Exploring Experience of Family Relations by Patients with Anorexia Nervosa and Bulimia Nervosa Using a Projective Family Test

2008 ◽  
Vol 103 (1) ◽  
pp. 231-242
Author(s):  
Erica B. Fäldt Ciccolo
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Patient Group ◽  
Family Relations ◽  
Control Group ◽  
Eating Disorder Inventory ◽  
Family Discord ◽  
Healthy Control ◽  
Maturity Fears

Elements of family dynamics have been shown to be related to onset, course, as well as prognosis of anorexia nervosa and bulimia nervosa. The goal was to explore the experience of family relations in a group of patients with eating disorders using a projective family test. The Patient group (anorexia = 21, bulimia=16), as well as a healthy Control group, were given a projective family test, the Eating Disorder Inventory-2, as well as Karolinska Scales of Personality. The Patient group expressed more discord within the family picture than the Control group, such as cold and loveless relationships and not feeling validated. The group of patients reporting the most family discord did not show more eating disorder pathology or general psychopathology. They did, however, have higher scores on the Eating Disorder Inventory—2 subscale Maturity Fears, as well as higher values on the Karolinska Scales of Personality subscale Socialization. These results are interpreted within the background of methodological challenges in this area of research.

scholarly journals Dissociazione e alessitimia in un campione di pazienti con Disturbo del Comportamento Alimentare

2010 ◽  
Vol 12 (1-2) ◽  
Author(s):  
Marco La Marra ◽  
Walter Sapuppo ◽  
Giorgio Caviglia
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Emotional States ◽  
Eating Disorder Inventory ◽  
Dissociative Experiences Scale ◽  
Dissociative Experiences

The aim of this study has been to investigate the dissociative phenomena and the difficulties related to perceive, understand and describe the proper ones and other people's emotional states in a sample of 53 patients with Eating Disorders. The recruited sample is made by 14 Anorexia Nervosa (AN) patients, 15 with Bulimia Nervosa (BN), 12 with Eating Disorder Non Otherwise Specified (EDNOS) and 12 with Binge Eating Disorder (BED). To all subjects was administred the Eating Disorder Inventory-2, the Dissociative Experiences Scale and the Scala Alessitimica Romana. In according with literature, we confirme the relationships among Eating Disorders, the dissociative phenomena and Alexithymia.

Anxiety, Stress And Depression: a Comparison Between Anorexic, Obese And Healthy Control Women

2016 ◽  
Vol 33 (S1) ◽  
pp. S425-S426
Author(s):  
G. Botteon
Keyword(s):  
Bariatric Surgery ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Statistical Analysis ◽  
General Population ◽  
Control Group ◽  
Obese Women ◽  
Obese People ◽  
Healthy Control ◽  
Competing Interest

IntroductionSeveral studies have proved that people who suffer from Anorexia Nervosa (AN) experience higher levels of anxiety, stress and depression than general population; while controversial results have been found among obese people (OB); the purpose of this study is to compare levels of anxiety, stress, and depression in AN sample, in OB sample and in Healthy Control Group (HC).MethodsAN sample: 27 anorexic inpatient women in an eating disorder unit. OB sample: 27 obese women evaluated for elegibility of bariatric surgery intervention. HC group: 27 women from different countries had been recruited. DASS 21 and STAI-Y questionnaires had been subministred to evaluate anxiety, stress and depression. The questionnaires had been scores and statistical analysis had been held to determine whether the differences founded in the 3 populations were significant or not (P-value < 0.05).ResultsTable 1. The differences founded were significant.ConclusionAnxiety and stress (DASS21, STAI): AN have reported higher levels than OB and HC that present similar levels. Depression (DASS21): AN have reported higher levels than OB and HC; OB higher levels than HC.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The links between body dysmorphic disorder and eating disorders

2000 ◽  
Vol 15 (5) ◽  
pp. 302-305 ◽  
Author(s):  
J. Rabe-Jablonska Jolanta ◽  
M. Sobow Tomasz
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Life Events ◽  
Affective Disorders ◽  
Body Dysmorphic Disorder ◽  
Control Group ◽  
Healthy Controls

SummaryThe aim of the study was to search for a body dysmorphic disorder (BDD) period preceding the symptoms meeting the criteria of either anorexia or bulimia nervosa, and an evaluation of the prevalence of BDD symptoms in a control group of girls without any eating disorder. Ninety-three girls (12–21 years old) were included in the study (36 with anorexia nervosa, 17 with bulimia nervosa and 40 healthy controls). The Structured Clinical Interview (SCID), including the BDD module, and a novel questionnaire (for the presence of preceding life events) were used. We found the symptoms of BDD in 25% of anorexia nervosa sufferers for at least six months before observing a clear eating disorder picture. Moreover, other mental disorders were also present among these patients. The results may support the idea that BDD and anorexia nervosa both belong to either OCD or affective disorders spectra.

