Feinberg School of Medicine, Department of Psychiatry & Behavioral Sciences, 710 N. Lake Shore Dr., Suite 1204, Chicago, IL 60611 USA.
Styer DM; AMITA Health Behavioral Medicine, 1650 Moon Lake Boulevard, Hoffman Estates, IL 60169 USA.
Washburn JJ; Northwestern University Feinberg School of Medicine, Department of Psychiatry & Behavioral Sciences, 710 N. Lake Shore Dr., Suite 1204, Chicago, IL 60611 USA; AMITA Health Behavioral Medicine, 1650 Moon Lake Boulevard, Hoffman Estates, IL 60169 USA.
Źródło:: Psychiatry research [Psychiatry Res] 2017 Nov; Vol. 257, pp. 519-525. Date of Electronic Publication: 2017 Aug 12.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Limerick : Elsevier/North-Holland Biomedical Press
Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press.
MeSH Terms:: Emotions*
Feeding and Eating Disorders/*psychology
Self-Injurious Behavior/*psychology
Adolescent ; Adult ; Aged ; Anorexia Nervosa/psychology ; Bulimia Nervosa/psychology ; Child ; Female ; Humans ; Male ; Middle Aged ; Young Adult
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Grant Information:: T32 MH082761 United States MH NIMH NIH HHS
Contributed Indexing:: Keywords: Eating disorders; Emotional reactivity; Nonsuicidal self-injury; Treatment outcome
Entry Date(s):: Date Created: 20170829 Date Completed: 20180502 Latest Revision: 20200306
Update Code:: 20240105
PubMed Central ID:: PMC5685801
DOI:: 10.1016/j.psychres.2017.08.014
PMID:: 28846988
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Emotional reactivity is theorized to contribute to both eating disorders (ED) and nonsuicidal self-injury (NSSI). Although EDs and NSSI frequently co-occur, no study has examined emotional reactivity in individuals with both conditions. This study examined the following hypotheses in a large clinical sample (N = 648): (1) patients with co-occurring ED and NSSI would report higher emotional reactivity and more severe clinical characteristics; (2) among those with EDs, patients with bulimia nervosa (BN) would be more likely to report NSSI and evidence higher emotional reactivity compared to those with anorexia nervosa (AN); and (3) higher emotional reactivity would be associated with worse treatment outcomes. Data were collected at admission and discharge from inpatient, partial hospitalization, and intensive outpatient treatment programs for EDs or NSSI. The NSSI-only and co-occurring groups reported significantly higher emotional reactivity than the ED-only group. Among those with EDs, individuals with BN reported higher emotional reactivity and were more likely to engage in NSSI compared to those with AN. Emotional reactivity was inconsistently related to treatment outcomes among the co-occurring and ED-only groups. In sum, results highlight the importance of emotional reactivity in clinical presentations, particularly when NSSI is present.
(Published by Elsevier B.V.)

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