The importance of body image disturbances for the outcome of outpatient psychotherapy in patients with anorexia nervosa: Results of the ANTOP-study.


Journal

European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977

Informations de publication

Date de publication:
01 2019
Historique:
received: 03 04 2018
revised: 23 05 2018
accepted: 29 05 2018
pubmed: 17 7 2018
medline: 17 1 2019
entrez: 17 7 2018
Statut: ppublish

Résumé

This study investigates the role of body image self-appraisal in predicting the outcomes of outpatient psychotherapy in patients with anorexia nervosa (AN). Multiple linear regression analyses and a path-analysis model were applied to test the study hypotheses that body image at baseline predicts treatment outcomes of outpatient psychotherapy in patients with AN at follow-up measurement. The analyses were conducted as secondary analyses in a subgroup (n = 148) of the anorexia nervosa treatment of outpatient-cohort (ANTOP-study) (N = 242) of patients with AN. The results show that Negative Evaluation of the Body at baseline predicts perceived stress during psychotherapy, which in turn predicts depressive symptoms at the end of therapy which in turn predicts the outcomes body mass index and EDI-2 sum score at 12 months follow-up. The results underline the importance of body image disturbance in the course of AN and call for body image as a central target of psychotherapeutic interventions in patients with AN.

Identifiants

pubmed: 30009554
doi: 10.1002/erv.2623
doi:

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

49-58

Informations de copyright

© 2018 John Wiley & Sons, Ltd and Eating Disorders Association.

Auteurs

Florian Junne (F)

Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.

Beate Wild (B)

Center for Psychosocial Medicine, Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.

Gaby Resmark (G)

Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.

Katrin E Giel (KE)

Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.

Martin Teufel (M)

Clinic for Psychosomatic Medicine and Psychotherapy, LVR Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Peter Martus (P)

Institute for Clinical Epidemiology and Applied Biometry, Medical Faculty Tuebingen, Tuebingen, Germany.

Katrin Ziser (K)

Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.

Hans-Christoph Friederich (HC)

Clinical Institute of Psychosomatic Medicine and Psychotherapy, University Hospital Duesseldorf, Duesseldorf, Germany.

Martina de Zwaan (M)

Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.

Bernd Löwe (B)

Institute and Outpatient Clinic for Psychosomatic Medicine and Psychotherapy, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

Andreas Dinkel (A)

Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.

Stephan Herpertz (S)

Department of Psychosomatic Medicine and Psychotherapy, LWL University Clinic, Ruhr-University Bochum, Bochum, Germany.

Markus Burgmer (M)

Clinic for Psychosomatic Medicine and Psychotherapy, University Hospital Muenster, Muenster, Germany.

Sefik Tagay (S)

Clinic for Psychosomatic Medicine and Psychotherapy, LVR Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Eva Rothermund (E)

Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Ulm, Ulm, Germany.

Almut Zeeck (A)

Department of Psychosomatic Medicine and Psychotherapy, University Hospital Freiburg, Freiburg, Germany.

Wolfgang Herzog (W)

Center for Psychosocial Medicine, Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.

Stephan Zipfel (S)

Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.

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