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I disturbi alimentari in adolescenza: assessment, trattamenti evidence-based e dati relativi al funzionamento psicologico in un campione di adolescenti romani (Eating Disorders in adolescence: assessment, evidence based treatment and data regarding psychological functioning in a sample of roman adolescents)
Titolo Rivista:  QUADERNI DI PSICOTERAPIA COGNITIVA
Autori/Curatori: Gemma Battagliese, Caterina Lombardo
Anno di pubblicazione: 2016 Fascicolo: 39 Lingua: Italiano
Numero pagine: 27 P. 42-68 Dimensione file: 174 KB
DOI: 10.3280/QPC2016-039004
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più, clicca qui e qui


I disturbi alimentari rappresentano uno dei disturbi piu seri in adolescenza a causa del loro decorso cronico e delle gravi conseguenze mediche e psichiatriche ad essi associate. Tra i trattamenti evidence-based indicati per i disturbi alimentari troviamo il Family-Based Treatment, indicato come trattamento di prima scelta per l’anoressia, l’Adolescent-Focused Therapy e la CBT-E che permette di lavorare sugli aspetti del funzionamento psicologico che possono ostacolare il trattamento, quali perfezionismo, bassa autostima e difficolta interpersonali. Gli obiettivi del presente lavoro sono: fornire una panoramica sugli aspetti di diagnosi, valutazione, eziologia e trattamento dei disturbi alimentari in adolescenza e portare un contributo empirico circa la presenza di comportamenti alimentari disfunzionali in un campione di adolescenti italiani romani di eta compresa fra 14 e 19 anni. I risultati dello studio dimostrano che il 4% (6,4% femmine; 1% maschi) degli adolescenti esaminati riferisce sintomi di disturbi alimentari clinicamente rilevanti Relativamente alle caratteristiche psicologiche associate, gli adolescenti che riportano una maggiore intensita sintomatologica riportano anche una piu bassa autostima, maggiori problemi personali e interpersonali, una maggiore disregolazione emotiva, maggiore percezione di inadeguatezza, e disadattamento psicologico generale. Inoltre, nelle femmine una maggiore intensita dei sintomi si associa ad alti livelli di perfezionismo e ipercontrollo. E importante, quindi, che i clinici che si confrontano con questo spettro di disturbi in eta adolescenziale conducano un’adeguata valutazione, intervenendo con trattamenti basati sulle evidenze che tengano conto anche delle caratteristiche di funzionamento psicologico associate al disturbo.



Keywords: Anoressia nervosa, bulimia nervosa, Binge Eating Disorder, adolescenza, trattamenti evidence-based.


