Analisi delle differenze dei tratti psicologici chiave dei disturbi della nutrizione e dell’alimentazione: differenze tra campioni clinici

Journal title PSICOLOGIA DELLA SALUTE
Author/s Andrea Tagliagambe, Anna Scuderi, Lorenzo Montecchiani, Alice Bordini, Chiara Ribolla, Laura Dalla Ragione
Publishing Year 2023 Issue 2023/1
Language Italian Pages 17 P. 122-138 File size 256 KB
DOI 10.3280/PDS2023-001012
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Feeding and eating disorders (FEDs) are multi-structural and multi-factorial disorders with a medical, psychological and psychiatric features. In this study we are going to consider a sample composed by a group of individuals diagnosed with AN, a group with a diagnosis of BED and a control group, in order to evaluate the extent of the difference in the main psycho-logical traits related to FEDs. Indeed, despite the groups of patients examined appear to be in contrast in their eating habits (food restriction vs. overeating), numerous psychological aspects and characteristics seem to unite these two FEDs. The Socio-Demographic Schedule and the Eating Disorder Inventory-3 (EDI-3) were administered to 108 subjects aged 18 to 70, whose 16 (14.8%) were male and 92 (85.2%) female. In particular, the sample with AN (N = 35) was composed by individuals aged 18 to 33 years. The sample with BED (N = 33) was com-posed by individuals aged 18 to 70 years. Finally, the control group (N = 40) was composed by individuals aged 22 to 70 years. Although this study confirms the presence of differences between the groups of patients with FEDs, it also shows how ‒ compared to the control group ‒ patients with AN and patients with BED share strong similarities in the psychological traits investigated, such as: risk of developing FED (EDRC), Ineffectiveness Composite (IC), Inter-personal Problems Composite (IPC), Affective Problems Composite (APC), Overcontrol Composite (OC).

Keywords: feeding and eating disorders, binge eating disorder, anorexia nervosa, clinical psy-chology.

  1. Agüera Z., Lozano-Madrid M., Mallorquí-Bagué N., Jiménez-Murcia S., Menchón J.M. and Fernández-Aranda F. (2021). A review of binge eating disorder and obesity. Neuropsychiatrie, 35(2): 57-67.
  2. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  3. Armstrong J.G. and Roth D.M. (1989). Attachment and separation difficulties in eating disorders: A preliminary investigation. International Journal of Eating Disorders, 8(2): 141-155.
  4. Balottin L., Mannarini S., Mensi M.M., Chiappedi M. and Balottin U. (2018). Are family relations connected to the quality of the outcome in adolescent anorexia nervosa? An observational study with the Lausanne Trilogue Play [Observational Study]. Clin Psychol Psychother, 25(6): 785-796.
  5. Balottin L., Nacinovich R., Bomba M. and Mannarini S. (2014). Alexithymia in parents and adolescent anorexic daughters: comparing the responses to TSIA and TAS-20 scales. Neuropsychiatr Dis Treat, 10: 1941-1951. DOI: 10.2147/NDT.S67642
  6. Barbaranelli C. (2007). Analisi dei dati. Tecniche multivariate per la ricerca psicologica e sociale. Milano: LED Edizioni Universitarie.
  7. Bates D., Maechler M., Bolker B. and Walker S. (2015). Fitting Linear Mixed-Effects Models Using lme4. Journal of Statistical Software, 67(1): 1-48.
  8. Batista M., Žigić Antić L., Žaja O., Jakovina T. and Begovac I. (2018). Predictors of Eating Disorder Risk in Anorexia Nervosa Adolescents. Acta Clinica Croatica, 57(3): 399-410.
  9. Brewerton T.D. (2017). Food addiction as a proxy for eating disorder and obesity severity, trauma history, PTSD symptoms, and comorbidity. Eat Weight Disord, 22(2): 241-247.
  10. Broberg A.G., Hjalmers I. and Nevonen L. (2001). Eating disorders, attachment and interpersonal difficulties: a comparison between 18- to 24-year-old patients and normal controls. European Eating Disorders Review, 9(6): 381-396.
