{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T17:06:51Z","timestamp":1776445611876,"version":"3.51.2"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T00:00:00Z","timestamp":1539561600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Prior studies investigated objective somatic consequences of eating disorders whereas research on subjective somatic symptom severity, that is, profiles of subjective burden of somatic symptoms in patients with anorexia (AN) and bulimia nervosa (BN), is sparse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Somatic symptom severity (Patient Health Questionnaire\u201015) was investigated in a cross\u2010sectional consecutive sample of outpatients with AN or BN. Using regression and mediation analyses, effects of somatic symptom severity on days of sick leave during the last 2\u00a0weeks and quality of life were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with AN\u2010outpatients (<jats:italic>n<\/jats:italic>\u00a0=\u00a090, <jats:italic>M<\/jats:italic><jats:sub>BMI<\/jats:sub>\u00a0=\u00a017.2, <jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u00a0=\u00a027.9\u00a0years, 95% female), BN\u2010outpatients (<jats:italic>n<\/jats:italic>\u00a0=\u00a063, <jats:italic>M<\/jats:italic><jats:sub>BMI<\/jats:sub>\u00a0=\u00a021.8, <jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u00a0=\u00a029.0\u00a0years, 93% female) reported a significantly higher somatic symptom severity (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.016). Increased somatic symptom severity predicted days of sick leave during the last 2\u00a0weeks (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.036) and physical quality of life (<jats:italic>p<\/jats:italic>\u00a0=\u00a0&lt;0.001). However, after controlling for depression and anxiety as mediators, somatic symptom severity did no longer predict psychological quality of life (<jats:italic>p<\/jats:italic>\u00a0=\u00a0n.s.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Somatic symptom severity is high in both eating disorders. As it is associated with increased sick leave during the last 2\u00a0weeks and decreased quality of life, it adds to the psychological burden of AN and BN. Future research should investigate predictors of subjective somatic symptom severity and whether direct somatic symptom management enhances treatment of AN and BN.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2643","type":"journal-article","created":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T08:28:18Z","timestamp":1539592098000},"page":"195-204","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Severity of somatic symptoms in outpatients with anorexia and bulimia nervosa"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6820-8316","authenticated-orcid":false,"given":"Angelika","family":"Weigel","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernd","family":"L\u00f6we","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Kohlmann","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-14"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and statistical manual of mental disorders fifth edition\u2010 DSM 5","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_7_4_1","volume-title":"International classification of diseases, tenth version \u2010 GM","author":"Dilling H.","year":"2001"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22504"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2014.11.006"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.03.012"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1026\/0012-1924.50.4.171"},{"key":"e_1_2_7_9_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression\u2010based approach","author":"Hayes A.","year":"2013"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000360"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-010-9239-3"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10222"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.03.040"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-91"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2016.09.004"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.6835"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-858698"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-200203000-00008"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2010.03.006"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318160d093"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(03)00198-8"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2579"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-284"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0852"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2008.07.013"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22274"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.972"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12170"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291711001905"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.857"},{"key":"e_1_2_7_33_1","volume-title":"SF\u201012: How to score the SF\u201012 physical and mental health summery scales","author":"Ware J. 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