{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T10:46:58Z","timestamp":1791283618584,"version":"4.1.0"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006692","name":"Universit\u00e0 degli Studi di Torino","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006692","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Anorexia nervosa (AN) and obesity (OB) are relevant concerns in adolescence. Despite their contrasting phenotypes, they share common pathogenic origins and may be present in the same individual at different times. We explored the psychopathology and attachment features of adolescents with AN who did (AN-ow) or did not (AN-nw) have previous overweight, compared with OB adolescents and healthy control (HC) adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In total, 148 female adolescents referred to an outpatient clinic for an eating disorder (66 for AN and 42 for OB) and 40 HCs were assessed using self-administered instruments that measured parenting, attachment, eating, and general psychopathology. Group differences were tested by analysis of covariance, and correlations between variables were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>AN-ow, AN-nw, and OB adolescents had greater interpersonal distrust and avoidance of relationships, compared with HC adolescents. AN-nw and AN-ow adolescents displayed a higher need for approval and a drive to thinness and interpersonal distrust, compared with HC adolescents. AN-ow adolescents displayed lower paternal care and higher ineffectiveness, asceticism, social insecurity, and depression, compared with HC adolescents. Compared with AN-nw adolescents, AN-ow adolescents felt more ineffective and more ascetic. The dynamics linking the psychopathological features clearly distinguished the four groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>AN-ow is a well-identified subtype of AN, with specific features that differ from AN-nw; some of these features are shared with OB. A therapeutic approach tailored to AN-ow adolescents should consider these features.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2024.1438829","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T18:22:47Z","timestamp":1724350967000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison among anorexia nervosa adolescents with or without previous overweight, obese, and healthy adolescents"],"prefix":"10.3389","volume":"15","author":[{"given":"Federico","family":"Amianto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Sertori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Davico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Marcotulli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedetto","family":"Vitiello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2137395","DOI":"10.1001\/jamanetworkopen.2021.37395","article-title":"Trends in the incidence of new-onset anorexia nervosa and atypical anorexia nervosa among youth during the COVID-19 pandemic in Canada","volume":"4","author":"Agostino","year":"2021","journal-title":"Jawa Netw"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2861","article-title":"Effects of COVID-19 lockdown on eating disorders and obesity: A systematic review and meta-analysis","volume":"29","author":"Sideli","year":"2021","journal-title":"Eur Eat Disord Rev"},{"key":"B3","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1002\/eat.22840","article-title":"Outcome of childhood anorexia nervosa-The results of a five- to ten-year follow-up study","volume":"51","author":"Herpertz-Dahlmann","year":"2018","journal-title":"Int J Eat Disord"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-021-01168-7","article-title":"Eating disorder severity and psychological morbidity in adolescents with anorexia nervosa or atypical anorexia nervosa and premorbid overweight\/obesity","volume":"27","author":"Matthews","year":"2022","journal-title":"Eat Weight Disord"},{"key":"B5","doi-asserted-by":"publisher","first-page":"2015","DOI":"10.1542\/peds.2015-4080","article-title":"Physical and psychological morbidity in adolescents with atypical anorexia nervosa","volume":"137","author":"Sawyer","year":"2016","journal-title":"Pediatrics"},{"key":"B6","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.jadohealth.2014.06.005","article-title":"Prevalence of a history of overweight and obesity in adolescents with restrictive eating disorders","volume":"56","author":"Lebow","year":"2015","journal-title":"J Adolesc Health"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.01.001","article-title":"History of overweight\/obesity as predictor of care received at 1-year follow-up in adolescents with anorexia nervosa or atypical anorexia nervosa","volume":"60","author":"Kennedy","year":"2017","journal-title":"J Adolesc Health"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.02271","article-title":"Weight bias internalization among adolescents seeking weight loss: implications for eating behaviors and parental communication","volume":"9","author":"Puhl","year":"2018","journal-title":"Front Psychol"},{"key":"B9","doi-asserted-by":"crossref","DOI":"10.1037\/11378-002","article-title":"Biopsychosocial model of chronic illness","volume-title":"Psychological treatment of chronic illness: The biopsychosocial therapy approach","author":"Sperry","year":"2006"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60171-7","article-title":"Childhood obesity","volume":"375","author":"Han","year":"2010","journal-title":"Lancet"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61778-9","article-title":"The forgotten psychosocial dimension of the obesity epidemic","volume":"378","author":"Amianto","year":"2011","journal-title":"Lancet"},{"key":"B12","unstructured":"Obesity and Overweight2016"},{"key":"B13","article-title":"Epidemiologia dell\u2019obesit\u00e0 in Italia","volume-title":"VII rapporto sull\u2019obesit\u00e0 in Italia dell\u2019Istituto Auxologico Italiano","author":"D\u2019Amicis","year":"2011"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.63.3.305","article-title":"Prevalence, heritability, and