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Depressive psychopathology and adverse childhood experiences in eating disorders

Published online by Cambridge University Press:  16 April 2020

Mario Speranza ,
Frederic Atger ,
Maurice Corcos ,
Gwenolé Loas ,
Olivier Guilbaud ,
Philippe Stéphan ,
Fernando Perez-Diaz ,
Olivier Halfon ,
Jean Luc Venisse  and
Paul Bizouard
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Mario Speranza*
Affiliation:
Centre Hospitalier de Versailles, Service de Pédo-Psychiatrie, 177, rue de Versailles, 78157Le Chesnay, France Département de Psychiatrie de l’Adolescent, Institut Mutualiste Montsouris, 42 Bd Jourdan, 75014Paris, France
Frederic Atger
Affiliation:
Département de Psychiatrie de l’Adolescent, Institut Mutualiste Montsouris, 42 Bd Jourdan, 75014Paris, France
Maurice Corcos
Affiliation:
Département de Psychiatrie de l’Adolescent, Institut Mutualiste Montsouris, 42 Bd Jourdan, 75014Paris, France
Gwenolé Loas
Affiliation:
Département de Psychiatrie de l’Adolescent, Institut Mutualiste Montsouris, 42 Bd Jourdan, 75014Paris, France Service Hospitalo-Universitaire de Psychiatrie, Hôpital Pinel, 80044Amiens cedex 1, France
Olivier Guilbaud
Affiliation:
Département de Psychiatrie de l’Adolescent, Institut Mutualiste Montsouris, 42 Bd Jourdan, 75014Paris, France
Philippe Stéphan
Affiliation:
Service de Psychiatrie de l’Enfant et de l’Adolescent, rue du Bugno 23 A, 1005Lausanne, Switzerland
Fernando Perez-Diaz
Affiliation:
CNRS, UMR 7593, Hôpital de la Salpétrière, 47, bd de l’Hôpital, 75013Paris, France
Olivier Halfon
Affiliation:
Service de Psychiatrie de l’Enfant et de l’Adolescent, rue du Bugno 23 A, 1005Lausanne, Switzerland
Jean Luc Venisse
Affiliation:
Unité des Addictions, Hôpital Saint-Jacques, BP 1005, 44035Nantes, France
Paul Bizouard
Affiliation:
Service de Psychiatrie, CHU de Besançon, 2, place Saint-Jacques, 25000Besançon, France
François Lang
Affiliation:
Service de Psychiatrie, CHU de Saint-Etienne, 23, boulevard Pasteur, 42055Saint-Etienne, France
Martine Flament
Affiliation:
Département de Psychiatrie de l’Adolescent, Institut Mutualiste Montsouris, 42 Bd Jourdan, 75014Paris, France CNRS, UMR 7593, Hôpital de la Salpétrière, 47, bd de l’Hôpital, 75013Paris, France
Philippe Jeammet
Affiliation:
Département de Psychiatrie de l’Adolescent, Institut Mutualiste Montsouris, 42 Bd Jourdan, 75014Paris, France
*
*Corresponding author. E-mail address:mariosperanza@wanadoo.fr (M. Speranza).
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Abstract

Purpose

The aim of this paper was to investigate the diagnostic specificity of the self-critical and dependent depressive experiences in a clinical sample of eating disorder patients and to explore the impact of adverse childhood experiences on these dimensions of personality.

Method

A sample of 94 anorexic and 61 bulimic patients meeting DSM-IV criteria and 236 matched controls were assessed with the Depressive Experience Questionnaire (DEQ), the abridged version of the Beck Depression Inventory (BDI) and the AMDP Life Events Inventory. Subjects presenting a major depression or a comorbid addictive disorder were excluded from the sample using the Mini International Neuropsychiatric Interview (MINI).

Results

Anorexic and bulimic patients showed higher scores than controls on both self-criticism and dependency sub-scales of the DEQ. Bulimic patients scored significantly higher than anorexic patients on self-criticism and reported more adverse childhood experiences. Finally, negative life events correlated only with self-criticism in the whole sample.

Discussion

Differences in the DEQ Self-Criticism between anorexics and bulimics could not be accounted for by depression since bulimic patients did not show higher BDI levels compared to anorexic patients and depressive symptoms measured with the BDI were not found to be significant predictors of diagnostic grouping in a logistic multiple regression.

Conclusion

This study supports the diagnostic specificity of the dependent and self-critical depressive dimensions in eating disorders and strengthens previous research on the role of early experiences in the development of these disorders.

Keywords

Self-criticismDependencyDepressionEating disordersLife events
Type
Original articles
Information
European Psychiatry , Volume 18 , Issue 8 , December 2003 , pp. 377 - 383
Copyright
Copyright © 2003 European Psychiatric Association

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