Longitudinal Coupling between Eating Disorder Psychopathology and Depression in Patients with Anorexia Nervosa and Bulimia Nervosa Treated with Enhanced Cognitive Behavior Therapy: A One-Year Follow-Up Study
Background: The relationship between eating disorder (ED) specific psychopathology and depressive symptomatology in EDs is often debated. The aim of this study was to provide an explicative model regarding the mechanisms by which enhanced cognitive-behavior therapy (CBT-E) might determine an amelior...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/13/4/535 |
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| author | Emanuele Cassioli Eleonora Rossi Michela Martelli Francesca Arganini Gabriele Giuranno Serena Siviglia Livio Tarchi Marco Faldi Giovanni Castellini Valdo Ricca |
| author_facet | Emanuele Cassioli Eleonora Rossi Michela Martelli Francesca Arganini Gabriele Giuranno Serena Siviglia Livio Tarchi Marco Faldi Giovanni Castellini Valdo Ricca |
| author_sort | Emanuele Cassioli |
| collection | DOAJ |
| description | Background: The relationship between eating disorder (ED) specific psychopathology and depressive symptomatology in EDs is often debated. The aim of this study was to provide an explicative model regarding the mechanisms by which enhanced cognitive-behavior therapy (CBT-E) might determine an amelioration of depressive symptoms in patients with anorexia nervosa (AN) or bulimia nervosa (BN). Methods: A total of 157 women with AN or BN and no history of childhood trauma or bipolar disorder were evaluated before treatment and after 12 months of CBT-E. Self-administered questionnaires were used to measure ED psychopathology and depressive symptoms. Results: All psychopathological measures improved after treatment, with no significant additional improvement with the concomitant use of antidepressants. Structural equation modeling using the bivariate latent change score approach showed that higher levels of depressive symptoms at baseline were associated with a worse longitudinal trend of ED psychopathology, and vice versa. Finally, the amelioration of ED psychopathology predicted the improvement in depressive symptoms at follow-up, whereas data did not support the inverse path. Conclusion: This study elucidated the complex longitudinal interplay between ED psychopathology and depression during CBT-E, underlining the importance of addressing ED symptoms as a primary target in the case of comorbidity between AN or BN and depressive symptoms. |
| first_indexed | 2024-03-11T05:11:42Z |
| format | Article |
| id | doaj.art-18ff2b121d1b4edabab1506690b4781f |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-11T05:11:42Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-18ff2b121d1b4edabab1506690b4781f2023-11-17T18:31:35ZengMDPI AGBrain Sciences2076-34252023-03-0113453510.3390/brainsci13040535Longitudinal Coupling between Eating Disorder Psychopathology and Depression in Patients with Anorexia Nervosa and Bulimia Nervosa Treated with Enhanced Cognitive Behavior Therapy: A One-Year Follow-Up StudyEmanuele Cassioli0Eleonora Rossi1Michela Martelli2Francesca Arganini3Gabriele Giuranno4Serena Siviglia5Livio Tarchi6Marco Faldi7Giovanni Castellini8Valdo Ricca9Psychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyPsychiatry Unit, Department of Health Sciences, University of Florence, Largo Brambilla 3, 50100 Florence, ItalyBackground: The relationship between eating disorder (ED) specific psychopathology and depressive symptomatology in EDs is often debated. The aim of this study was to provide an explicative model regarding the mechanisms by which enhanced cognitive-behavior therapy (CBT-E) might determine an amelioration of depressive symptoms in patients with anorexia nervosa (AN) or bulimia nervosa (BN). Methods: A total of 157 women with AN or BN and no history of childhood trauma or bipolar disorder were evaluated before treatment and after 12 months of CBT-E. Self-administered questionnaires were used to measure ED psychopathology and depressive symptoms. Results: All psychopathological measures improved after treatment, with no significant additional improvement with the concomitant use of antidepressants. Structural equation modeling using the bivariate latent change score approach showed that higher levels of depressive symptoms at baseline were associated with a worse longitudinal trend of ED psychopathology, and vice versa. Finally, the amelioration of ED psychopathology predicted the improvement in depressive symptoms at follow-up, whereas data did not support the inverse path. Conclusion: This study elucidated the complex longitudinal interplay between ED psychopathology and depression during CBT-E, underlining the importance of addressing ED symptoms as a primary target in the case of comorbidity between AN or BN and depressive symptoms.https://www.mdpi.com/2076-3425/13/4/535anorexia nervosabulimia nervosaeating disorderdepressionenhanced cognitive behavior therapystructural equation model |
| spellingShingle | Emanuele Cassioli Eleonora Rossi Michela Martelli Francesca Arganini Gabriele Giuranno Serena Siviglia Livio Tarchi Marco Faldi Giovanni Castellini Valdo Ricca Longitudinal Coupling between Eating Disorder Psychopathology and Depression in Patients with Anorexia Nervosa and Bulimia Nervosa Treated with Enhanced Cognitive Behavior Therapy: A One-Year Follow-Up Study Brain Sciences anorexia nervosa bulimia nervosa eating disorder depression enhanced cognitive behavior therapy structural equation model |
| title | Longitudinal Coupling between Eating Disorder Psychopathology and Depression in Patients with Anorexia Nervosa and Bulimia Nervosa Treated with Enhanced Cognitive Behavior Therapy: A One-Year Follow-Up Study |
| title_full | Longitudinal Coupling between Eating Disorder Psychopathology and Depression in Patients with Anorexia Nervosa and Bulimia Nervosa Treated with Enhanced Cognitive Behavior Therapy: A One-Year Follow-Up Study |
| title_fullStr | Longitudinal Coupling between Eating Disorder Psychopathology and Depression in Patients with Anorexia Nervosa and Bulimia Nervosa Treated with Enhanced Cognitive Behavior Therapy: A One-Year Follow-Up Study |
| title_full_unstemmed | Longitudinal Coupling between Eating Disorder Psychopathology and Depression in Patients with Anorexia Nervosa and Bulimia Nervosa Treated with Enhanced Cognitive Behavior Therapy: A One-Year Follow-Up Study |
| title_short | Longitudinal Coupling between Eating Disorder Psychopathology and Depression in Patients with Anorexia Nervosa and Bulimia Nervosa Treated with Enhanced Cognitive Behavior Therapy: A One-Year Follow-Up Study |
| title_sort | longitudinal coupling between eating disorder psychopathology and depression in patients with anorexia nervosa and bulimia nervosa treated with enhanced cognitive behavior therapy a one year follow up study |
| topic | anorexia nervosa bulimia nervosa eating disorder depression enhanced cognitive behavior therapy structural equation model |
| url | https://www.mdpi.com/2076-3425/13/4/535 |
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