Abstract
Objective: The purpose of this study was to elucidate clinical factors influencing quality of life (QOL) in anorexia nervosa (AN) patients. Methods: Twenty female patients with AN (median age = 30.0 years, quartile deviation = 6.8) and forty female healthy controls (HC) (median age = 30.0 years, quartile deviation = 8.6) participated in the study. QOL was assessed with the 36-Item Short Form Health Survey (SF-36) and social support was evaluated using the Multidimensional Scale of Perceived Social Support (MSPSS). 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 SF-36 Mental Component Summary (MCS) (U = 124.0, P U = 223.0, P = 0.006) and scores of total (U = 108.0, P U = 46.0, P ρ = −0.565, P ρ = −0.556, P ρ = −0.581, P ρ = −0.617, P ρ = −0.672, P Conclusion: These results suggest that among a variety of clinical symptoms and psychopathologies, depressive symptoms, poor emotional awareness and impaired sense of control are the most important influencing factors on AN patients’ QOL.
Highlights
Among eating disorders, anorexia nervosa (AN) has been proving a difficult condition, with many patients remaining ill for many years, and patients with AN suffer from physical, psychological and social problems as a result of the disease [1] [2]
Scores of the SF-36 Mental Component Summary (MCS) (U = 124.0, P < 0.0001) and Role/Social Component Summary (RCS) (U = 223.0, P = 0.006) and scores of total (U = 108.0, P < 0.0001) and subscales of the Multidimensional Scale of Perceived Social Support (MSPSS) were lower in AN group than healthy controls (HC) group, and the SIGH-D score was higher (U = 46.0, P < 0.0001) in AN group than HC group
Bamford et al [2] [11] reported that severity of eating disorder and body mass index (BMI) were predictors of low quality of life (QOL), and from the survey on social support, it was revealed that AN patients often reported dissatisfaction with family environment and low support by family members or friends which was associated with their low QOL [16]
Summary
Anorexia nervosa (AN) has been proving a difficult condition, with many patients remaining ill for many years, and patients with AN suffer from physical, psychological and social problems as a result of the disease [1] [2]. QOL has become crucial as an indicator of recovery of patients with AN [3], and their QOL has been investigated from differing points of view [1]. Bamford et al [2] [11] reported that severity of eating disorder and body mass index (BMI) were predictors of low QOL, and from the survey on social support, it was revealed that AN patients often reported dissatisfaction with family environment and low support by family members or friends which was associated with their low QOL [16]
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