{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T08:00:02Z","timestamp":1773043202491,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004257","name":"Helse Vest","doi-asserted-by":"publisher","award":["912177"],"award-info":[{"award-number":["912177"]}],"id":[{"id":"10.13039\/501100004257","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010586","name":"Haukeland University Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Gastrointestinal (GI) symptoms appear frequently in patients with anorexia nervosa (AN), but the associations between psychopathological, GI, and eating disorder (ED) symptoms remain unclear. This study aimed to determine the relationships of GI complaints with psychopathological measures, ED symptoms, and body mass index (BMI) in patients with AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Thirty outpatients with AN aged &gt;16\u2009years were included. Psychopathological measures (Symptom Checklist\u201090\u2010Revised, Beck Depression Inventory\u2010II, and Beck Anxiety Inventory), ED symptoms (Eating Disorder Examination Questionnaire), ED\u2010associated impairment (Clinical Impairment Assessment Questionnaire), GI complaints (Irritable Bowel Syndrome Severity Scoring System [IBS\u2010SSS]), and BMI were assessed prior to starting treatment, and correlation and multiple regression analyses were applied to data from 19 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>IBS\u2010symptoms were significantly correlated only with ED symptoms (<jats:italic>r<\/jats:italic> = 0.583, <jats:italic>p<\/jats:italic> = .009) and somatization (<jats:italic>r<\/jats:italic> = 0.666, <jats:italic>p<\/jats:italic> = .002). Multiple regression analysis revealed that somatization significantly predicted worse IBS symptoms (beta = 0.5, <jats:italic>p<\/jats:italic> = .04), while ED symptoms did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Higher IBS\u2010SSS scores were associated with higher severities of other somatic complaints. GI complaints and somatization should be addressed in treatments for AN in order to prevent these factors impeding the establishment of healthy eating patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical trial registration<\/jats:title><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link> Identifier: NCT02745067.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23243","type":"journal-article","created":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T13:40:40Z","timestamp":1581342040000},"page":"802-806","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Association between gastrointestinal complaints and psychopathology in patients with anorexia nervosa"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2002-5518","authenticated-orcid":false,"given":"Ute","family":"Kessler","sequence":"first","affiliation":[{"name":"Department of Psychiatry Haukeland University Hospital  Bergen Norway"},{"name":"Department of Clinical Medicine University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guro \u00c5.","family":"Rekkedal","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Haukeland University Hospital  Bergen Norway"},{"name":"Department of Clinical Psychology University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d8yvind","family":"R\u00f8","sequence":"additional","affiliation":[{"name":"Regional Department for Eating Disorders, Division of Mental Health and Addiction Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine, Faculty of Medicine University of Oslo  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birgitte","family":"Berentsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Bergen  Bergen Norway"},{"name":"National Center for Functional Gastrointestinal Disorders, Medical Department Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth K.","family":"Steinsvik","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Bergen  Bergen Norway"},{"name":"National Center for Functional Gastrointestinal Disorders, Medical Department Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fclen A.","family":"Lied","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Bergen  Bergen Norway"},{"name":"National Center for Functional Gastrointestinal Disorders, Medical Department Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yngvild","family":"Danielsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.56.6.893"},{"key":"e_1_2_8_3_1","volume-title":"BDI\u2010II: Beck depression inventory, manual","author":"Beck A. 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