General psychopathology in anorexia nervosa: the role of psychosocial factors

Clin Psychol Psychother. 2010 Nov-Dec;17(6):519-27. doi: 10.1002/cpp.701.

Abstract

The aim of the present study was to investigate psychosocial correlates of comorbid psychopathology. Data were collected from a total of 90 female inpatients with anorexia nervosa (AN). Higher levels of general psychopathology were detected in depression, interpersonal sensitivity, obsessive-compulsive and anxiety subscales of the Symptom Checklist (SCL)-90. Regression analysis also revealed that higher levels of psychopathology across SCL-90 subscales in AN patients are significantly associated with an earlier age of onset of the condition, higher levels of anorectic psychopathology as measured by Eating Disorders Examination, lower self-esteem as measured by Multidimensional Self-Esteem Inventory and social support levels as measured by Quality of Social Network and Social Support Questionnaire. Considering the high levels of general psychopathology in people with AN, routine clinical practice should aim for a comprehensive assessment of such. Given the strong association between psychosocial factors such as self-esteem, social support and general psychopathology, psychological therapies could play an important role in facilitating emotional recovery.

MeSH terms

  • Adolescent
  • Adult
  • Anorexia Nervosa / diagnosis
  • Anorexia Nervosa / psychology*
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology
  • Child
  • Child Abuse, Sexual / psychology
  • Comorbidity
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology
  • Female
  • Humans
  • Interpersonal Relations
  • Obsessive-Compulsive Disorder / diagnosis
  • Obsessive-Compulsive Disorder / psychology
  • Personality Inventory / statistics & numerical data
  • Psychometrics
  • Psychopathology
  • Self Concept
  • Social Environment
  • Social Support
  • Young Adult