Relationship between Behavioral Anger, Affective Control, Body Mass Index, Executive Functioning, Mental State, Anxiety and Depression in Female Patients with Anorexia Nervosa

摘要

OBJECTIVES : To assess relationship between behavioral anger, affective control, body mass index, executive functioning, mental state, anxiety and depression in female patients with anorexia nervosa. STUDY DESIGN: A cross sectional observational study. PLACE AND DURATION: Bahawal Victoria Hospital, Civil Hospital Bahawalpur and Nishtar Hospital Multan, Pakistan from 7th April 2016 to 29th March 2017. METHODOLOGY : Patients who were diagnosed with anorexia nervosa and demographically matched healthy individuals from local community took part in the study. Body mass index (BMI) of participants was calculated. Participants completed Hospital Anxiety and Depression Scale, Affective Control Scale, Behavioral Anger Response Questionnaire, Montreal Cognitive Assessment scale and Mini-Mental State Examination in a single testing session. RESULTS : There was an evidence of executive functions deficits in patients with anorexia nervosa 16.01 ± 2.13 in contrast with healthy individuals 27.26 ±1.35, t (398)= 63.21, p 0.001. Anorexics showed impaired mental state t (398)= 101.88, p 0.001, 12.22 ±1.97 contrary with healthy adults 28.21 ± 1.02. Behavioral anger was higher in individuals with anorexia nervosa as compared to healthy individuals. Patients with anorexia nervosa t (398) = – 40.98, p 0.001, 4.98 ± 0.77 showed lesser affective control as compared to healthy individuals 2.69 ± 0.19. BMI, affective control, executive functioning, anxiety and depression were significant predictors of mental state in patients with anorexia nervosa F (1, 398)= 1537.19, p0.001, R2= 0.95. CONCLUSIONS : Impaired mental state is associated with low affective control, BMI and executive functioning whereas high anxiety and depression in patient with anorexia nervosa.