The effects of separatıon-individuation characteristics in adolescents with anorexia nervosa
Makaleler > Tam Makale · 2025
Yazarlar: Hakan Kayış, Reyhan Çalışan, Gökçe Anılır, Sezen KÖSE, Tezan BİLDİK, Nazlı Burcu ÖZBARAN
Ege Tıp Dergisi, Uluslararası, 2025, cilt 64, ss 32-39
DOI: 10.19161/etd.1485103
Özet
Aim: This study aimed to investigate the relationship between separation-individuation characteristics, body mass index (BMI), and quality of life in adolescents diagnosed with anorexia nervosa (AN). Materials and Methods: The study included a sample of 21 cases who were presented at the Ege University Child and Adolescent Psychiatry Unit and received a diagnosis of anorexia nervosa. The study utilized the Sociodemographic Data Form, the Separation-Individuation Test of Adolescence (SITA), and the Children’s Quality of Life Inventory (PedsQL). Results: Negative correlations were found for the scores of rejection expectancy and need denial from the separation-individuation subscales with peer enmeshment and quality of life functionality (r = -0.67; p = 0.002; r = -0.61; p = 0.007). A positive correlation was found between the practicing-mirroring scores of the cases and the affect-related quality of life functionality (r = 0.55; p = 0.018). Conclusion: The study suggests that difficulties in separation-individuation among adolescents with anorexia nervosa are linked to a decline in quality of life. Recognizing and addressing separation-individuation challenges, which are believed to contribute to the development of anorexia nervosa and its psychodynamic etiology, is crucial for improving quality of life and ensuring effective treatment.