Childhood anxiety associated with low BMI in women with anorexia nervosa
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Objective Extremely low body mass index (BMI) values are associated with increased risk for death and poor long-term prognosis in individuals with anorexia nervosa (AN). The present study explores childhood personality characteristics that could be associated with the ability to attain an extremely low BMI.Methods Participants were 326 women from the Genetics of Anorexia Nervosa (GAN) Study who completed the Structured Interview for Anorexia Nervosa and Bulimic Syndromes and whose mother completed the Child Behavioral Checklist and/or Revised Dimensions of Temperament Survey.Results Children who were described as having greater fear or anxiety by their mothers attained lower BMIs during AN (p < 0.02). Path analysis in the GAN and a validation sample, Price Foundation Anorexia Nervosa Trios Study, confirmed the relation between early childhood anxiety, caloric restriction, qualitative food item restriction, excessive exercise, and low BMI. Path analysis also confirmed a relation between childhood anxiety and caloric restriction, which mediated the relation between childhood anxiety and low BMI in the GAN sample only.Conclusion Fearful or anxious behavior as a child was associated with the attainment of low BMI in AN and childhood anxiety was associated with caloric restriction. Measures of anxiety and factors associated with anxiety-proneness in childhood may index children at risk for restrictive behaviors and extremely low BMIs in AN.
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Core features of anorexia nervosa-food restriction and exercise-are hypothesized to have an anxiolytic effect.
“In addition, core features of AN—food restriction and exercise—are hypothesized to have an anxiolytic effect (Dellava et al., 2010, Kaye, 2008)”
From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Dellava et al., 2010
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- Authors
- Dellava, J. E., Thornton, L. M., Hamer, R. M., Strober, M., Plotnicov, K., Klump, K. L., Brandt, H., Crawford, S., Fichter, M. M., Halmi, K. A., Jones, I., Johnson, C., Kaplan, A. S., LaVia, M., Mitchell, J., Rotondo, A., Treasure, J., Woodside, D. B., Berrettini, W. H., Kaye, W. H., & Bulik, C. M.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- University of California, Los Angeles (US)
- University of Pittsburgh (US)
- Michigan State University (US)
- Schön Klinik Roseneck (DE)
- Cornell University (US)
- University of Birmingham (GB)
- Laureate Psychiatric Clinic and Hospital (US)
- University Health Network (CA)
- Neuropsychiatric Research Institute (US)
- University of Pisa (IT)
- King's College London (GB)
- University of Pennsylvania (US)
- University of California System (US)
- Corresponding author
- Bulik, Cynthia M.
- ORCID
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 48
- Issue
- 1
- Pages
- 60-67
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC2812624
- OpenAlex
- W1986376495
- Cited by
- 64
- References
- 70
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 4 · 2018: 2 · 2017: 4 · 2016: 6 · 2015: 6 · 2014: 7 · 2013: 6 · 2012: 2
- FWCI
- 3.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Institutes of Health (MH66117)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- anorexia nervosa, childhood anxiety, body mass index, caloric restriction, dietary restriction, excessive exercise, child temperament, maternal report, risk factors, women
- MeSH terms
- Adult, Age Factors, Anorexia Nervosa, Anxiety, Energy Intake, Child, Fear, Female, Humans, Interviews as Topic, Personality, Exercise, Body Mass Index
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