prospective risk factors for anorexia nervosa","volume":"63","author":"Bulik","year":"2006","journal-title":"Arch Gen Psychiatry"},{"key":"B15","doi-asserted-by":"publisher","first-page":"0","DOI":"10.1016\/S0140-6736(03)12378-1","article-title":"Eating disorders","volume":"361","author":"Fairburn","year":"2003","journal-title":"Lancet"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22506","article-title":"A systematic review and meta-analysis on the longitudinal relationship between eating pathology and depression","volume":"49","author":"Puccio","year":"2016","journal-title":"Int J Eat Disord"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-019-00690-z","article-title":"Personality and psychopathology differences between bariatric surgery candidates, subjects with obesity not seeking surgery management, and healthy subjects","volume":"24","author":"Amianto","year":"2019","journal-title":"Eat Weight Disord - Stud Anorexia Bulimia Obes"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2809","article-title":"Affectionless control: A parenting style associated with obesity and binge eating disorder in adulthood","volume":"29","author":"Amianto","year":"2021","journal-title":"Eur Eat Disord Rev"},{"key":"B19","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1002\/erv.2199","article-title":"Emotions in eating disorders: Changes of anger control after an emotion-focused day hospital treatment","volume":"20","author":"Abbate-Daga","year":"2012","journal-title":"Eur Eat Disord Rev"},{"key":"B20","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1002\/erv.2872","article-title":"Where does purging disorder lie on the symptomatologic and personality continuum when compared to other eating disorder subtypes? Implications for the DSM","volume":"30","author":"Krug","year":"2022","journal-title":"Eur Eat Disord Rev"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10099","article-title":"Temperament and character profile of eating disorders: A controlled study with the temperament and character inventory","volume":"32","author":"Fassino","year":"2002","journal-title":"Int J Eat Disord"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2012.07.036","article-title":"Does anger mediate between personality and eating symptoms in bulimia nervosa","volume":"200","author":"Amianto","year":"2012","journal-title":"Psychiatry Res"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jst144","article-title":"Associations of general parenting and parent-child relationship with pediatric obesity: A meta-analysis","volume":"39","author":"Pinquart","year":"2014","journal-title":"J Pediatr Psychol"},{"key":"B24","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.physbeh.2014.04.032","article-title":"Eating attitudes of anorexia nervosa, bulimia nervosa, binge eating disorder and obesity without eating disorder female patients: Differences and similarities","volume":"131","author":"Alvarenga","year":"2014","journal-title":"Physiol Behav"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.7326\/M15-2455","article-title":"Binge-eating disorder in adults a systematic review and meta-analysis","volume":"165","author":"Brownley","year":"2016","journal-title":"Ann Internal Med"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.10.043","article-title":"Depression and eating disorders: Treatment and course","volume":"130","author":"Mischoulon","year":"2011","journal-title":"J Affect Disord"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.186.3.182","article-title":"Psychiatric comorbidity\u201d: An artefact of current diagnostic systems","volume":"186","author":"Maj","year":"2005","journal-title":"Br J Psychiatry"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-021-01252-y","article-title":"Obsessive-compulsive symptoms in young women affected with anorexia nervosa, and their relationship with personality, psychopathology, and attachment style","volume":"27","author":"Amianto","year":"2021","journal-title":"Eat Weight Disord"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2419","article-title":"Exploring parental bonding in BED and non-BED obesity compared with healthy controls: clinical, personality and psychopathology correlates","volume":"24","author":"Amianto","year":"2016","journal-title":"Eur Eat Disord Rev"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22302","article-title":"Attachment and eating disorders: a review of current research","volume":"47","author":"Tasca","year":"2014","journal-title":"Int J Eat Disord"},{"key":"B31","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.bodyim.2016.08.005","article-title":"Parental bonds and body dissatisfaction in a clinical sample: The mediating roles of attachment anxiety and media internalization","volume":"19","author":"Grenon","year":"2016","journal-title":"Body Image"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0972","article-title":"Quality of early maternal child relationship and risk of adolescent obesity","volume":"129","author":"Anderson","year":"2010","journal-title":"Pediatrics"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2015.01136","article-title":"Eating disorders in adolescence: Attachment issues from a developmental perspective","volume":"6","author":"Gander","year":"2015","journal-title":"Front Psychol"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22783","article-title":"Child maltreatment and eating disorders among men and women in adulthood: Results from a nationally representative United States sample","volume":"50","author":"Afifi","year":"2017","journal-title":"Int J Eat Disord"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.08.089","article-title":"Childhood emotional abuse and neglect in obese patients with and without binge eating disorder: personality and psychopathology correlates in adulthood","volume":"269","author":"Amianto","year":"2018","journal-title":"Psychiatry Res"},{"key":"B36","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1186\/s40337-022-00594-x","article-title":"Adverse