scholarly journals Insidious: The relationship patients have with their eating disorders and its impact on symptoms, duration of illness, and self-image

2017 ◽  
Vol 91 (3) ◽  
pp. 302-316 ◽  
Author(s):  
Emma Forsén Mantilla ◽  
David Clinton ◽  
Andreas Birgegård
Keyword(s):  
Eating Disorders ◽  
Self Image ◽  
Duration Of Illness ◽  
The Relationship

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.

The Relationship between Loneliness, Eating Disorders, and Interpersonal Dependency

2007 ◽  
Author(s):  
Kyra L. Yalch ◽  
Mary Pritchard ◽  
Reshma Patel ◽  
Lacey Oldemeyer
Keyword(s):  
Eating Disorders ◽  
Interpersonal Dependency ◽  
The Relationship

Narcissism and trust: Differential impact of agentic, antagonistic, and communal narcissism

2018 ◽  
Author(s):  
Maria Magdalena Kwiatkowska ◽  
Tomasz Jułkowski ◽  
Radosław Rogoza ◽  
Magdalena Żemojtel-Piotrowska ◽  
Ramzi Fatfouta
Keyword(s):  
Cognitive Bias ◽  
Grandiose Narcissism ◽  
Differential Impact ◽  
Self Image ◽  
The Relationship

Previous research has shown that individuals high in narcissism mistrust others, yet little is known about narcissism’s relation to trust. In the current study (N = 727), we aim to close this gap in the literature by examining the relationship between facets of trust (i.e., cognitive bias in the evaluation of others and personal trustworthiness) and facets of grandiose narcissism (i.e., agentic, antagonistic, and communal). We strive to answer the question whether narcissistic individuals believe that others are reliable, honest, and benevolent (how they perceive others) and whether they present themselves as trusting of others (how they perceive themselves). We posit and show that agentic narcissism is not related to any of the studied trust facets, suggesting that the concept of trust is not relevant to their self-image. In contrast, antagonistic narcissism is negatively related to perceiving others and oneself as trustful, and communal narcissism is positively related to these trust facets, purportedly due to communal self-enhancement. We discuss our findings of the Narcissistic Admiration and Rivalry Concept as well as to the Agency-Communion model of grandiose narcissism.

Ascertaining an efficient eligibility cut-off for extended Medicare items for eating disorders

2021 ◽  
pp. 103985622110286
Author(s):  
Tracey Wade ◽  
Jamie-Lee Pennesi ◽  
Yuan Zhou
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
False Positive Rate ◽  
Area Under The Curve ◽  
Rate Sensitivity ◽  
True Positive Rate ◽  
Eating Disorder Examination Questionnaire ◽  
Eating Disorder Examination ◽  
Positive Rate ◽  
The Relationship

Objective: Currently eligibility for expanded Medicare items for eating disorders (excluding anorexia nervosa) require a score ⩾ 3 on the 22-item Eating Disorder Examination-Questionnaire (EDE-Q). We compared these EDE-Q “cases” with continuous scores on a validated 7-item version of the EDE-Q (EDE-Q7) to identify an EDE-Q7 cut-off commensurate to 3 on the EDE-Q. Methods: We utilised EDE-Q scores of female university students ( N = 337) at risk of developing an eating disorder. We used a receiver operating characteristic (ROC) curve to assess the relationship between the true-positive rate (sensitivity) and the false-positive rate (1-specificity) of cases ⩾ 3. Results: The area under the curve showed outstanding discrimination of 0.94 (95% CI: .92–.97). We examined two specific cut-off points on the EDE-Q7, which included 100% and 87% of true cases, respectively. Conclusion: Given the EDE-Q cut-off for Medicare is used in conjunction with other criteria, we suggest using the more permissive EDE-Q7 cut-off (⩾2.5) to replace use of the EDE-Q cut-off (⩾3) in eligibility assessments.

The Welsh Eating Disorder Service Review 2018, Scottish Eating Disorder Service Review 2021 and recommendations of best practice in comorbid eating disorders and diabetes

2021 ◽  
pp. 135910452110138
Author(s):  
Jacinta Tan ◽  
Gemma Johns
Keyword(s):  
Eating Disorders ◽  
United Kingdom ◽  
Eating Disorder ◽  
High Mortality ◽  
Best Practice ◽  
Service Development ◽  
The United Kingdom ◽  
Scottish Government ◽  
The Relationship ◽  
Service Change

Background: Diabetes and eating disorders are frequently comorbid. This particular comorbidity is not only often poorly recognised, but is difficult to treat and has a high mortality. Method: In this article, we will briefly review the relationship between diabetes and eating disorders. We will review the current NICE and other guidance and reports concerning both diabetes and eating disorders in the United Kingdom. We will then describe the recommendations of the 2018 Welsh Government Eating Disorder Service Review and the 2021 the Scottish Government Eating Disorder Service Review regarding diabetes and eating disorders, which will lead to service change. Conclusions: We conclude that this is a relatively underdeveloped but important area where there needs to be further service development and more collaboration between diabetes and eating disorder services.

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