Clinical factors influencing resilience in patients with anorexia nervosa

Chikako Kane,1 Masahito Tomotake,2 Sayo Hamatani,3 Shinichi Chiba,2 Naomi Kameoka,4 Shinya Watanabe,4 Masahito Nakataki,4 Shusuke Numata,4 Tetsuro Ohmori4 1Department of Nursing, Tokushima University Hospital, Tokushima-shi, Tokushima, Japan; 2Department of Mental Health, Institute of Biomedical Sc...

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Autores principales:	Kane C, Tomotake M, Hamatani S, Chiba S, Kameoka N, Watanabe S, Nakataki M, Numata S, Ohmori T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	anorexia nervosa resilience influencing factor negative self-image. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/78fca9b740fb46049602aa5b9cf6476a
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spelling	oai:doaj.org-article:78fca9b740fb46049602aa5b9cf6476a2021-12-02T04:50:20ZClinical factors influencing resilience in patients with anorexia nervosa1178-2021https://doaj.org/article/78fca9b740fb46049602aa5b9cf6476a2019-01-01T00:00:00Zhttps://www.dovepress.com/clinical-factors-influencing-resilience-in-patients-with-anorexia-nerv-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Chikako Kane,1 Masahito Tomotake,2 Sayo Hamatani,3 Shinichi Chiba,2 Naomi Kameoka,4 Shinya Watanabe,4 Masahito Nakataki,4 Shusuke Numata,4 Tetsuro Ohmori4 1Department of Nursing, Tokushima University Hospital, Tokushima-shi, Tokushima, Japan; 2Department of Mental Health, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima-shi, Tokushima, Japan; 3Research Center for Child Mental Development Chiba University, Chuouku, Chiba, Japan; 4Department of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima-shi, Tokushima, Japan Purpose: This study was to elucidate clinical factors influencing resilience in anorexia nervosa (AN) patients. Patients and methods: Twenty female patients with AN (median age =30.0 years, quartile deviation =6.8) and 40 female healthy controls (HCs) (median age =30.0 years, quartile deviation =8.6) participated in the present study. Resilience was assessed with the Connor–Davidson resilience scale (CD-RISC). Clinical symptoms were evaluated with the structured interview guide for the Hamilton depression rating scale (SIGH-D) and the eating disorder inventory-2 (EDI-2). Results: Scores of the CD-RISC in the AN group were lower than those in the HC group, and the SIGH-D score in the AN group was higher than that in the HC group. Scores of interoceptive confusion, interpersonal difficulty and negative self-image subscales of the EDI-2 negatively correlated with the CD-RISC score. Moreover, stepwise regression analysis showed that negative self-image score was an independent predictor of the CD-RISC score. Conclusion: These results suggest that among these clinical factors including psychopathologies, self-dissatisfaction and feeling of being rejected by others are the most important influencing factors on an AN patients’ resilience. Keywords: anorexia nervosa, resilience, influencing factor, negative self-imageKane CTomotake MHamatani SChiba SKameoka NWatanabe SNakataki MNumata SOhmori TDove Medical Pressarticleanorexia nervosaresilienceinfluencing factornegative self-image.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 391-395 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	anorexia nervosa resilience influencing factor negative self-image. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	anorexia nervosa resilience influencing factor negative self-image. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Kane C Tomotake M Hamatani S Chiba S Kameoka N Watanabe S Nakataki M Numata S Ohmori T Clinical factors influencing resilience in patients with anorexia nervosa
description	Chikako Kane,1 Masahito Tomotake,2 Sayo Hamatani,3 Shinichi Chiba,2 Naomi Kameoka,4 Shinya Watanabe,4 Masahito Nakataki,4 Shusuke Numata,4 Tetsuro Ohmori4 1Department of Nursing, Tokushima University Hospital, Tokushima-shi, Tokushima, Japan; 2Department of Mental Health, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima-shi, Tokushima, Japan; 3Research Center for Child Mental Development Chiba University, Chuouku, Chiba, Japan; 4Department of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima-shi, Tokushima, Japan Purpose: This study was to elucidate clinical factors influencing resilience in anorexia nervosa (AN) patients. Patients and methods: Twenty female patients with AN (median age =30.0 years, quartile deviation =6.8) and 40 female healthy controls (HCs) (median age =30.0 years, quartile deviation =8.6) participated in the present study. Resilience was assessed with the Connor–Davidson resilience scale (CD-RISC). Clinical symptoms were evaluated with the structured interview guide for the Hamilton depression rating scale (SIGH-D) and the eating disorder inventory-2 (EDI-2). Results: Scores of the CD-RISC in the AN group were lower than those in the HC group, and the SIGH-D score in the AN group was higher than that in the HC group. Scores of interoceptive confusion, interpersonal difficulty and negative self-image subscales of the EDI-2 negatively correlated with the CD-RISC score. Moreover, stepwise regression analysis showed that negative self-image score was an independent predictor of the CD-RISC score. Conclusion: These results suggest that among these clinical factors including psychopathologies, self-dissatisfaction and feeling of being rejected by others are the most important influencing factors on an AN patients’ resilience. Keywords: anorexia nervosa, resilience, influencing factor, negative self-image
format	article
author	Kane C Tomotake M Hamatani S Chiba S Kameoka N Watanabe S Nakataki M Numata S Ohmori T
author_facet	Kane C Tomotake M Hamatani S Chiba S Kameoka N Watanabe S Nakataki M Numata S Ohmori T
author_sort	Kane C
title	Clinical factors influencing resilience in patients with anorexia nervosa
title_short	Clinical factors influencing resilience in patients with anorexia nervosa
title_full	Clinical factors influencing resilience in patients with anorexia nervosa
title_fullStr	Clinical factors influencing resilience in patients with anorexia nervosa
title_full_unstemmed	Clinical factors influencing resilience in patients with anorexia nervosa
title_sort	clinical factors influencing resilience in patients with anorexia nervosa
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/78fca9b740fb46049602aa5b9cf6476a
work_keys_str_mv	AT kanec clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa AT tomotakem clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa AT hamatanis clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa AT chibas clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa AT kameokan clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa AT watanabes clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa AT nakatakim clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa AT numatas clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa AT ohmorit clinicalfactorsinfluencingresilienceinpatientswithanorexianervosa
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Clinical factors influencing resilience in patients with anorexia nervosa

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