title: [Clinical, psychological and biological variables in a group of 108 adolescent patients with anorexia nervosa].
abstract: BACKGROUND
  To assess the clinical and psychological characteristics, hormonal changes derived from malnutrition and the prognostic factors in an adolescent group of patients with anorexia nervosa.
  
  
  METHODS
  In this retrospective study specific case-history medical record for this disorder was used first with the parents and later with the patients. Depression questionnaires (BDI or CDI) and eating disorders questionnaires (EAT and CIMEC) were also administered, and hormonal tests were carried out.
  
  
  RESULTS
  98 out of 108 patients (90.7%) were females. Mean age was 15 years, 23 patients (21.1%) showed major depressive disorders or obsessive-compulsive disorders besides anorexia nervosa. The duration of the disorder was 12.0 +/- 9.0 months. The age at onset of the disorder was 15.1 +/- 1.5 (10-17 years), and the percentage of weight loss ranged between 15.53%. In relation to the hormonal findings the low levels of T3, insulin, somatomedin, prolactin, LH and 17 B estradiol were shown up. There were no differences between inpatients and outpatients in relation to the age of onset of the disorder onset, duration of the disorder, percentage of weight loss, psychological variables or applied hormonal findings. There were differences in relation to the used psychometric tests, which differentiated between patients with a good and bad outcome.
  
  
  CONCLUSIONS
  Major depressive disorders and obsessive-compulsive disorders are the most frequent comorbid psychiatric disorders in the anorexia nervosa. The age at onset of the disorder, duration of the disorder, percentage of weight loss and hormonal changes do not seem to influence in outcome, whereas initial affective and eating symptomatology tend to predict disorder outcome.
authors: Sección de Psiquiatría Infantil y Juvenil, Hospital Clínic i Provincial, Barcelona.
authors: L
authors: L
authors: Lázaro
authors: J
authors: J
authors: Toro
authors: G
authors: G
authors: Canalda
authors: J
authors: J
authors: Castro
authors: E
authors: E
authors: Martínez
authors: J
authors: J
authors: Puig
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D003866:Depressive Disorder / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006728:Hormones / Q000097:blood; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000150:complications; D011379:Prognosis; D011594:Psychometrics; D012189:Retrospective Studies; D013997:Time Factors
chemical_list: D006728:Hormones
vernacular_title: Variables clínicas, psicológicas y biológicas en un grupo de 108 pacientes adolescentes con anorexia nerviosa.