  11. Brown T.A., Avery J.C., Jones M.D., Anderson L.K., Wierenga C.E. and Kaye W.H. (2018). The Impact of Alexithymia on Emotion Dysregulation in Anorexia Nervosa and Bulimia Nervosa over Time. European Eating Disorders Review, 26(2): 150-155.
  12. Chesney E., Goodwin G.M. and Fazel S. (2014). Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry, 13(2): 153-160.
  13. Clausen L., Rosenvinge J.H., Friborg O. and Rokkedal K. (2011). Validating the Eating Disorder Inventory-3 (EDI-3): A Comparison Between 561 Female Eating Disorders Patients and 878 Females from the General Population. Journal of Psychopathology and Behavioral Assessment, 33(1): 101-110.
  14. Cohen J. (1988). Statistical power analysis for the behavioral sciences. London: Lawrence Erlbaum Associates.
  15. Consoli S., Rossi A., Thompson L.Y., Volpi C., Mannarini S., Castelnuovo G. e Molinari E. (2020). Assessing Psychometric Properties of the Italian Version of the Heartland Forgiveness Scale. Front Psychol, 11, 596501.
  16. de Zwaan M., Bach M., Mitchell J.E., Ackard D., Specker S.M., Pyle R.L. and Pakesch G. (1995). Alexithymia, obesity, and binge eating disorder. International Journal of Eating Disorders, 17(2): 135-140.
  17. Dingemans A.E., Bruna M.J. and van Furth E.F. (2002). Binge eating disorder: a review. International Journal of Obesity, 26(3): 299-307.
  18. Eichen D.M., Chen E., Boutelle K.N. and McCloskey M.S. (2017). Behavioral evidence of emotion dysregulation in binge eaters. Appetite, 111: 1-6.
  19. Fairburn C.G. and Beglin S.J. (2008). Eating disorder examination questionnaire (EDE-Q 6.0). In Cognitive Behavior Therapy and Eating Disorders (pp. 309-313). Guilford Press.
  20. Fairburn C.G., Cooper Z. and Shafran R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behav Res Ther, 41(5): 509-528.
  21. Faul F., Erdfelder E., Buchner A. and Lang A.G. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods, 41(4): 1149-1160. DOI: 10.3758/BRM.41.4.1149
  22. Faul F., Erdfelder E., Lang A.G. and Buchner A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods, 39(2): 175-191.
  23. Field A.P., Miles J. and Field Z. (2012). Discovering statistics using R. London: Sage Publications Ltd.
  24. Galmiche M., Déchelotte P., Lambert G. and Tavolacci M.P. (2019). Prevalence of eating disorders over the 2000-2018 period: a systematic literature review. Am J Clin Nutr, 109(5): 1402-1413.
  25. Garner D.M. (2004). Eating Disorder Inventory-3. Professional manual. Odessa: Psychological Assessment Resources.
  26. Gatta M., Balottin L., Mannarini S., Chesani G., Del Col L., Spoto A. and Battistella P.A. (2017). Familial factors relating to alexithymic traits in adolescents with psychiatric disorders [Article]. Clinical Psychologist, 21(3): 252-262.
  27. Gearhardt A.N., White M.A., Masheb R.M., Morgan P.T., Crosby R.D. and Grilo C.M. (2012). An examination of the food addiction construct in obese patients with binge eating disorder [Research Support, N.I.H., Extramural]. Int J Eat Disord, 45(5): 657-663.
  28. Giannini M., Pannocchia L., Dalle Grave R. e Muratori F. (2008). Adattamento italiano dell’EDI-3. Eating Disorder Inventory-3. Firenze: Giunti OS Organizzazioni Speciali, 2008.
  29. Goldbacher E.M., Grunwald H.E., LaGrotte C.A., Klotz A.A., Oliver T.L., Musliner K.L., VanderVeur S.S. and Foster G.D. (2012). Factor structure of the Emotional Eating Scale in overweight and obese adults seeking treatment. Appetite, 59(2): 610-615.
  30. Haynos A.F. and Fruzzetti A.E. (2011). Anorexia nervosa as a disorder of emotion dysregulation: Evidence and treatment implications. Clinical Psychology: Science and Practice, 18(3): 183-202.
