The Severity of Symptoms and the Structure of Depression in Woman wit Eating Disorders

Anna Katarzyna Wiatrowska

Abstract


Introduction: The relations between eating disorders and depression indicate a multi-directional
and complex character. Depression can predispose to and sustain the symptoms of the
disorder, affect the course of treatment and contribute to the risk of relapse and deepened
psychopathological consequences.
Research Aim: The aim of the undertaken studies was to determine the symptoms and the
structure of depression in women with anorexia and bulimia nervosa.
Method: Totally, 100 women with eating disorders, including 50 with anorexia and 50 with
bulimia, were studied based on the diagnostic criteria DS M-V (2015). The 21-item Hamilton
Depression Rating Scale (HAM-D) was used in the research.
Results: The analyses revealed differences in the severity of symptoms and the structure of
depression. Depression in anorectic persons is related to somatic symptoms, while in bulimic
persons with psychomotor tension. Cluster analysis showed differences between the examined
persons. Melancholic depression prevailed in the group of women with anorexia, whereas in
persons with bulimia atypical depression was predominant. The anxious form of depression
also occurred in anorectic women, while in bulimic persons hypochondriac depression was
observed.
Conclusions: The assessment of the severity and the structure of depression in persons with
eating disorders plays a significant role in the diagnostic process, the treatment plan and in
prognosis.

Keywords


depression, eating disorders, anorexia nervosa, bulimia nervosa

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DOI: http://dx.doi.org/10.17951/lrp.2021.40.4.327-346
Date of publication: 2021-12-31 11:13:21
Date of submission: 2021-07-21 23:41:24


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