Table 1 Studies demonstrating a lack of correlation between anxious-depressive symptoms and nutritional status among patients with anorexia nervosa.

From: Nutritional status and anxious and depressive symptoms in anorexia nervosa: a prospective study

 

Anxiety

Depression

Comments on the lack of correlation provided by the authors

Generalized anxiety symptoms

Obsessive–compulsive symptoms

Social phobia symptoms

BMI

Morgan, Lacey and Reid (1999), Kawai et al. (2008), Sala et al. (2011), Mattar, Huas et al. (2012), Mattar, Thiébaud et al. (2012) and Gauthier et al. (2014)

Mattar, Thiébaud et al. (2012), Mattar, Huas et al. (2012) and Gauthier et al. (2014)

Mattar, Thiébaud et al. (2012), Mattar, Huas et al. (2012), Gauthier et al. (2014), Coulon, Jeammet and Godart (2009)

Mattar, Thiébaud et al. (2012), Mattar, Huas et al. (2012), Gauthier et al. (2014), Kawai et al. (2008), Brockmeyer et al. (2012) and Sala et al. (2011)

The study sample was too homogeneous in terms of malnutrition (Mattar, Huas et al. 2012)

The assessment of nutritional status was not good enough, lacking biological or body composition markers (Mattar, Thiébaud et al. 2012; Mattar, Huas et al. 2012; Coulon, Jeammet, and Godart 2009)

Comorbidities with depressive and anxiety disorder were not considered (Mattar, Thiébaud et al. 2012; Mattar, Huas et al. 2012; Ricca et al. 2010; Sala et al. 2011; Coulon, Jeammet, and Godart 2009; 2009)

Sample size was small (Morgan, Lacey and Reid 1999; Kawai et al. 2008; Ricca et al. 2010; Brockmeyer et al. 2012; Mattar, Thiébaud et al. 2012; Gauthier et al. 2014)

Hospitalization and community living increased anxiety (Morgan, Lacey and Reid 1999)

Some of the symptoms related to malnutrition disappeared but links to other reasons persisted (Gauthier et al. 2014)

Eating symptomatology was the link between nutritional status and anxious-depressive symptoms (Laessle, Schweiger and Pirke 1988; Coulon, Jeammet and Godart 2009; Ricca et al. 2010; Sala et al. 2011; Mattar, Thiébaud et al. 2012)

No consideration of confounding factors (Coulon, Jeammet and Godart 2009; Mattar, Thiébaud et al. 2012)

Partial renutrition : level and duration of malnutrition were insufficient (Mattar, Thiébaud et al. 2012; Gauthier et al. 2014)

Impact of choice and Kinetic characteristics of biological parameters for nutritional status, not all related to anxious-depressive symptoms (Laessle, Schweiger and Pirke 1988)

Results depended on the choice of the psychometric scale: a measure assessing somatic symptoms of anxiety was more likely to find a relationship since they are closer to symptoms of malnutrition (Mattar, Thiébaud et al. 2012)

Low sensitivity to change of some psychometric measures (Mattar, Thiébaud et al. 2012)

Body weight

 

Channon and deSilva (1985)

 

Channon and deSilva (1985), Laessle, Schweiger, and Pirke (1988) (1 of 2 measures)

Body composition

Mattar, Huas et al. (2012) and Gauthier et al. (2014)

Mattar, Huas et al. (2012)

Weight loss

Mattar, Huas et al. (2012) and Mattar, Thiébaud et al. (2012)

Blood albumin

 

Mattar, Huas et al. (2012)

Blood BHBA, T3, cortisol

 

Laessle, Schweiger and Pirke (1988) (1 of 2 measures)

  1. BHBA beta-hydroxybutyric acid.