  31. Howell D.C. (2013). Statistical Methods for Psychology. Wadsworth, Cengage Learning.
  32. Isaksson M., Ghaderi A., Wolf-Arehult M. and Ramklint M. (2021). Overcontrolled, undercontrolled, and resilient personality styles among patients with eating disorders. J Eat Disord, 9(1): 47.
  33. Ison J. and Kent S. (2010). Social identity in eating disorders. European Eating Disorders Review, 18(6): 475-485.
  34. Karpowicz E., Skärsäter I. and Nevonen L. (2009). Self-esteem in patients treated for anorexia nervosa. International Journal of Mental Health Nursing, 18(5): 318-325.
  35. King J.A., Korb F.M., Vettermann R., Ritschel F., Egner T. and Ehrlich S. (2019). Cognitive overcontrol as a trait marker in anorexia nervosa? Aberrant task- and response-set switching in remitted patients. J Abnorm Psychol, 128(8): 806-812.
  36. Lavender J.M., Wonderlich S.A., Engel S.G., Gordon K.H., Kaye W.H. and Mitchell J.E. (2015). Dimensions of emotion dysregulation in anorexia nervosa and bulimia nervosa: A conceptual review of the empirical literature. Clin Psychol Rev, 40: 111-122.
  37. Mannarini S. and Boffo M. (2015). Anxiety, bulimia, drug and alcohol addiction, depression, and schizophrenia: what do you think about their aetiology, dangerousness, social distance, and treatment? A latent class analysis approach [Randomized Controlled Trial]. Soc Psychiatry Psychiatr Epidemiol, 50(1): 27-37.
  38. Mannarini S., Rossi A. e Munari C. (2020). How do education and experience with mental illness interact with causal beliefs, eligible treatments and stigmatising attitudes towards schizophrenia? A comparison between mental health professionals, psychology students, relatives and patients. BMC Psychiatry, 20(1): 167.
  39. Manzoni G.M., Rossi A., Marazzi N., Agosti F., De Col A., Pietrabissa G., Castelnuovo G., Molinari E. e Sartorio A. (2018). Feasibility, Validity, and Reliability of the Italian Pediatric Quality of Life Inventory Multidimensional Fatigue Scale for Adults in Inpatients with Severe Obesity. Obes Facts, 11(1): 25-36. DOI: 10.1159/000484565
  40. Manzoni G.M., Rossi A., Pietrabissa G., Mannarini S., Fabbricatore M., Imperatori C., Innamorati M., Gearhardt A.N. e Castelnuovo G. (2021). Structural validity, measurement invariance, reliability and diagnostic accuracy of the Italian version of the Yale Food Addiction Scale 2.0 in patients with severe obesity and the general population. Eating and Weight Disorders ‒ Studies on Anorexia, Bulimia and Obesity, 26(1): 345-366.
  41. Manzoni G.M., Rossi A., Pietrabissa G., Varallo G., Molinari E., Poggiogalle E., Donini L.M., Tarrini G., Melchionda N., Piccione C., Gravina G., Luxardi G., Manzato E., Schumann R., Innamorati M., Imperatori C., Fabbricatore M. e Castelnuovo G. (2018). Validation of the Italian Yale Food Addiction Scale in postgraduate university students. Eating and Weight Disorders, 23(2): 167-176.
  42. Meule A. and Gearhardt A.N. (2019). Ten Years of the Yale Food Addiction Scale: a Review of Version 2.0. Current Addiction Reports, 1-11.
  43. Mitchell J.E. (2016). Medical comorbidity and medical complications associated with binge-eating disorder. International Journal of Eating Disorders, 49(3): 319-323.
  44. Nese M., Riboli G., Brighetti G., Sassi V., Camela E., Caselli G., Sassaroli S. e Borlimi R. (2020). Delay discounting of compliance with containment measures during the COVID-19 outbreak: a survey of the Italian population. Z Gesundh Wiss, 1-9.
  45. Nyman-Carlsson E., Engström I., Norring C. and Nevonen L. (2015). Eating Disorder Inventory-3, validation in Swedish patients with eating disorders, psychiatric outpatients and a normal control sample. Nordic Journal of Psychiatry, 69(2): 142-151. DOI: 10.3109/08039488.2014.949305
  46. Obeid N., Valois D.D., Bedford S., Norris M.L., Hammond N.G. and Spettigue W. (2021). Asceticism, perfectionism and overcontrol in youth with eating disorders. Eating and Weight Disorders ‒ Studies on Anorexia, Bulimia and Obesity, 26(1): 219-225.
