Mood disorders
While major depression features prominently, depressive
symptoms may also result from severe malnutrition,
which almost certainly elevate these rates. Generally,
however, there is robust evidence for elevated rates of
major depression in all AN populations, irrespective of
whether these are clinic or community samples. Godart
et al. [72] found life-time prevalence rates ranging from
9.5% - 71.3%, with the variability in findings likely due to
methodological differences across studies. The overall
lifetime prevalence for eating disorders patients is estimated
at 40%. There is debate about the most common
sequencing of these comorbidities with some suggesting
that the mood disorder more often precedes the ED
(Cooper et al., 2002) and others highlighting past
problems of over-diagnosing depression when instead
symptoms may be secondary to malnutrition [57]. The
consensus is that the relationship is complex. Scores on
depression screening measures can be significantly elevated
by an ED [73] resulting in a need to set higher
cut-off scores in order to be meaningful. Vigilance for
mood symptoms should also be ongoing given that improvements
in AN can be experienced as depressogenic,
with some sufferers construing the relinquishing of
symptoms as a sign of losing control or giving in (to
treatment) [74].
Mood disordersWhile major depression features prominently, depressivesymptoms may also result from severe malnutrition,which almost certainly elevate these rates. Generally,however, there is robust evidence for elevated rates ofmajor depression in all AN populations, irrespective ofwhether these are clinic or community samples. Godartet al. [72] found life-time prevalence rates ranging from9.5% - 71.3%, with the variability in findings likely due tomethodological differences across studies. The overalllifetime prevalence for eating disorders patients is estimatedat 40%. There is debate about the most commonsequencing of these comorbidities with some suggestingthat the mood disorder more often precedes the ED(Cooper et al., 2002) and others highlighting pastproblems of over-diagnosing depression when insteadsymptoms may be secondary to malnutrition [57]. Theconsensus is that the relationship is complex. Scores ondepression screening measures can be significantly elevatedby an ED [73] resulting in a need to set highercut-off scores in order to be meaningful. Vigilance formood symptoms should also be ongoing given that improvementsin AN can be experienced as depressogenic,with some sufferers construing the relinquishing ofsymptoms as a sign of losing control or giving in (totreatment) [74].
การแปล กรุณารอสักครู่..