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PSYCHOTIC SYMPTOMS IN ANOREXIA NERVOSA
Anastasia Grazia Chieppa1, Francesca Bellucci1, Patrizia Moretti1
1Section of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Psychiatria Danubina
|September 22, 2025
Summary
Psychotic symptoms are common in Anorexia Nervosa (AN). The anorexic voice links to dissociation, while body image disturbance is tied to psychoticism in AN patients.
Area of Science:
- Psychiatry
- Clinical Psychology
- Eating Disorders Research
Background:
- Anorexia Nervosa (AN) may overlap with psychotic symptoms.
- The anorexic voice is a potential marker in this spectrum.
- Understanding this relationship is crucial for AN treatment.
Purpose of the Study:
- Assess prevalence and characteristics of psychotic symptoms in AN patients.
- Focus on the anorexic voice and its associations.
- Explore links with dissociation, body image disturbance (BID), and clinical factors.
Main Methods:
- Cross-sectional observational study of 43 AN patients.
- Utilized psychometric assessments including PANSS, BABS, EDE-Q, and DES.
- Collected anamnestic history and sociodemographic data.
Main Results:
- Anorexic voice associated with dissociation, not BID.
- Subthreshold psychotic symptoms linked to body dissatisfaction, eating psychopathology, and dissociation.
- Psychoticism correlated with BID, comorbidity, and general psychopathology.
Conclusions:
- Psychotic-like symptoms are highly prevalent in AN.
- Anorexic voice relates more to dissociation than psychosis.
- BID may influence body shape/weight ideation; further longitudinal research is needed.
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