  47. Pallant J. (2013). SPSS survival manual. McGraw-Hill Education.
  48. Panzeri A., Bertamini M., Butter S., Levita L., Gibson-Miller J., Vidotto G., Bentall R.P. and Bennett K.M. (2021). Factors impacting resilience as a result of exposure to COVID-19: The ecological resilience model [Article]. PLoS One, 16: e0256041.
  49. Panzeri A. and Rossi Ferrario S. (2020). Supporting rehabilitation patients with COVID-19 during the pandemic: Experiences from a technologybased psychological approach. CEUR Workshop Proceedings.
  50. Panzeri A., Rossi Ferrario S. and Cerutti P. (2021). Psychological Differences Among Healthcare Workers of a Rehabilitation Institute During the COVID-19 Pandemic: A Two-Step Study [Brief Research Report]. Front Psychol, 12(578).
  51. Pauligk S., Seidel M., Fürtjes S., King J.A., Geisler D., Hellerhoff I., Roessner V., Schmidt U., Goschke T., Walter H., Strobel A. and Ehrlich S. (2021). The costs of over-control in anorexia nervosa: evidence from fMRI and ecological momentary assessment. Translational Psychiatry, 11(1): 304.
  52. Pietrabissa G., Rossi A., Borrello M., Manzoni G.M., Mannarini S., Castelnuovo G. and Molinari E. (2020). Development and Validation of a Self-Determination Theory-Based Measure of Motivation to Exercise and Diet in Children [Original Research]. Front Psychol, 11(1299).
  53. Pietrabissa G., Rossi A., Simpson S., Tagliagambe A., Bertuzzi V., Volpi C., Fava G., Manzoni G.M., Gravina G. e Castelnuovo G. (2020). Evaluation of the reliability and validity of the Italian version of the schema mode inventory for eating disorders: short form for adults with dysfunctional eating behaviors [Article]. Eating and Weight Disorders, 25(3): 553-565.
  54. Pietrabissa G., Sorgente A., Rossi A., Simpson S., Riva G., Manzoni G.M., Prochaska J.O., Prochaska J.M., Cattivelli R. e Castelnuovo G. (2017). Stages of change in obesity and weight management: factorial structure of the Italian version of the University of Rhode Island Change Assessment Scale [Article]. Eating and Weight Disorders, 22(2): 361-367.
  55. Pillai K.C.S. (1955). Some New Test Criteria in Multivariate Analysis. Ann. Math. Statist., 26(1): 117-121.
  56. R Core Team (2014). The R project for statistical computing. In -- www.R-project.org/
  57. R Core Team. (2017). R: A language and environment for statistical computing. In R Foundation for Statistical Computing. -- https://www.R-project.org/
  58. Racine S.E. and Wildes J.E. (2013). Emotion dysregulation and symptoms of anorexia nervosa: The unique roles of lack of emotional awareness and impulse control difficulties when upset. International Journal of Eating Disorders, 46(7): 713-720.
  59. Revelle W. (2018). psych: Procedures for Personality and Psychological Research. Northwestern University, Evanston, Illinois, USA.
  60. Rossi A., Gearhardt A.N., Castelnuovo G. and Mannarini S. (2020). Different methods of assessment, food addiction, emotional eating, and binge eating behaviors: Comparing the total model effects of sequential mediation analysis. CEUR Workshop Proceedings,
  61. Rossi A.A., Manzoni G.M., Pietrabissa G., Di Pauli D., Mannarini S. and Castelnuovo G. (2022). Weight Stigma in Patients with Overweight and Obesity: Validation of the Italian Weight Self-Stigma Questionnaire (WSSQ). Eating and Weight Disorders ‒ Studies on Anorexia, Bulimia and Obesity, in press.