  1. Forsberg S., Lock J. (2016). Eating Disorders. In: Bope E.T., Kellerman N.D., editors, Conn’s Current Therapy. Philadelphia: Elsevier.
  2. Frank G.K.W. (2015). Recent advances in neuroimaging to model eating disorder neurobiology. Current Psychiatry Reports, 17(4): 559.
  3. APA (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th ed.), Amer Psychiatric Pub Incorporated. Bravender T., Bryant-Waugh R., Herzog D., Katzman D., Kreipe R.D., Lask B., Workgroup for Classification of Eating Disorders in Children and Adolescents. (2007). Classification of child and adolescent eating disturbances. Workgroup for Classification of Eating Disorders in Children and Adolescents (WCEDCA). The International Journal of Eating Disorders, 40, Suppl.: S117-22.
  4. Caslini, M., Bartoli F., Crocamo C., Dakanalis A., Clerici M., Carra G. (2016). Disentangling the Association Between Child Abuse and Eating Disorders: A Systematic Review and Meta-Analysis. Psychosomatic Medicine, 78(1): 79-90., DOI:10.1097/PSY.000000000000023
  5. Chen E.Y., Weissman J.A., Zeffiro T.A., Yiu A., Eneva K.T., Arlt J.M., Swantek M.J. (2016). Family-Based Therapy for Young Adults with Anorexia Nervosa Restores Weight. The International Journal of Eating Disorders, 49(7): 701-7.
  6. Cooper Z., Stewart A. (2008). CBT-E and the younger patient. In: Fairburn C.G., editor, Cognitive behavior therapy and eating disorders. New York: Guilford Press.
  7. Copeland W.E., Bulik C.M., Zucker N., Wolke D., Lereya S.T., Costello E.J. (2015). Does childhood bullying predict eating disorder symptoms? A prospective, longitudinal analysis. The International Journal of Eating Disorders, 48(8): 1141-9.
  8. Dalle Grave R., El Ghoch M., Sartirana M., Calugi S. (2016). Cognitive Behavioural Therapy for Anorexia Nervosa: An Update. Current Psychiatry Reports, 18(1): 1-8.
  9. Davis C. (2015). The epidemiology and genetics of binge eating disorder (BED). CNS Spectrums, 20(6): 522-9., DOI:10.1017/S109285291500046
  10. Degortes D., Zanetti T., Tenconi E., Santonastaso P., Favaro A. (2014). Childhood obsessive-compulsive traits in anorexia nervosa patients, their unaffected sisters and healthy controls: a retrospective study. European Eating Disorders Review: The Journal of the Eating Disorders Association, 22(4): 237-42.
  11. Dingemans A.E., van Furth E.F. (2015). EDNOS is an eating disorder of clinical relevance, on a par with anorexia and bulimia nervosa. Tijdschrift Voor Psychiatrie, 57(4): 258-64.
  12. Fairburn C.G., Harrison P.J. (2003). Eating disorders. Lancet, 361(9355): 407-16. doi.org/10.1016/S0140-6736(03)12378-1
  13. Federici A., Wisniewski L., Ben-Porath D. (2012). Description of an Intensive Dialectical Behavior Therapy Program for Multidiagnostic Clients With Eating Disorders. Journal of Counseling & Development, 90(3): 330-338.
  14. Goldstein M., Murray S.B., Griffiths S., Rayner K., Podkowka J., Bateman J.E., Thornton C.E. (2016). The effectiveness of Family-Based Treatment for full and partial adolescent anorexia nervosa in an independent private practice setting: Clinical outcomes. The International Journal of Eating Disorders.
  15. Herpertz-Dahlmann B. (2015). Adolescent eating disorders: update on definitions, symptomatology, epidemiology, and comorbidity. Child and Adolescent Psychiatric Clinics of North America, 24(1): 177-96.
  16. Herpertz-Dahlmann B., van Elburg A., Castro-Fornieles J., Schmidt U. (2015). ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa – A European perspective. European Child & Adolescent Psychiatry, 24(10): 1153-67.
  17. Hilbert A. (2013). Cognitive-behavioral therapy for binge eating disorder in adolescents: study protocol for a randomized controlled trial. Trials, 14: 312., DOI:10.1186/1745-6215-14-31
  18. Hilbert A., Pike K.M., Goldschmidt A.B., Wilfley D.E., Fairburn C.G., Dohm F.-A., Sysko R. (2014). Risk factors across the eating disorders. Psychiatry Research, 220(1-2): 500-6.
  19. Hoek H.W., van Elburg A.A. (2014). Feeding and eating disorders in the DSM-5. Tijdschrift Voor Psychiatrie, 56(3): 187-91.
  20. Hurst K., Zimmer-Gembeck M. (2015). Focus on perfectionism in female adolescent anorexia nervosa. The International Journal of Eating Disorders, 48(7): 936-41.
  21. Juarez L., Soto E., Pritchard M.E. (2012). Drive for muscularity and drive for thinness: the impact of pro-anorexia websites. Eating Disorders, 20(2): 99-112., DOI:10.1080/10640266.2012.65394