Correlates of Sexual Abuse in Women with Anorexia Nervosa and Bulimia Nervosa*

1992 ◽  
Vol 37 (7) ◽  
pp. 516-518 ◽  
Author(s):  
Janet M. Degroot ◽  
Sidney Kennedy ◽  
Gary Rodin ◽  
Gail Mcvey
Keyword(s):  
Sexual Abuse ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Sexual Functioning ◽  
Eating Attitudes ◽  
Eating Disorder Inventory ◽  
Psychological Disturbance ◽  
Eating Attitudes Test

Of 184 female outpatients meeting the DSM-III-R criteria, for anorexia nervosa, bulimia nervosa, or anorexia nervosa with bulimia, approximately 25% reported previous sexual abuse. Furthermore, previous sexual abuse was associated with greater psychological disturbance, measured by the Eating Disorder Inventory and Eating Attitudes Test. Sexual functioning did not differ among women who did or did not report sexual abuse. This finding suggests that sexual abuse or its correlates may affect severity rather than type of eating disorder.

Puberty, sexual milestones and abuse: how are they related in eating disorder patients?

1995 ◽  
Vol 25 (2) ◽  
pp. 413-417 ◽  
Author(s):  
U. Schmidt ◽  
K. Evans ◽  
J. Tiller ◽  
J. Treasure
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Sexual Intercourse ◽  
Sexual Development ◽  
Pubertal Development ◽  
The Other ◽  
Control Group ◽  
First Sexual Intercourse ◽  
History Of

SynopsisIn order to assess the relationship between pubertal development, sexual milestones and childhood sexual abuse in women with eating disorders, 44 patients with restricting anorexia nervosa (RAN), 26 with bulimic anorexia nervosa (BAN), 29 with bulimia nervosa and also with a history of anorexia nervosa (BN/HistAN), and 69 with bulimia nervosa but without a history of anorexia nervosa (BN) completed questionnaires on pubertal and sexual development and unpleasant sexual experiences. Forty-four female college students completed the sexual development questionnaire only. Different eating disorder groups were found to be similar in terms of their pubertal development. All eating disorder groups showed delays in aspects of their psychosexual development (age at first kiss, masturbation, genital fondling and first sexual intercourse) compared with the control group, although to a different degree.The RAN group was delayed on almost all sexual milestones whereas the other groups were delayed on only some. On some variables, most noticeably on first sexual intercourse, restricters also were more delayed than the other eating disorder groups. Similarly, the median number of sexual partners differed significantly between groups (RAN = 1, BAN = 2, BN/HistAN = 4, BN = 4, controls = 5, P < 0·0001). Eating disorder patients, in particular RAN patients, were less positive about sexual relationships than controls, but did not differ from controls in attitudes to masturbation, marriage, children or pregnancy. Of the eating disorder patients 22−31% had been sexually abused during childhood. A history of abuse affected attitudes to masturbation, but did not appear to affect sexual development.

The implicit “Thin Ideal” in eating disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 720-720
Author(s):  
E. Fadda ◽  
S. Fronza ◽  
E. Galimberti ◽  
L. Bellodi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Normal Weight ◽  
Control Group ◽  
Implicit Association ◽  
Significant Difference ◽  
Healthy Control ◽  
Negative Attributes ◽  
Concept Attribute

