Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation

BACKGROUND: Data on the sociodemographic, biographical, and clinical factors associated with a lifetime diagnosis of eating disorders (ED) in patients with non-psychotic mental disorders (NPMD) and suicidal ideation (SI) are scarce. METHODS: A cohort study was conducted at the Moscow Research and...

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Main Authors: George V. Kustov, Mikhail S. Zinchuk, Sofya B. Popova, Ilya N. Mishin, Nadezhda I. Voinova, Alexander A. Yakovlev, Renat G. Akzhigitov
Format: Article
Language:English
Published: Eco-Vector 2023-07-01
Series:Consortium Psychiatricum
Subjects:
Online Access:https://consortium-psy.com/jour/article/viewFile/6555/pdf
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author George V. Kustov
Mikhail S. Zinchuk
Sofya B. Popova
Ilya N. Mishin
Nadezhda I. Voinova
Alexander A. Yakovlev
Renat G. Akzhigitov
author_facet George V. Kustov
Mikhail S. Zinchuk
Sofya B. Popova
Ilya N. Mishin
Nadezhda I. Voinova
Alexander A. Yakovlev
Renat G. Akzhigitov
author_sort George V. Kustov
collection DOAJ
description BACKGROUND: Data on the sociodemographic, biographical, and clinical factors associated with a lifetime diagnosis of eating disorders (ED) in patients with non-psychotic mental disorders (NPMD) and suicidal ideation (SI) are scarce. METHODS: A cohort study was conducted at the Moscow Research and Clinical Center for Neuropsychiatry. The sample consisted of consecutive patients with non-psychotic mental disorders and SI, aged 1845 years. Participants with a lifetime diagnosis of anorexia and/or bulimia (then in remission or recovery) were compared with those without ED in terms of their sociodemographic profile, clinical characteristics, lifetime traumatic events, and some behavioral patterns. All participants underwent the Russian version of the Self-Injurious Thoughts and Behaviors Interview and completed the Brief Reasons for Living Inventory, the State and Trait Anxiety Inventory, and the Beck Depression Inventory. RESULTS: A total of 892 patients with non-psychotic mental disorders and SI were included in the study. The mean age was 25.7 years, and 84% were assigned female at birth. Same-sex experience was more common in the ED group. Patients with an ED were more likely to have a history of physical and sexual abuse and to have witnessed domestic violence. The proportion of participants with piercings, tattoos, or severe body modifications was significantly higher in the ED group. Patients with a lifetime ED were more likely to engage in nonsuicidal self-injurious behaviors and to have a history of suicide attempts. CONCLUSION: Lifetime ED in NPMD patients with SI is associated with younger age, being assigned female at birth, having an alternative gender identity, having same-sex experience, having more than one psychiatric diagnosis, having been diagnosed with bipolar disorder, experiencing severe depression and anxiety, being exposed to multiple traumatic experiences, having various body modifications, practicing NSSI, and having a lifetime story of suicide attempts.
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spelling doaj.art-fa7cca075fc94c898e1fdd2e38786bde2023-07-17T19:32:24ZengEco-VectorConsortium Psychiatricum2712-76722713-29192023-07-0142536310.17816/CP6555112Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideationGeorge V. Kustov0https://orcid.org/0000-0001-7755-1175Mikhail S. Zinchuk1https://orcid.org/0000-0002-2538-3314Sofya B. Popova2https://orcid.org/0000-0002-4573-7247Ilya N. Mishin3https://orcid.org/0000-0001-8129-9312Nadezhda I. Voinova4https://orcid.org/0000-0001-6636-2133Alexander A. Yakovlev5https://orcid.org/0000-0003-2546-5130Renat G. Akzhigitov6https://orcid.org/0000-0001-7777-2920Moscow Research and Clinical Center for Neuropsychiatry of Moscow Healthcare DepartmentMoscow Research and Clinical Center for Neuropsychiatry of Moscow Healthcare DepartmentMoscow Research and Clinical Center for Neuropsychiatry of Moscow Healthcare DepartmentMoscow Research and Clinical Center for Neuropsychiatry of Moscow Healthcare DepartmentMoscow Research and Clinical Center for Neuropsychiatry of Moscow Healthcare DepartmentMoscow Research and Clinical Center for Neuropsychiatry of Moscow Healthcare DepartmentMoscow Research and Clinical Center for Neuropsychiatry of Moscow Healthcare DepartmentBACKGROUND: Data on the sociodemographic, biographical, and clinical factors associated with a lifetime diagnosis of eating disorders (ED) in patients with non-psychotic mental disorders (NPMD) and suicidal ideation (SI) are scarce. METHODS: A cohort study was conducted at the Moscow Research and Clinical Center for Neuropsychiatry. The sample consisted of consecutive patients with non-psychotic mental disorders and SI, aged 1845 years. Participants with a lifetime diagnosis of anorexia and/or bulimia (then in remission or recovery) were compared with those without ED in terms of their sociodemographic profile, clinical characteristics, lifetime traumatic events, and some behavioral patterns. All participants underwent the Russian version of the Self-Injurious Thoughts and Behaviors Interview and completed the Brief Reasons for Living Inventory, the State and Trait Anxiety Inventory, and the Beck Depression Inventory. RESULTS: A total of 892 patients with non-psychotic mental disorders and SI were included in the study. The mean age was 25.7 years, and 84% were assigned female at birth. Same-sex experience was more common in the ED group. Patients with an ED were more likely to have a history of physical and sexual abuse and to have witnessed domestic violence. The proportion of participants with piercings, tattoos, or severe body modifications was significantly higher in the ED group. Patients with a lifetime ED were more likely to engage in nonsuicidal self-injurious behaviors and to have a history of suicide attempts. CONCLUSION: Lifetime ED in NPMD patients with SI is associated with younger age, being assigned female at birth, having an alternative gender identity, having same-sex experience, having more than one psychiatric diagnosis, having been diagnosed with bipolar disorder, experiencing severe depression and anxiety, being exposed to multiple traumatic experiences, having various body modifications, practicing NSSI, and having a lifetime story of suicide attempts.https://consortium-psy.com/jour/article/viewFile/6555/pdfsuicidenonsuicidal self-injuryanorexiabulimiaresilience
spellingShingle George V. Kustov
Mikhail S. Zinchuk
Sofya B. Popova
Ilya N. Mishin
Nadezhda I. Voinova
Alexander A. Yakovlev
Renat G. Akzhigitov
Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation
Consortium Psychiatricum
suicide
nonsuicidal self-injury
anorexia
bulimia
resilience
title Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation
title_full Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation
title_fullStr Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation
title_full_unstemmed Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation
title_short Factors associated with lifetime history of eating disorder in non-psychotic patients with suicidal ideation
title_sort factors associated with lifetime history of eating disorder in non psychotic patients with suicidal ideation
topic suicide
nonsuicidal self-injury
anorexia
bulimia
resilience
url https://consortium-psy.com/jour/article/viewFile/6555/pdf
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