Childhood Sexual Abuse Moderates the Relationship Between Sexual Functioning and Eating Disorder Psychopathology in Anorexia Nervosa and Bulimia Nervosa: A 1-Year Follow-Up Study

2013 ◽  
Vol 10 (9) ◽  
pp. 2190-2200 ◽  
Author(s):  
Giovanni Castellini ◽  
Carolina Lo Sauro ◽  
Lorenzo Lelli ◽  
Lucia Godini ◽  
Linda Vignozzi ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Childhood Sexual Abuse ◽  
Bulimia Nervosa ◽  
Sexual Functioning ◽  
Follow Up Study ◽  
Eating Disorder Psychopathology ◽  
The Relationship

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.

Mixture Modeling to Characterize Anorexia Nervosa: Integrating Personality and Eating Disorder Psychopathology

2019 ◽  
pp. 107839031986202
Author(s):  
Karen M. Jennings ◽  
Lindsay P. Bodell ◽  
Ross D. Crosby ◽  
Ann F. Haynos ◽  
Jennifer E. Wildes
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Latent Class ◽  
Clinical Presentation ◽  
Mixture Modeling ◽  
Eating Disorder Psychopathology ◽  
Personality Psychopathology ◽  
Latent Dimension ◽  
Eating Disorder Behaviors

BACKGROUND: Efforts to examine alternative classifications (e.g., personality) of anorexia nervosa (AN) using empirical techniques are crucial to elucidate diverse symptom presentations, personality traits, and psychiatric comorbidities. AIM: The purpose of this study was to use an empirical approach (mixture modeling) to test an alternative classification of AN as categorical, dimensional, or hybrid categorical–dimensional construct based on the co-occurrence of personality psychopathology and eating disorder clinical presentation. METHOD: Patients with AN ( N = 194) completed interviews and questionnaires at treatment admission and 3-month follow-up. Mixture modeling was used to test whether indicators best classified AN as categorical, dimensional, or hybrid. RESULTS: A four-latent class, one-latent dimension mixture model that was variant across groups provided the best fit to the data. Results suggest that all classes were characterized by low self-esteem and self-harming and suicidality tendencies. Individuals assigned to Latent Class 2 (LC2; n = 21) had a greater tendency toward being impulsive and easily angered and having difficulties controlling anger compared with those in LC1 ( n = 84) and LC3 ( n = 66). Moreover, individuals assigned to LC1 and LC3 were more likely to have a poor outcome from intensive treatment compared with those in LC4 ( n = 21). Findings indicate that the dimensional aspect within each class measured frequency of specific eating disorder behaviors but did not predict treatment outcomes. CONCLUSION: These results emphasize the complexity of AN and the importance of considering how facets of clinical presentation beyond eating disorder behaviors may have different treatment and prognostic implications.

Targeting binge eating in bulimia nervosa and binge eating disorder using inhibitory control training and implementation intentions: a feasibility trial

2020 ◽  
pp. 1-10
Author(s):  
Rayane Chami ◽  
Valentina Cardi ◽  
Natalia Lawrence ◽  
Pamela MacDonald ◽  
Katie Rowlands ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Implementation Intentions ◽  
Effect Sizes ◽  
Post Intervention ◽  
Eating Frequency ◽  
Eating Disorder Psychopathology

Abstract Background This trial examined the feasibility, acceptability, and effect sizes of clinical outcomes of an intervention that combines inhibitory control training (ICT) and implementation intentions (if-then planning) to target binge eating and eating disorder psychopathology. Methods Seventy-eight adult participants with bulimia nervosa or binge eating disorder were randomly allocated to receive food-specific, or general, ICT and if-then planning for 4 weeks. Results Recruitment and retention rates at 4 weeks (97.5% and 79.5%, respectively) met the pre-set cut-offs. The pre-set adherence to the intervention was met for the ICT sessions (84.6%), but not for if-then planning (53.4%). Binge eating frequency and eating disorder psychopathology decreased in both intervention groups at post-intervention (4 weeks) and follow-up (8 weeks), with moderate to large effect sizes. There was a tendency for greater reductions in binge eating frequency and eating disorders psychopathology (i.e. larger effect sizes) in the food-specific intervention group. Across both groups, ICT and if-then planning were associated with small-to-moderate reductions in high energy-dense food valuation (post-intervention), food approach (post-intervention and follow-up), anxiety (follow-up), and depression (follow-up). Participants indicated that both interventions were acceptable. Conclusions The study findings reveal that combined ICT and if-then planning is associated with reductions in binge eating frequency and eating disorder psychopathology and that the feasibility of ICT is promising, while improvements to if-then planning condition may be needed.

