Clinical Factors Influencing Quality of Life in Anorexia Nervosa Patients

• Material Type: 博士論文
• Title: Clinical Factors Influencing Quality of Life in Anorexia Nervosa Patients
• Author/Editor: Kane, Chikako; Tomotake, Masahito; Hamatani, Sayo; Chiba, Shinichi; Ohmori, Tetsuro
• Author Heading: Kane, Chikako; Tomotake, Masahito; Hamatani, Sayo; Chiba, Shinichi; Ohmori, Tetsuro
• Publication, Distribution, etc.: Scientific Research Publishing
• Publication Date: 2017-12-27
• Publication Date (W3CDTF): 2017-12-27
• Alternative Title: 神経性やせ症患者のQOLに影響を与える臨床的要因
• Periodical title: Open Journal of Psychiatry
• No. or year of volume/issue: 8 1
• Volume: 8
• Issue: 1
• Pages: 50-60
• ISSN (Periodical Title): ISSN : 2161-7325; ISSN : 2161-7333
• Degree grantor/type: 徳島大学
• Date Granted: 2018-03-23
• Dissertation Number: 甲第3154号
• Degree Type: 博士（保健学）
• Text Language Code: eng
• Subject Heading: Anorexia nervosa; Quality of Life; Influencing Factor; Depression; Interoceptive Confusion
• Target Audience: 一般
• Note (General): Objective: The purpose of this study was to elucidate clinical factors influencing quality of life (QOL) in anorexia nervosa (AN) patients. Methods: Twenty female patients with AN (median age = 30.0 years, quartile deviation = 6.8) and forty female healthy controls (HC) (median age = 30.0 years, quartile deviation = 8.6) participated in the study. QOL was assessed with the 36-Item Short Form Health Survey (SF-36) and social support was evaluated using the Multidimensional Scale of Perceived Social Support (MSPSS). Clinical symptoms were evaluated with the Structured Interview Guide for the Hamilton Depression Rating Scale (SIGH-D) and the Eating Disorder Inventory-2 (EDI-2). Results: Scores of the SF-36 Mental Component Summary (MCS) (U = 124.0, P < 0.0001) and Role/Social Component Summary (RCS) (U = 223.0, P = 0.006) and scores of total (U = 108.0, P < 0.0001) and subscales of the MSPSS were lower in AN group than HC group, and the SIGH-D score was higher (U = 46.0, P < 0.0001) in AN group than HC group. Scores of the SIGH-D (ρ = −0.565, P < 0.05) and subscales of the EDI-2 Interoceptive Confusion (ρ = −0.556, P < 0.05), Interpersonal Difficulty (ρ = −0.581, P < 0.05) and Negative Self-image (ρ = −0.617, P < 0.05) were negatively correlated to MCS, and score of Interoceptive Confusion subscale showed a negative correlation to RCS (ρ = −0.672, P < 0.05). Moreover, stepwise regression analysis showed that the SIGH-D score was an independent predictor of MCS and Interoceptive Confusion score predicted RCS. Conclusion: These results suggest that among a variety of clinical symptoms and psychopathologies, depressive symptoms, poor emotional awareness and impaired sense of control are the most important influencing factors on AN patients’ QOL.
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• Rights (production): © 2018 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/
• Related Material (DOI): 10.4236/ojpsych.2018.81004
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

Table of Contents

http://repo.lib.tokushima-u.ac.jp/files/public/11/111628/20180517095343854403/k3154_abstract.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/111628/20180517095344651011/k3154_review.pdf fulltext

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