Relationship between malnutrition and depression or anxiety in Anorexia Nervosa: A critical review of the literature

JOURNAL OF AFFECTIVE DISORDERS

卷:132

Review

Mattar, Lama^1,2,3,4  Huas, Caroline^1,2,3  Duclos, Jeanne^1,2,3,4  Apfel, Alexandre^4,5  Godart, Nathalie⁴ 

[1] INSERM, U669, F-75014 Paris, France

[2] Univ Paris 11, Paris, France

[3] Univ Paris 05, UMR S0669, Paris, France

[4] Inst Mutualiste Montsouris, Psychiat Unit, F-75014 Paris, France

[5] Bucknell Univ, Dept Psychol, Lewisburg, PA 17837 USA

关键词: Anorexia Nervosa;    Depression;    Anxiety;    Malnutrition;    Obsessive-compulsive disorder;   

DOI  :  10.1016/j.jad.2010.09.014

来源: Elsevier

【 摘 要 】

Background: Depression, anxiety and obsessive-compulsive disorder (OCD) frequently co-occur with Anorexia Nervosa (AN). Clinical consensus admits that depressive symptoms and anxiety are the sequelae of malnutrition in AN. This review presents a critical assessment of the literature that looked into the link between depression/anxiety symptoms in relation to malnutrition and their improvement throughout the treatment. Methods: We performed a systematic search of literature in Medline and Psychlnfo for all the studies done to investigate psychological factors in relation to malnutrition in AN using the keywords Anorexia Nervosa, depression, anxiety, obsessive-compulsive disorder and malnutrition. Only articles published between 1980 and 2010 in English or French were reviewed. From the articles on AN and depression, anxiety, and/or OCD, only the ones which investigated on the relation with malnutrition were kept. This search was complemented by a manual search. We also checked the reference lists of the articles we found. Results: Seven papers were analyzed and critically reviewed for their methods and results. Results are contradictory and inconsistent at all levels of assessment. Conclusions: Evidence based data is very rare. From the 7 reviewed studies, none of them draw the same conclusion. This is mainly due to the large differences in the samples' populations and the studies' protocols. Future studies are needed to focus on the relationship between depression/anxiety symptoms and malnutrition. A more critical nutritional assessment should be undertaken with multiple psychological assessment scales. (C) 2010 Elsevier B.V. All rights reserved.

【 授权许可】

Free