Cognitive Model of Eating Disorders

2001 ◽  
Vol 15 (4) ◽  
pp. 331-340 ◽  
Author(s):  
Wayne A. Bowers
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Empirical Studies ◽  
Cognitive Model ◽  
Cognitive Behavior ◽  
Eating Disorder Psychopathology ◽  
End Of Treatment ◽  
Negative Thoughts ◽  
Initial Research

Cognitive behavior Therapy (CBT) has been shown to be more effective or at least as effective as other psychotherapies in the treatment of bulimia nervosa with change being maintained 5 years after the end of treatment. Additionally, empirical studies demonstrate that CBT is superior to antidepressant medications in the treatment of bulimia nervosa. Less is known about CBT for anorexia nervosa but initial research suggests it may play a prominent role in treatment. CBT can influence changes in negative thoughts and schemas in anorexia nervosa as well as influence core eating disorder psychopathology and alter depressed mood. CBT may prevent relapse in the treatment of anorexia nervosa. More research is needed on the use of CBT in anorexia nervosa.

Role of Sexuality in the Outcome of Anorexia Nervosa and Bulimia Nervosa: A 3-Year Follow-Up Study

2017 ◽  
Vol 86 (6) ◽  
pp. 376-378 ◽  
Author(s):  
Giovanni Castellini ◽  
Lorenzo Lelli ◽  
Elisa Corsi ◽  
Beatrice Campone ◽  
Eleonora Ciampi ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Follow Up Study

scholarly journals Gender differences in eating disorder psychopathology across DSM-5 severity categories of anorexia nervosa and bulimia nervosa

2018 ◽  
Vol 51 (9) ◽  
pp. 1098-1102 ◽  
Author(s):  
Lazaro V. Zayas ◽  
Shirley B. Wang ◽  
Kathryn Coniglio ◽  
Kendra Becker ◽  
Helen B. Murray ◽  
...  
Keyword(s):  
Gender Differences ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Dsm 5 ◽  
Eating Disorder Psychopathology

Twelve-year course and outcome of bulimia nervosa

2004 ◽  
Vol 34 (8) ◽  
pp. 1395-1406 ◽  
Author(s):  
MANFRED M. FICHTER ◽  
NORBERT QUADFLIEG
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
General Pattern ◽  
Prospective Longitudinal Study ◽  
End Of Treatment ◽  
Co Morbidity ◽  
Prospective Longitudinal

Background. Since little is known about the long-term course and outcome of bulimia nervosa, the authors designed a 12-year prospective longitudinal study with five cross-sectional assessments based on a large sample of consecutively treated females with bulimia nervosa (purging type) (BN-P).Method. One hundred and ninety-six females with BN-P were assessed (1) at the beginning of treatment, (2) at the end of treatment, (3) at 2-year follow-up, (4) at 6-year follow-up, and (5) at 12-year follow-up. In self-ratings as well as expert ratings based on interviews we assessed specific eating-disorder and general psychopathology.Results. The general pattern of results over time showed substantial improvement during treatment, slight (in most cases non-significant) decline during the first two years after the end of treatment, and further improvement and stabilization until 12-year follow-up. At that point the majority of patients (70·1%) showed no major DSM-IV eating disorder, 13·2% had eating disorders not otherwise specified, 10·1% had BN-P and 2% had died. Very few had undergone transition to anorexia nervosa or binge-eating disorders. Logistic regression analyses showed that psychiatric co-morbidity was the best and most stable predictor for eating-disorder outcome at 2, 6 and 12 years.Conclusions. Course and outcome of BN-P was generally more favourable than for anorexia nervosa.

A follow-up study of 222 anorexia nervosa and bulimia nervosa patients, 1960-1983

1989 ◽  
Vol 43 (6) ◽  
pp. 553-559 ◽  
Author(s):  
Mikael Isaksson ◽  
Per Johnsson ◽  
Riitta Holmer
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Follow Up Study
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