Are there differences in the attitudinal body image between adolescent anorexia nervosa and bulimia nervosa?

Author(s):  
J. Ruuska ◽  
R. Kaltiala-Heino ◽  
P. Rantanen ◽  
A.-M. Koivisto
2019 ◽  
Vol 52 (11) ◽  
pp. 1229-1236 ◽  
Author(s):  
Carlos M. Grilo ◽  
Ross D. Crosby ◽  
Paulo P. P. Machado

2019 ◽  
Vol 216 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Yu Wei Chua ◽  
Gemma Lewis ◽  
Abigail Easter ◽  
Glyn Lewis ◽  
Francesca Solmi

BackgroundTwo longitudinal studies have shown that depressive symptoms in women with eating disorders might improve in the antenatal and early postnatal periods. No study has followed up women beyond 8 months postnatal.AimsTo investigate long-term trajectories of depressive symptoms in mothers with lifetime self-reported eating disorders.MethodUsing data from the Avon Longitudinal Study of Parents and Children and multilevel growth curves we modelled trajectories of depressive symptoms from the 18th week of pregnancy to 18 years postnatal in women with lifetime self-reported anorexia nervosa, bulimia nervosa or both anorexia and bulimia nervosa. As sensitivity analyses we also investigated these trajectories using quintiles of a continuous measure of body image in pregnancy.ResultsOf the 9276 women in our main sample, 126 (1.4%) reported a lifetime diagnosis of anorexia nervosa, 153 (1.6%) of bulimia nervosa and 60 (0.6%) of both anorexia and bulimia nervosa. Women with lifetime eating disorders had greater depressive symptoms scores than women with no eating disorders, before and after adjustment for confounders (anorexia nervosa: 2.10, 95% CI 1.36–2.83; bulimia nervosa: 2.28, 95% CI: 1.61–2.94, both anorexia and bulimia nervosa: 2.86, 95% CI 1.81–3.90). We also observed a dose–response association between greater body image and eating concerns in pregnancy and more severe trajectories of depressive symptoms, even after adjusting for lifetime eating disorders which also remained independently associated with greater depressive symptoms.ConclusionsWomen with eating disorders experience persistently greater depressive symptoms across the life-course. More training for practitioners and midwives on how to recognise eating disorders in pregnancy could help to identify depressive symptoms and reduce the long-term burden of disease resulting from this comorbidity.


Author(s):  
Daniel Le Grange ◽  
Renee Rienecke

Family therapy is increasingly recommended as the treatment of choice for eating disorders among adolescents. The shift from blaming parents for causing an ED to seeing them as a necessary part of the recovery process was set in motion by Salvador Minuchin and colleagues, and then reinforced and expanded on by researchers at the Maudsley Hospital in London, UK, and in the United States and Australia. Data supporting the efficacy of family therapy for adolescent anorexia nervosa has been solidified, while family-based approaches in the treatment of adolescents with bulimia nervosa show promise. Further research is needed to replicate the findings of existing studies and to further clarify the utility of parental involvement in the treatment of older adolescents, or transition age youth, with anorexia nervosa and bulimia nervosa.


2017 ◽  
Vol 68 (03/04) ◽  
pp. 126-136 ◽  
Author(s):  
Beate Steinfeld ◽  
Manuel Waldorf ◽  
Anika Bauer ◽  
Thomas Huber ◽  
Karsten Braks ◽  
...  

ZusammenfassungKörperbezogenes Vermeidungsverhalten wird als behaviorale Manifestation einer Körperbildstörung konzeptualisiert und beschreibt Anstrengungen, der Auseinandersetzung mit dem eigenen Körper aus dem Wege zu gehen. Während Studien Hinweise darauf liefern, dass körperbezogenes Vermeidungsverhalten im Erwachsenenalter zur Entstehung und Aufrechterhaltung von Essstörungen beiträgt, existieren bisher keine entsprechenden Befunde für das Jugendalter. Der Body Image Avoidance Questionnaire (BIAQ) ist der international am weitesten verbreitete Fragebogen zur Messung des körperbezogenen Vermeidungsverhaltens. Da seine deutschsprachige Version bisher nur an einer Stichprobe aus Erwachsenen validiert wurde, ist das Ziel der vorliegenden Studie, den Fragebogen an Jugendlichen mit Essstörungen teststatistisch zu überprüfen. Insgesamt N=127 weibliche Jugendliche, davon n=57 mit einer Anorexia Nervosa und n=24 mit einer Bulimia Nervosa (BN) sowie n=46 gesunde weibliche Jugendliche beantworteten den BIAQ und verschiedene Instrumente zur Erfassung der Körperbild- und Essstörungssymptomatik. Die für die englischsprachige Originalversion angenommene Faktorenstruktur von dem Faktor höherer Ordnung „Körperbezogenes Vermeidungsverhalten“ und den 4 Subfaktoren „Kleidung“, „Soziale Aktivitäten“, „Gezügeltes Essverhalten“ sowie „Pflegen und Wiegen“ konnte durch eine konfirmatorische Faktorenanalyse bestätigt werden. Mit Ausnahme der Skala „Pflegen und Wiegen“ weisen alle Skalen eine überwiegend akzeptable interne Konsistenz, Test-Retest-Reliabilität, differenzielle Validität sowie Konstruktvalidität auf. Aufgrund ihrer befriedigenden psychometrischen Kennwerte ist der Einsatz der BIAQ-Skalen „Kleidung“, „Soziale Aktivitäten“ und „Gezügeltes Essverhalten“ auch für das Jugendalter in Forschung und Praxis zu empfehlen.


2019 ◽  
Vol 10 ◽  
Author(s):  
Anke W. Dalhoff ◽  
Hugo Romero Frausto ◽  
Georg Romer ◽  
Ida Wessing

2012 ◽  
Vol 22 (53) ◽  
pp. 375-381 ◽  
Author(s):  
Angela Nogueira Neves Betanho Campana ◽  
Maria da Consolação Gomes Cunha Fernandes Tavares ◽  
Celso Garcia Júnior

Este estudo teve por objetivo avaliar aspectos da imagem corporal em uma amostra de pessoas com anorexia nervosa, bulimia nervosa e transtorno alimentar não-especificado. A amostra foi composta por 14 voluntárias atendidas pelo Ambulatório de Transtornos Alimentares da Universidade Estadual de Campinas. O Software de Avaliação Perceptiva foi utilizado para avaliar a insatisfação com o corpo. A preocupação com o corpo, checagem e evitação corporal foram avaliadas pelo Body Shape Questionnaire, Body Checking Questionnaire e Body Image Avoidance Questionnaire, respectivamente. A análise descritiva e as correlações entre as medidas mostraram elevados níveis de insatisfação, checagem, evitação e preocupação com o corpo, com associações significantes. Estes achados evidenciaram a importância dos parâmetros investigados na dinâmica dos transtornos alimentares. Conhecer esses componentes da imagem corporal favorece a ampliação das possibilidades de melhor compreender como se organiza a representação mental do corpo dessas pacientes e planejar mais cuidadosamente as intervenções no decurso do tratamento.


1987 ◽  
Vol 11 (4) ◽  
pp. 487-521 ◽  
Author(s):  
Thomas F. Cash ◽  
Timothy A. Brown

Sign in / Sign up

Export Citation Format

Share Document