Prediktori rizika za razvoj poremećaja jedenja u adolescentica s anoreksijom nervozom

The purpose of the present study was to examine the association among the risk of eating disorder (ED), psychological adjustment, empathy, attachment style and thin-ideal internalization among adolescents with anorexia nervosa (AN), as compared to a healthy control (HC) group. The Questionnaire of General Data, the Eating Disorders Inventory-3 (EDI-3), the Questionnaire of Sociocultural Attitudes Towards Appearance-3 (SATAQ-3), the Experiences in Close Relationships-Revised (ECR-R) and the Basic Empathy Scale (BES) were administered to 35 female adolescents with AN and 35 HC adolescents. Eating disorder risk was found to be highest in AN females with higher levels of general psychological maladjustment (GPMC), followed by HC females with higher thin-ideal internalization. In the AN group, attachment style and thin-ideal internalization in combination with GPMC were not indicated as significant predictors of eating disorder risk. Study data provide support to conceptualizations of EDs that emphasize the role of general psychological maladjustment in the development of EDs.Cilj ovoga istraživanja bio je ispitati povezanost između rizika za razvoj poremećaja u jedenju (ED), psihološke prilagodbe, empatije, privrženosti i internalizacije mršavosti među adolescentima s anoreksijom nervozom (AN) u odnosu na zdravu kontrolnu skupinu (HC). Upitnik općih podataka, Upitnik o poremećaju jedenja-3 (EDI-3), Upitnik sociokulturnih stavova prema izgledu-3 (SATAQ-3), Revidirani upitnik o iskustvima u bliskim odnosima (ECR-R) i Upitnik o empatiji (BES) ispunilo je 35 adolescentica s dijagnosticiranim poremećajem u jedenju (anoreksija nervoza) i 35 zdravih adolescentica koje su činile kontrolnu skupinu. Rizik za razvoj poremećaja u jedenju se pronašao najvećim u adolescentica s anoreksijom nervozom koje su imale značajne teškoće u općoj psihološkoj prilagodbi, zatim u zdravih adolescentica kod kojih se potvrdila značajna internalizacija ideala mršavosti. U djevojaka s utvrđenom dijagnozom anoreksije nervoze, stil privrženosti i internalizacija ideala mršavosti se nisu pokazali značajnim prediktorom, u kombinaciji s faktorom opće psihološke neprilagodbe, za rizik za razvoj poremećaja u jedenju. Rezultati podupiru konstrukt poremećaja u jedenju koji naglašava ulogu opće psihološke prilagodbe u razvoju poremećaja u jedenju