childhood experiences among adults with eating disorders: comparison to a nationally representative sample and identification of trauma","volume":"10","author":"Rienecke","year":"2022","journal-title":"Int J Eat Disord"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1037\/emo0000504","article-title":"Parent-child attachment and children's experience and regulation of emotion: A meta-analytic review","volume":"19","author":"Cooke","year":"2019","journal-title":"Emotion"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2019.104381","article-title":"The association between alexithymia and eating behavior in children and adolescents","volume":"142","author":"Shank","year":"2019","journal-title":"Appetite"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1002\/erv.777","article-title":"Eating one's words, part I: 'Concretised metaphors' and reflective function in anorexia nervosa\u2013an interview study","volume":"15","author":"Sk\u00e5rderud","year":"2007","journal-title":"Eur Eat Disord Rev"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2016.00600","article-title":"Neurobiology of anorexia nervosa: Serotonin dysfunctions link self-starvation with body image disturbances through an impaired body memory","volume":"10","author":"Riva","year":"2016","journal-title":"Front Hum Neurosci"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2013.01.006","article-title":"Are attachment styles differentially related to interpersonal perfectionism and binge eating symptoms","volume":"54","author":"Boone","year":"2013","journal-title":"Pers Individ Dif"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2006.10.005","article-title":"Relations between negative affect, coping, and emotional eating","volume":"48","author":"Spoor","year":"2007","journal-title":"Appetite"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2016.00849","article-title":"Is anorexia nervosa a disorder of the self? A psychological approach","volume":"7","author":"Amianto","year":"2016","journal-title":"Front Psychol"},{"key":"B44","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-015-9529-3","article-title":"The difficulties in emotion regulation scale short form (DERS-SF): Validation and replication in adolescent and adult samples","volume":"38","author":"Kaufman","year":"2016","journal-title":"J Psychopathol Behav Assess"},{"key":"B45","volume-title":"Diagnostic and statistical manual of mental disorders","year":"2013"},{"key":"B46","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.2044-8341.1979.tb02487.x","article-title":"A parental bonding instrument","volume":"52","author":"Parker","year":"1979","journal-title":"Br J Med Psychol"},{"key":"B47","article-title":"Assessing adult attachment","volume-title":"Attachment in adults","author":"Feeney","year":"1994"},{"key":"B48","volume-title":"Eating Disorder Inventory 2: Professional manual","author":"Garner","year":"1991"},{"key":"B49","doi-asserted-by":"crossref","unstructured":"BDI-II, Beck depression inventory-II: manual\n            BeckA\n            SteerR\n            BrownG\n          1996","DOI":"10.1037\/t00742-000"},{"key":"B50","doi-asserted-by":"publisher","first-page":"0","DOI":"10.1016\/0022-3999(94)90005-1","article-title":"The twenty-item Toronto Alexithymia scale","volume":"38","author":"Bagby","year":"1994","journal-title":"Item select cross-validation factor struct"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22884","article-title":"Network analysis of specific psychopathology and psychiatric symptoms in patients with eating disorders","volume":"51","author":"Solmi","year":"2018","journal-title":"Int J Eat Disord"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12318","article-title":"Brain correlates of alexithymia in eating disorders: A voxel-based morphometry study","volume":"69","author":"D'Agata","year":"2015","journal-title":"Psychiatry Clin Neurosci"},{"key":"B53","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2018.12.232","article-title":"The vulnerability to interpersonal stress in eating disorders: The role of insecure attachment in the emotional and cortisol responses to the trier social stress test","volume":"101","author":"Monteleone","year":"2019","journal-title":"Psychoneuroendocrinology"},{"key":"B54","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-019-00837-y","article-title":"Asceticism, perfectionism and overcontrol in youth with eating disorders","volume":"26","author":"Obeid","year":"2021","journal-title":"Eat Weight Disord"},{"key":"B55","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23137","article-title":"Re-conceptualization of anorexia nervosa psychopathology: A network analysis study in adolescents with short duration of the illness","volume":"52","author":"Monteleone","year":"2019","journal-title":"Int J Eat Disord"},{"key":"B56","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/s40337-021-00487-5","article-title":"Efficacy of post-inpatient aftercare treatments for anorexia nervosa: a systematic review of randomized controlled trials","volume":"15","author":"Giel","year":"2021","journal-title":"J Eat Disord"},{"key":"B57","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000010925","article-title":"Effective strategies for prevention, control, and treatment of obesity in primary health care setting for adolescents, adults, and elderly people: A protocol for systematic review and meta-analysis","volume":"97","author":"Marques","year":"2018","journal-title":"Medicine"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2024.1438829\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T18:22:54Z","timestamp":1724350974000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2024.1438829\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,21]]},"references-count":57,"alternative-id":["10.3389\/fpsyt.2024.1438829"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2024.1438829","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,21]]},"article-number":"1438829"}}