Insidious: The relationship between patients and their eating disorders and its impact on ED symptoms, illness duration and self-image

2017 ◽  
Vol 41 (S1) ◽  
pp. S552-S552
Author(s):  
E. Forsén Mantilla ◽  
A. Birgegård
Keyword(s):  
Eating Disorders ◽  
Interpersonal Relationships ◽  
Real Life ◽  
True Self ◽  
Illness Duration ◽  
Self Image ◽  
Not Otherwise Specified ◽  
Higher Ed ◽  
Competing Interest ◽  
The Relationship

Patients with eating disorders (EDs) often spontaneously talk about their disorder in terms of a symbolic other (a demon, a voice, a guardian). Further, externalizing exercises where patients are encouraged to separate their true self from their ED self are common in some treatment approaches. Yet, no previous quantitative study has investigated this phenomenon. We examined the patient-ED relationship (using the interpersonal structural analysis of social behavior methodology) and its implications for ED symptoms, illness duration and self-image. Participants were 16–25 year old female patients (N = 150) diagnosed with anorexia nervosa (N = 55), bulimia nervosa (N = 33) or eating disorder not otherwise specified (N = 62). Results suggested that patients had comprehensible and organized relationships with their EDs. EDs were primarily experienced as acting critical and controlling towards patients. Higher ED control was associated with more ED symptoms and longer illness duration, especially when coupled with patient submission. Patients reacting more negatively towards their EDs than their EDs were acting towards them had lower symptom levels and more positive self-images. Externalizing one's ED, relating to it like a symbolic other, seemed to make sense to patients and depending on its quality seemed to influence ED symptoms, illness duration and self-image. We put forward both clinical and theoretical implications based on the assumption that the patient-ED relationship may function in similar ways as real-life interpersonal relationships do.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Impulsivity And Traumas In The Eating Disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S432-S432
Author(s):  
M. Soto Laguna ◽  
M.D.L.D. Pérez López ◽  
M.F. Diaz Marsá ◽  
N.F. Aida
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Family Member ◽  
Eating Behavior ◽  
Conduct Disorders ◽  
Traumatic Experiences ◽  
Real Problem ◽  
Unexpected Death ◽  
Competing Interest ◽  
The Relationship

IntroductionThe eating disorder are not only isolated power problems. They interweave issues and pathologies in patients often difficult to approach and have crimping going to reach a solution and get to the real problem of the patient. As it has been observed in studies if they have established relationships between patients with an impulsive nature and traumatized regarding the presentation of eating disorders.ObjectivesOur study aims to establish the relationship between eating disorder such as anorexia and bulimia with factors such as impulsivity and suffered traumas.Materials and methodsIt has used a sample (n = 57) and patients spent three scales “Barratt Impulsiveness Scale” (BIS-11), “Questionnaire traumatic experiences” (TQ) and the BSQ, scale measuring dissatisfaction disorders eating behavior. The aim is to see the relationship between anorexia and bulimia regarding trauma and impulsivity.ResultsIt is intended to check if having character traits of impulsivity or miss having lived or suffered traumatic experiences such as the unexpected death of a family member, rape, kidnapping… establishes a relationship in patients who develop conduct disorders food.ConclusionThis study aims to see if there is a correlation between eating disorder and factors such as traumatic experiences and an influential feature in this pathology such as the impulsivity through a sample of patients (n = 57) over 18 years.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Co-occurrence Of Eating Disorders And Psychosis

2016 ◽  
Vol 33 (S1) ◽  
pp. S425-S425 ◽  
Author(s):  
C. Alves Pereira ◽  
J.R. Silva ◽  
R. Cajão ◽  
J.P. Lourenço ◽  
T. Casanova
Keyword(s):  
Eating Disorders ◽  
Critical Reflection ◽  
Literature Search ◽  
Case Series ◽  
The Other ◽  
Psychotic Symptoms ◽  
Psychotic Illness ◽  
Other Hand ◽  
Competing Interest ◽  
The Relationship

IntroductionSeveral reviews have reported the incidence of schizophrenia in patients with eating disorders (ED) to be between 3–10% and the incidence of transient psychotic episodes to be 10–15%. On the other hand, anorexia nervosa appears to affect 1 to 4% of schizophrenia patients. Reports of psychosis and ED occurring in the same patient have led to various views as to the nature of the relationship between the two.ObjectiveAnalysis of the literature illustrated by different clinical cases in which appears to be a relationship between ED and psychosis.AimsCritical reflection about the hypothesis that could underlie the comorbidity of psychotic illness and ED.MethodsNon-systematic review of a literature search using the keywords: eating disorders; psychosis; comorbidity.ResultsThere is no consistent sequence in the co-occurrence of the two conditions – ED sometimes precede and sometimes follows the onset of psychosis. ED patients can develop psychotic symptoms, most frequently transient in the course of the disorder, while others are subsequently diagnosed with a chronic psychotic disorder. On the other hand, patients with a primary psychotic illness can develop an eating disorder. The connection between the two, however, remains speculative, considering the hypothesis that ED and psychosis can be entirely separate disorders that can, by chance, occur in the same person.ConclusionsThe area of comorbidity and overlapping symptoms in psychiatry requires more deep research. Despite evidence from case series, the comorbidity between ED and psychosis is poorly understood, and firm conclusions cannot be drawn from this analysis.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Self-Image and Risk of Suicide in Eating Disorders

