PMID- 18236312 OWN - NLM STAT- MEDLINE DCOM- 20080408 LR - 20151119 IS - 1502-4725 (Electronic) IS - 0803-9488 (Linking) VI - 61 IP - 6 DP - 2007 TI - Psychosocial functioning needs attention in adolescent eating disorders. PG - 452-8 LID - 10.1080/08039480701773253 [doi] AB - We studied the differences in psychosocial functioning in the early stages of adolescent anorexia nervosa (AN) and bulimia nervosa (BN). The study group comprised 57 adolescent eating disorder (ED) outpatients (girls). Psychosocial functioning was evaluated by GAF (Global Assessment of Functioning), and by Morgan-Russell psychosocial subscales. GAF scores were very low in both AN and BN. On the Morgan-Russell subscales, bulimics reported more unsatisfactory relationships with family and impairment in work/school. Anorectics tended to have more difficulties in emancipation from family and in social contacts. Multivariate analysis showed associations of BN and high GSI with difficulties in relationships with family and of AN with difficulties in emancipation from family and with fewer social activities. Longer duration of illness predicted best impaired working ability. In adolescent EDs, psychosocial functioning is markedly impaired. We emphasize the importance of evaluating psychosocial functioning at the very onset of ED. FAU - Ruuska, Jaana AU - Ruuska J AD - Medical School, University of Tampere, Finland. Jaana.Ruuska@uta.fi FAU - Koivisto, Anna-Maija AU - Koivisto AM FAU - Rantanen, Paivi AU - Rantanen P FAU - Kaltiala-Heino, Riittakerttu AU - Kaltiala-Heino R LA - eng PT - Journal Article PL - England TA - Nord J Psychiatry JT - Nordic journal of psychiatry JID - 100927567 SB - IM MH - Achievement MH - Adolescent MH - Ambulatory Care MH - Anorexia Nervosa/diagnosis/prevention & control/psychology MH - Body Mass Index MH - Bulimia Nervosa/diagnosis/prevention & control/psychology MH - Family/psychology MH - Feeding and Eating Disorders/diagnosis/*prevention & control/*psychology MH - Female MH - Humans MH - *Interpersonal Relations MH - Interview, Psychological MH - Psychology MH - Social Environment MH - Surveys and Questionnaires EDAT- 2008/02/01 09:00 MHDA- 2008/04/09 09:00 CRDT- 2008/02/01 09:00 PHST- 2008/02/01 09:00 [pubmed] PHST- 2008/04/09 09:00 [medline] PHST- 2008/02/01 09:00 [entrez] AID - 790123938 [pii] AID - 10.1080/08039480701773253 [doi] PST - ppublish SO - Nord J Psychiatry. 2007;61(6):452-8. doi: 10.1080/08039480701773253.