Role of Depression and Anxiety in Eating Disorder Symptomatology in Higher Levels of Care for Girls With Anorexia Nervosa
AI Summary
Improvements in depression and anxiety were significantly associated with reductions in eating disorder symptoms among adolescent girls with anorexia nervosa in higher levels of care.
Routine assessment of depression and anxiety is essential for adolescents with anorexia nervosa receiving higher levels of care to inform treatment planning.
Findings endorse a transdiagnostic treatment approach targeting shared mechanisms and prompt research on mediators and moderators to optimise clinical outcomes.
J Clin Psychol. 2026 Jun 9. doi: 10.1002/jclp.70158. Online ahead of print.
ABSTRACT
OBJECTIVES: Although the prevalence of affective comorbidities with eating disorders (ED) has been well established, the three-way relation between ED, depression, and anxiety symptoms has not been explored in an intensive adolescent treatment setting.
METHODS: This study analyzed data from a sample of teenage girls with anorexia nervosa in higher levels of care (n = 457) to assess the relations between changes in ED symptoms, depression, and anxiety over the course of ED treatment.
RESULTS: This study demonstrated that improvements in depression and anxiety are significantly associated with improvement in ED symptoms.
CONCLUSION: Findings support the importance of routine assessments for depression and anxiety among adolescents with anorexia nervosa in higher levels of care and a transdiagnostic approach to treatment that addresses shared underlying mechanisms. Future research that aims to uncover mediators and moderators of these relations is warranted to enhance clinical efforts.
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