2017 ◽  
Vol 41 (S1) ◽  
pp. S281-S281
Author(s):  
A. Birgegård ◽  
M. Andersen
Keyword(s):  
Eating Disorders ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
High Specificity ◽  
Lower Sensitivity ◽  
Longitudinal Models ◽  
Self Image ◽  
Competing Interest ◽  
Separate Regression ◽  
Variance Explained

IntroductionSuicide risk is increased in eating disorders (ED), and detection is key to prevention. Self-image as operationalized in the structural analysis of social behavior (SASB) model has been shown to be associated with symptoms, treatment dropout, and outcome. SASB is a circumplex organizing self-directed behaviors along affiliation (love vs. hate) and autonomy (set free vs. control) dimensions. In a recent study, SASB related to health care-detected suicide attempts in ED. Methodology in that study ensured high specificity but risked lower sensitivity in suicide variables, and with such a high-threat outcome, research is needed on additional variables related to risk.Objectives and aimsWe aimed to study associations between SASB self-image and clinician- and self-rated suicidality at presentation and predicted over 12 months in ED patients.MethodsAdult patients (n = 551) from a Swedish clinical database included 19% anorexia, 32% bulimia, 7% binge ED, and 42% other ED. We ran separate regression models for these diagnostic groups using SASB questionnaire data, also controlling for general psychiatric and ED symptoms, and in longitudinal models including baseline of each outcome.ResultsSASB alone was associated with suicidality at presentation (9–67% variance explained) and predictively over 12 months (7–29%), and in the majority of models explained additional variance beyond baseline and clinical variables. Both affiliation and autonomy related to dependent variables in diagnosis-specific patterns.ConclusionsThe findings have implications for both theory and detection tools for suicide risk, as well as suggesting intervention targets to mitigate risk in treatment based on the well-validated SASB theory.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Mismatch Negativity and P3a Impairment through Different Phases of Schizophrenia and Their Association with Real-Life Functioning

2021 ◽  
Vol 10 (24) ◽  
pp. 5838
Author(s):  
Giulia M. Giordano ◽  
Luigi Giuliani ◽  
Andrea Perrottelli ◽  
Paola Bucci ◽  
Giorgio Di Lorenzo ◽  
...  
Keyword(s):  
Mismatch Negativity ◽  
Real Life ◽  
Neurocognitive Deficits ◽  
Work Skills ◽  
Illness Duration ◽  
Impairment In Functioning ◽  
Life Functioning ◽  
Relationship Of ◽  
The Relationship ◽  
Illness Progression

Impairment in functioning since the onset of psychosis and further deterioration over time is a key aspect of subjects with schizophrenia (SCZ). Mismatch negativity (MMN) and P3a, indices of early attention processing that are often impaired in schizophrenia, might represent optimal electrophysiological candidate biomarkers of illness progression and poor outcome. However, contrasting findings are reported about the relationships between MMN-P3a and functioning. The study aimed to investigate in SCZ the influence of illness duration on MMN-P3a and the relationship of MMN-P3a with functioning. Pitch (p) and duration (d) MMN-P3a were investigated in 117 SCZ and 61 healthy controls (HCs). SCZ were divided into four illness duration groups: ≤ 5, 6 to 13, 14 to 18, and 19 to 32 years. p-MMN and d-MMN amplitude was reduced in SCZ compared to HCs, independently from illness duration, psychopathology, and neurocognitive deficits. p-MMN reduction was associated with lower “Work skills”. The p-P3a amplitude was reduced in the SCZ group with longest illness duration compared to HCs. No relationship between P3a and functioning was found. Our results suggested that MMN amplitude reduction might represent a biomarker of poor functioning in SCZ.

scholarly journals The Effect of Attachment Styles on the Development of Eating Disorders Among Children and Adolescents

1970 ◽  
pp. 413-423
Author(s):  
Areej Abdo
Keyword(s):  
Eating Disorders ◽  
Interpersonal Relationships ◽  
Attachment Style ◽  
Attachment Styles ◽  
Positive Relationship ◽  
Research Literature ◽  
Parents And Children ◽  
The Social ◽  
The Individual ◽  
The Relationship

This article seeks to examine the relationship between attachment styles in childhood and the development of eating disorders later in life. The assumption underlying the article is, the development of the social structure places considerable emphasis on eating as a way of socialization and a comfortable experience. A review of the research literature on the field documents a positive relationship between eating disorders, health problems and difficulties in family and interpersonal relationships.1 Therefore, it can be said that the assumption that the relationship between the attachment style of parents and children and eating is justified, since personal coping habits, especially attachment styles, are expressed to a certain extent in the specific eating behavior of the individual.

Sign in / Sign up

Export Citation Format

Share Document