Purging behaviors and comorbidity as predictive factors of quality of life in anorexia nervosa.
OBJECTIVE
This study examined the predictive factors for the physical and mental summary components (PCS and MCS) of quality of life (SF-36) in patients with anorexia nervosa.


METHODS
Forty-seven patients with anorexia nervosa were studied. Assessment comprised psychiatric diagnosis by a clinical structured interview for Axis I disorders (SCID-I) and personality disorders (SCID-II), Clinical Global Impression (CGI), and Quality of Life (SF-36).


RESULTS
Anorexia nervosa, restrictive type, was diagnosed in 73.9% of the patients and 51% of the patients presented with comorbidity on Axis I or Axis II or both. The predictive variables for the PCS were poor outcome in previous year, comorbidity on Axes I and II, and female gender. The predictive variables for the MCS were the presence of comorbidity in one or the other of the Axis I or II disorders and purging behaviors.


CONCLUSIONS
The current study suggests the importance of comorbidity and purging behaviors in the quality of life of these patients with anorexia nervosa.
González-Pinto
Ana
A
Department of Psychiatry, Santiago Apóstol Hospital, Osakidetza Mental Health System, Olaguibel 29, 01004 Vitoria, Spain. agonzalez@hsan.osakidetza.net
Inmaculada
Failde
F
Cristina
Rodriguez
R
de Corres Blanca
Fernández
F
Sonsoles
Enjuto
E
Fernando
Ramírez
R
Purificacion
López
L
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications* / Q000523:psychology*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D010554:Personality Disorders / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life