  62. Rossi A.A., Marconi M., Taccini F., Verusio C. and Mannarini S. (2021). From Fear to Hopelessness: The Buffering Effect of Patient-Centered Communication in a Sample of Oncological Patients during COVID-19. Behavioral Sciences, 11(6): 87. -- https://www.mdpi.com/2076-328X/11/6/87
  63. Rossi Ferrario S. and Panzeri A. (2020). Exploring illness denial of LVAD patients in cardiac rehabilitation and their caregivers: a preliminary study. Artificial Organs.
  64. Rossi Ferrario S., Panzeri A., Cerutti P. and Sacco D. (2021). The Psychological Experience and Intervention in Post-Acute COVID-19 Inpatients. Neuropsychiatr Dis Treat, 17: 413-422. DOI: 10.2147/NDT.S283558
  65. Rossi Ferrario S., Panzeri A. and Pistono M. (2021). Psychological difficulties of LVAD patients and caregivers: A follow up over 1 year from discharge [Article]. Artificial Organs.
  66. Sassaroli S. and Ruggiero G.M. (2005). The role of stress in the association between low self-esteem, perfectionism, and worry, and eating disorders. International Journal of Eating Disorders, 37(2): 135-141.
  67. Silverstone P.H. (1991). Low self-esteem in different psychiatric conditions. British Journal of Clinical Psychology, 30(2): 185-188.
  68. Silverstone P.H. (1992). Is chronic low self-esteem the cause of eating disorders? Med Hypotheses, 39(4): 311-315. DOI: 10.1016/0306-9877(92)90054-G
  69. Silverstone P.H. and Salsali M. (2003). Low self-esteem and psychiatric patients: Part I – The relationship between low self-esteem and psychiatric diagnosis. Annals of General Hospital Psychiatry, 2(1): 2. DOI: 10.1186/1475-2832-2-2
  70. Simpson S.G., Pietrabissa G., Rossi A., Seychell T., Manzoni G.M., Munro C., Nesci J.B. and Castelnuovo G. (2018). Factorial structure and preliminary validation of the Schema Mode Inventory for Eating Disorders (SMI-ED) [Article]. Front Psychol, 9: 600.
  71. Stein K.F. and Corte C. (2007). Identity impairment and the eating disorders: content and organization of the self-concept in women with anorexia nervosa and bulimia nervosa. European Eating Disorders Review, 15(1): 58-69.
  72. Tabachnick B.G. and Fidell L.S. (2014). Using Multivariate Statistics. Pearson.
  73. Tasca G.A. (2019). Attachment and eating disorders: a research update. Current Opinion in Psychology, 25, 59-64.
  74. Tasca G.A. and Balfour L. (2014). Attachment and eating disorders: A review of current research. International Journal of Eating Disorders, 47(7): 710-717.
  75. Treasure J., Corfield F. and Cardi V. (2012). A Three-phase Model of the Social Emotional Functioning in Eating Disorders. European Eating Disorders Review, 20(6): 431-438.
  76. Treasure J., Duarte T.A. and Schmidt U. (2020). Eating disorders. The Lancet, 395(10227): 899-911.
  77. Wagener A.M. and Much K. (2010). Eating Disorders as Coping Mechanisms. Journal of College Student Psychotherapy, 24(3): 203-212. DOI: 10.1080/87568225.2010.486291
  78. Ward A., Ramsay R., Turnbull S., Benedettini M. and Treasure J. (2000). Attachment patterns in eating disorders: Past in the present. International Journal of Eating Disorders, 28(4): 370-376.
  79. Whiteside U., Chen E., Neighbors C., Hunter D., Lo T. and Larimer M. (2007). Difficulties regulating emotions: Do binge eaters have fewer strategies to modulate and tolerate negative affect? Eat Behav, 8(2): 162-169.
  80. Wickham H. (2016). ggplot2: Elegant Graphics for Data Analysis. New York: Springer-Verlag.

Andrea Tagliagambe, Anna Scuderi, Lorenzo Montecchiani, Alice Bordini, Chiara Ribolla, Laura Dalla Ragione, Analisi delle differenze dei tratti psicologici chiave dei disturbi della nutrizione e dell’alimentazione: differenze tra campioni clinici in "PSICOLOGIA DELLA SALUTE" 1/2023, pp 122-138, DOI: 10.3280/PDS2023-001012