Evidence map›Paper›PMID 32829729›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2020

Clinical features of adolescents diagnosed with eating disorders and at risk for psychosis.

Martina Maria Mensi, Chiara Rogantini, Renata Nacinovich, Anna Riva, Livio Provenzi, Matteo Chiappedi, Umberto Balottin, Renato Borgatti

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Neurocognition and functioning in adolescents at clinical high risk for psychosis.Child and adolescent psychiatry and mental health · 2023
    Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Martina Maria MensiChild Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.
Chiara RogantiniChild Neurology and Psychiatry Unit, Brain and Behavioral Sciences Department, University of Pavia, Pavia, Italy.
Renata NacinovichChild and Adolescent Mental Health, San Gerardo Hospital, Monza, Italy.
Anna RivaChild and Adolescent Mental Health, San Gerardo Hospital, Monza, Italy.ORCID 0000-0002-2898-094X
Livio ProvenziChild Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.
Matteo ChiappediChild Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0002-2682-5006
Umberto BalottinChild Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.
Renato BorgattiChild Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of subthreshold psychotic symptoms in adolescents with eating disorders is poorly described. This study provides a detailed characterization of adolescents affected by eating disorders in the absence or presence of subthreshold psychotic symptoms, taking into account a wide set of sociodemographic, psychological, and clinical variables.

methodsNinety-four adolescents diagnosed with eating disorders were interviewed, focusing on clinical anamnesis and sociodemographic data collection. The Comprehensive Assessment of At-Risk Mental States (CAARMS) was used to assess the presence (HR+) or absence (HR-) of subthreshold psychosis. The clinicians completed a questionnaire on eating disorders severity, whereas patients provided self-report measures of global social functioning and psychological symptoms associated with eating disorders.

resultsAttenuated psychotic symptoms were highly frequent (84% of subjects). HR+ patients experienced more frequently purging behaviors and dysmorphophobia and received a greater amount of antipsychotic drugs. Compared to HR- counterparts, HR+ patients reported higher eating disorders severity and psychological symptoms (i.e., ineffectiveness, interpersonal and affective problems) associated with eating disorders. Finally, a significant correlation between global social functioning and eating disorders severity emerged only for HR- subjects.

conclusionsThese descriptive data are warranted to identify a potential psychotic core in eating disorders, mainly concerning body image and weight as well as specific psychological features. The availability of reliable and valid markers of risk can further increase our capacity to detect the early emergence of psychosis in adolescents with eating disorders, whose outcome might be worsened by the presence of psychotic symptoms.

Indexed as

AdolescentChildFeeding and Eating DisordersHumansPsychotic DisordersRiskSocial AdjustmentAdolescenceanorexiaeating disorderpsychosis

Identifiers

PMID32829729
PMCPMC7503175

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.