TY - JOUR PY - 2019// TI - Clinical and personality characteristics of adolescents with anorexia nervosa with or without non-suicidal self-injurious behavior JO - Comprehensive psychiatry A1 - Davico, Chiara A1 - Amianto, Federico A1 - Gaiotti, Federica A1 - Lasorsa, Claudia A1 - Peloso, Anna A1 - Bosia, Chiara A1 - Vesco, Serena A1 - Arletti, Luca A1 - Reale, Laura A1 - Vitiello, Benedetto SP - e152115 EP - e152115 VL - 94 IS - N2 - PURPOSE: About one-fifth of patients with anorexia nervosa (AN) engage in non-suicidal self-injury (NSSI). This study examined clinical and temperament profile of female adolescents with both disorders (AN+NSSI) as compared with peers with AN only.

METHODS: A consecutive sample of 73 female adolescents with AN (mean age: 13.77 years), who had been admitted to inpatient or day-hospital services, received clinical, cognitive, and temperament/character evaluations. Of them, 32 met DSM-5 criteria also for NSSI. Assessments included demographics, standard nutrition parameters, Youth Self-Report (YSR), Wechsler Intelligence Scale for Children IV (WISC-IV), Temperament and Character Inventory (TCI), and Global Assessment of Functioning (GAF).

RESULTS: No differences were detected between AN+NSSI and AN in demographics, body mass index, or age at onset of AN. AN+NSSI had higher rate of binging and purging, higher YSR scores for both internalizing and externalizing psychopathology, lower total IQ, and lower Self-directedness and Cooperativeness scores.

CONCLUSIONS: These data suggest that adolescents with AN+NSSI have psychopathological, cognitive and overall character features that differ from patients with AN only. These characteristics may have implications for treatment and outcome.

Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 0010-440X UR - http://dx.doi.org/10.1016/j.comppsych.2019.152115 ID - ref1 ER -