  22. Kesselmeier M., Putter C., Volckmar A.-L., Baurecht H., Grallert H., Illig T., GCAN and WTCCC3 (2016). High-throughput DNA methylation analysis in anorexia nervosa confirms TNXB hypermethylation. The World Journal of Biological Psychiatry: The Official Journal of the World Federation of Societies of Biological Psychiatry, 1-13., DOI:10.1080/15622975.2016.119003
  23. Lazarevic´ J., Batinic´ B., Vukosavljevic´-Gvozden T. (2016). Risk factors and the prevalence of anorexia nervosa among female students in Serbia. Vojnosanitetski Pregled, 73(1): 34-41.
  24. Lipsky R.K., McGuinness T.M. (2015). Binge Eating Disorder and Youth. Journal of Psychosocial Nursing and Mental Health Services, 53(8): 18-22., DOI:10.3928/02793695-20150720-0
  25. Lock J., La Via M.C., American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI), R., Saraf, M., Gull, W., Silverman, J., Group, F.B.N.C.S. (2015). Practice parameter for the assessment and treatment of children and adolescents with eating disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 54(5): 412-25.
  26. Lombardo C., Battagliese G., Lucidi F., Frost R.O. (2012). Body dissatisfaction among pre-adolescent girls is predicted by their involvement in aesthetic sports and by personal characteristics of their mothers. Eating and Weight Disorders: EWD, 17(2): e116-27.
  27. Machado P.P.P., Goncalves S., Hoek H.W. (2013). DSM-5 reduces the proportion of EDNOS cases: evidence from community samples. The International Journal of Eating Disorders, 46(1): 60-5.
  28. Micali N., Solmi F., Horton N.J., Crosby R.D., Eddy K.T., Calzo J.P., Bennett-Levy J. (2015). Adolescent Eating Disorders Predict Psychiatric, High-Risk Behaviors and Weight Outcomes in Young Adulthood. Journal of the American Academy of Child & Adolescent Psychiatry, 54(8): 652-659.e1.
  29. NICE (2004). Eating Disorders. Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. NICE Guidelines.
  30. Noetel M., Miskovic-Wheatley J., Crosby R.D., Hay P., Madden S., Touyz S. (2016). A clinical profile of compulsive exercise in adolescent inpatients with anorexia nervosa. Journal of Eating Disorders, 4: 1.
  31. Poppe I., Simons A., Glazemakers I., Van West D. (2015). Early-onset eating disorders: a review of the literature. Tijdschrift Voor Psychiatrie, 57(11): 805-14.
  32. Rancourt D., McCullough M.B. (2015). Overlap in Eating Disorders and Obesity in Adolescence. Current Diabetes Reports, 15(10): 78.
  33. Shih P.B., Woodside D.B., Adan R.A., Vink T., Ando T., Kodama N., Xiao Z. (2016). Contemporary views on the genetics of anorexia nervosa. European Neuropsychopharmacology: The Journal of the European College of Neuropsychopharmacology, 26(4): 663-73.
  34. Smink F.R.E., van Hoeken D., Hoek H.W. (2013). Epidemiology, course, and outcome of eating disorders. Current Opinion in Psychiatry, 26(6): 543-8.
  35. Smink F.R.E., van Hoeken D., Oldehinkel A.J., Hoek H.W. (2014). Prevalence and severity of DSM-5 eating disorders in a community cohort of adolescents. The International Journal of Eating Disorders, 47(6), 610-9.
  36. Steinglass J.E., Walsh B.T. (2016). Neurobiological model of the persistence of anorexia nervosa. Journal of Eating Disorders, 4: 19.
  37. Steinhausen H.-C., Jakobsen H., Helenius D., Munk-Jorgensen P., Strober M. (2015). A nation-wide study of the family aggregation and risk factors in anorexia nervosa over three generations. The International Journal of Eating Disorders, 48(1): 1-8.
  38. Thornton L.M., Mazzeo S.E., Bulik C.M. (2011). The heritability of eating disorders: methods and current findings. Current Topics in Behavioral Neurosciences, 6: 141-56., DOI:10.1007/7854_2010_9
  39. Tsappis M., Freizinger M., Forman S.F. (2016). Binge-eating disorder: emerging treatments for a new diagnosis. Current Opinion in Pediatrics, 28(4): 415-20., DOI:10.1097/MOP.000000000000036
  40. Westmoreland P., Krantz M.J., Mehler P.S., Sullivan P.F., Harris E.C., Barraclough B., Chagnac A. (2016). Medical Complications of Anorexia Nervosa and Bulimia. The American Journal of Medicine, 129(1): 30-37.
  41. Wyssen A., Coelho J.S., Wilhelm P., Zimmermann G., Munsch S. (2016). Thoughtshape fusion in young healthy females appears after vivid imagination of thin ideals. Journal of Behavior Therapy and Experimental Psychiatry, 52: 75-82.
Gemma Battagliese, Caterina Lombardo, I disturbi alimentari in adolescenza: assessment, trattamenti evidence-based e dati relativi al funzionamento psicologico in un campione di adolescenti romani in "QUADERNI DI PSICOTERAPIA COGNITIVA" 39/2016, pp. 42-68, DOI:10.3280/QPC2016-039004

     


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