IntroductionGreenwald and co-workers developed The implicit Association Test (IAT) to measure implicit automatic concept-attribute associations. Evidences have suggested that Anorexia Nervosa (AN) and Bulimia Nervosa (BN) were characterized by “Ideal Thin” construct.ObjectivesThe aim of this study was the evaluation, at an implicit level, of Ideal Thin construct in a sample of Eating Disorders (ED) patients.MethodsAn “Ideal thin” Implicit Association Tests (Ideal thin IAT) has been modeled, to evaluate the implicit ideal thin in ED patients compared with an healthy control group. IAT test has been administered to a sample composed by 17 AN patients, 14 BN patients, 17 Binge Eating patients (BED) and 32 healthy controls (HC). The target categories, were “OVERWEIGHT / UNDERWEIGHT” and “POSITIVE / NEGATIVE”. Stimuli included pictures of overweight and normal weight models and positive/negative words. A positive IAT effect underlines an implicit tendency to associate the category “UNDERWEIGHT” with negative attributes, instead a negative IAT effect suggest an implicit tendency to associate the same category with positive attributes.ResultsResults showed no significant difference between HC and clinical groups in implicit “Ideal Thin construct”. All groups showed positive IAT effect. No correlations between implicit attitude and clinical variables were found.ConclusionResults show a common implicit tendency generalized in the sample to positively judge underweight. This implicit tendency was stronger in patients with Anorexia Nervosa (0,30), than patents with Bulimia Nervosa (0,41), than Healthy Control (0,42), followed by patients with BED (0,56).

Eating Disorder Inventory-2 (EDI-2)

Diagnostica ◽  
2012 ◽  
Vol 58 (3) ◽  
pp. 127-144 ◽  
Author(s):  
Viola Kappel ◽  
Andreas Thiel ◽  
Martin Holzhausen ◽  
Charlotte Jaite ◽  
Nora Schneider ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Kinder Und Jugendliche ◽  
Eating Disorder Inventory

Zusammenfassung. Das Eating Disorder Inventory-2 (EDI-2; Paul & Thiel, 2005 ) ist ein mehrdimensionales psychometrisches Selbstberichtsinstrument zur Erfassung pathologischen Essverhaltens und anderer für Anorexia nervosa (AN) und Bulimia nervosa (BN) relevanter psychopathologischer Variablen bei Erwachsenen. In der vorliegenden Arbeit wird über die bisher noch fehlende Normierung an einer deutschen nicht-klinischen Stichprobe von 1754 SchülerInnen im Alter von 10 bis 20 Jahren (MAlter = 15.8, SD = 1.7) berichtet. Zusätzlich werden erste geschlechtsspezifische Werte für 66 Patientinnen mit AN (MAlter = 16.2, SD = 1.7) und 22 Patientinnen mit BN (MAlter = 16.8, SD = 1.5) beschrieben. Die hier vorgestellten Normen für Kinder und Jugendliche sowie eine bereits vorgenommene psychometrische Evaluation ( Salbach-Andrae et al., 2010 ) ermöglichen zukünftig den Einsatz des EDI-2 in dieser Altersgruppe. Unabhängig von der Antwortversion können interna-tionale Vergleiche anhand geschlechtsspezifischer (und für weibliche Stichproben altersspezifischer) Normen vorgenommen werden.

Pharmacotherapy for Eating Disorders

2017 ◽  
Author(s):  
Susan McElroy ◽  
Anna I. Guerdjikova ◽  
Nicole Mori ◽  
Paul E. Keck
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Night Eating Syndrome ◽  
Night Eating

This chapter addresses the pharmacotherapy of the eating disorders (EDs). Many persons with EDs receive pharmacotherapy, but pharmacotherapy research for EDs has lagged behind that for other major mental disorders. This chapter first provides a brief rationale for using medications in the treatment of EDs. It then reviews the data supporting the effectiveness of specific medications or medication classes in treating patients with anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other potentially important EDs, such as night eating syndrome (NES). It concludes by summarizing these data and suggesting future areas for research in the pharmacotherapy of EDs.

Epidemiology and Course of Eating Disorders

2010 ◽  
pp. 24-32 ◽  
Author(s):  
Pamela Keel
Keyword(s):  
Public Health ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
The Public ◽  
Purging Disorder ◽  
Not Otherwise Specified ◽  
Public Health Significance ◽  
Health Significance

The epidemiology of eating disorders holds important clues for understanding factors that may contribute to their etiology. In addition, epidemiological findings speak to the public health significance of these deleterious syndromes. Information on course and outcome are important for clinicians to understand the prognosis associated with different disorders of eating and for treatment planning. This chapter reviews information on the epidemiology and course of anorexia nervosa, bulimia nervosa, and two forms of eating disorder not otherwise specified, binge eating disorder and purging disorder.

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