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Clinical factors influencing resilience in patients with anorexia nervosa

Authors Kane C, Tomotake M, Hamatani S, Chiba S, Kameoka N, Watanabe S, Nakataki M, Numata S, Ohmori T

Received 13 October 2018

Accepted for publication 26 December 2018

Published 30 January 2019 Volume 2019:15 Pages 391—395

DOI https://doi.org/10.2147/NDT.S190725

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Justinn Cochran

Peer reviewer comments 3

Editor who approved publication: Dr Taro Kishi


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


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